Eczema is a condition associated with itching and rashes that are worsened by scratching. Washcloths and other abrasive materials should be avoided.
Dermatologists agree that washcloths should not be used during an outbreak as they can be abrasive and harm the skin further.The causes of eczema are unknown, but research is underway to help better understand this condition.
People who are atopic are hypersensitive to triggers in the environment and their immune systems react with various allergic responses.Although most people don't think of it this way, the skin is actually our largest immunologic organ.It protects us from sunlight, bacteria and other harmful substances in the environment.Under normal circumstances, a reaction only occurs in response to an irritant, such as poison ivy.Eczema sufferers have overactive immune systems, evidenced by certain white blood cells which react by producing histamines under a variety of circumstances that would not bother most people.Histamines are the chemicals responsible for wheezing, sneezing and watery eyes in those with hay fever.In the skin they produce inflammation, heat and itching.
Researchers have also discovered a couple of other differences in the skin of people with eczema.Most patients studied have lower levels of fatty acids, which are normally responsible for providing moisture and elasticity.This factor is probably what produces the excessive dryness seen in eczematous skin.In addition, the part of the immune system responsible for protecting the skin from viral infections and bacteria is often under active, which would account for the increased incidence of other types of skin problems seen in eczema sufferers.
Eczema cannot be cured, only controlled.Those with sensitive skin are prone to flare ups if exposed to certain triggers, which vary from person to person.For some, various soaps or detergents can be a problem.For others, synthetic fibers or other scratchy materials will need to be avoided.Stress has also been identified as a factor.Whatever the cause of the outbreak, a vicious cycle is usually initiated.Itching is usually the first symptom noticed, often accompanied by dryness or a rash.Scratching increases inflammation and thus increases the itchy sensation and flaking of the skin.Sometimes blisters form.If these are scratched the skin often becomes prone to infections.
Treatment of eczema focuses on keeping the skin moist at all times and preventing scratching during an outbreak.This is why washcloths are counter indicated.Only lukewarm water should be used for bathing and mild, fragrance free soaps should be applied with the flat part of the fingers or hands.The softest towels should be sought out for drying and only a patting motion should be used.
Eczema is a fairly common condition and there are many who have learned to deal with its effects on a daily basis.By identifying and avoiding triggers and keeping the skin hydrated, patients should be able to prevent eczema from having a negative impact on their quality of life.
