Skin

What Causes Eczema? I Skin Specialist Near Me

Introduction

Eczema, also known as atopic dermatitis, is a chronic skin condition that affects millions of people worldwide, including a significant number in Malaysia. Characterised by red, inflamed, and itchy skin, eczema can vary in severity from mild, occasional flare-ups to severe, persistent cases that significantly impact daily life. Understanding what causes eczema is crucial for managing and treating this condition effectively.

While the exact cause of eczema remains unknown, research indicates that it results from a complex interplay of genetic and environmental factors. These factors can trigger the immune system to overreact, leading to the symptoms associated with eczema. For those suffering from this condition, identifying and avoiding triggers is essential to minimise flare-ups and maintain healthy skin.

There are seven types of eczema : 1) Atopic eczema, 2) contact eczema, 3)  seborrheic eczema , 4) dyshidrotic eczema 5) discoid eczema  6)  lichen simplex chronicus and 7) asteatotic eczema. 

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At Loh & Celine Skin Specialist Clinic, we specialise in diagnosing and treating eczema, offering personalised care plans tailored to each patient’s unique needs. Our team of experienced doctors is dedicated to helping patients understand the underlying causes of their condition and providing effective treatments to manage symptoms. In this article, we will explore the various factors that contribute to eczema, from genetic predispositions to environmental triggers and lifestyle choices.

Genetic Factors in Eczema

A. Family History

Eczema often runs in families, indicating a strong genetic component. Research shows that individuals with a family history of eczema, asthma, or hay fever are more likely to develop eczema. 

Genetic predispositions play a significant role in the development of eczema. If a close family member has eczema, you are at a higher risk of developing it as well. Research has demonstrated that eczema can be inherited, highlighting the importance of family medical history in understanding the condition. Inherited genes can affect the skin barrier’s function, making it more susceptible to irritants and allergens, which can trigger eczema flare-ups.

B. Filaggrin Gene Mutation

Filaggrin is a protein crucial for maintaining the skin’s barrier function. Mutations in the filaggrin gene are strongly associated with eczema.

Filaggrin helps to maintain the skin’s protective barrier. When this gene is mutated, the barrier is compromised, leading to increased water loss and vulnerability to irritants.Studies have shown that individuals with filaggrin gene mutations are more likely to develop eczema. This mutation is present in about 10% of the general population but is found in a higher percentage of eczema patients. Approximately 50% of individuals with severe eczema have filaggrin mutations, highlighting the significant impact of this genetic factor on the condition.

Environmental Triggers

A. Allergens and Irritants

Environmental allergens and irritants can trigger or worsen eczema symptoms. Identifying and avoiding these triggers is crucial for managing the condition.

Dust mites, pet dander, and mould are common household allergens that can exacerbate eczema symptoms. Keeping living spaces clean and allergen-free is essential. Personal care products, such as soaps, shampoos, and detergents, often contain harsh chemicals that can irritate sensitive skin. Using hypoallergenic and fragrance-free products can help reduce irritation. Studies have shown that reducing exposure to allergens and irritants can significantly decrease the frequency and severity of eczema flare-ups, improving overall skin health.

skin specialist near me
skin specialist near me

B. Climate and Weather

Climate and weather conditions can also influence eczema symptoms. Different climates can either alleviate or aggravate the condition.

Dry and cold climates can strip the skin of moisture, leading to dryness and irritation. Using humidifiers and moisturising regularly can help combat these effects. High humidity and heat can increase sweating, which can irritate the skin and trigger eczema flare-ups. Keeping cool and wearing breathable clothing can help manage symptoms. Research indicates that individuals living in dry and cold climates experience more severe eczema symptoms compared to those in moderate climates. Adjusting skincare routines according to the weather can help manage eczema effectively.

C. Pollution and Eczema

Air pollution is another significant environmental trigger for eczema. Exposure to pollutants can worsen symptoms and increase the risk of flare-ups.

Studies have found a strong correlation between high levels of air pollution and increased eczema severity. Pollutants can irritate the skin and weaken its barrier function. Urban areas with higher pollution levels tend to have higher rates of eczema compared to rural areas. This highlights the impact of environmental factors on skin health. Research shows that individuals exposed to high levels of air pollution are more likely to experience severe eczema symptoms. Reducing exposure to pollutants and using air purifiers can help mitigate these effects.

Lifestyle Factors

A. Diet and Nutrition

Diet and nutrition play a crucial role in managing eczema. Certain foods can trigger or worsen symptoms, while others can support skin health.

Common trigger foods include dairy, eggs, nuts, and soy. Identifying and avoiding these foods can help reduce eczema flare-ups. Deficiencies in essential nutrients, such as omega-3 fatty acids, vitamin D, and zinc, can affect skin health and exacerbate eczema. Ensuring a balanced diet rich in these nutrients can help manage symptoms. Studies have shown that dietary modifications can significantly improve eczema symptoms. For example, including omega-3-rich foods like fish can help reduce inflammation and improve skin condition.

B. Stress and Mental Health

Stress is a known trigger for eczema flare-ups. Managing stress and maintaining good mental health can help control eczema symptoms.

Stress can weaken the immune system and trigger inflammatory responses, leading to eczema flare-ups. Finding effective stress management techniques is crucial. Living with eczema can affect mental health, leading to anxiety and depression. Addressing these psychological impacts is important for overall well-being. Research indicates that individuals who manage stress effectively experience fewer and less severe eczema flare-ups. Techniques like mindfulness, meditation, and therapy can be beneficial.

C. Hygiene

The hygiene hypothesis suggests that overly clean environments can increase the risk of eczema by limiting exposure to beneficial microbes that help develop the immune system.

Excessive cleanliness and the use of antibacterial products can disrupt the skin’s microbiome and increase eczema risk. Early exposure to a variety of microbes can help develop a balanced immune system, reducing the risk of eczema. Allowing children to play outdoors and interact with pets can be beneficial. Studies support the hygiene hypothesis, showing that children in rural areas or those with early exposure to pets have lower rates of eczema. Balancing hygiene with healthy microbial exposure is key.

How to Manage Eczema Effectively

Managing eczema effectively requires a comprehensive approach that includes proper skincare, lifestyle adjustments, and medical treatments.

At Loh & Celine Skin Specialist Clinic, we offer a range of treatment options tailored to each patient’s unique needs. Our personalised treatment plans may include topical treatments, such as corticosteroids and emollients, to reduce inflammation and moisturise the skin. In some cases, systemic treatments like oral medications or phototherapy may be recommended for more severe eczema. Occasionally , wet wrap is very helpful. 

Wet wrap therapy is a simple and effective treatment commonly used for managing moderate to severe eczema, particularly during flare-ups. The process involves cleansing the affected skin, applying a thick layer of emollient or prescribed medication, and then covering the area with damp gauze or cotton bandages. These damp wraps are then secured with a dry layer of bandages or snug-fitting clothing, which helps lock in moisture and increase the absorption of the medication.

The treatment is usually left on for a few hours or overnight, depending on the severity of the condition and the advice of a healthcare provider. Wet wrap therapy offers several benefits, including deep hydration of the skin, reduction of dryness and itchiness, and calming of inflammation. 

Proper skin care is essential in managing eczema. This includes using gentle, fragrance-free products, moisturising regularly, and avoiding known triggers. Our dermatologists can provide specific recommendations based on your skin type and condition.

Lifestyle adjustments, such as managing stress, following a balanced diet, and maintaining a consistent skincare routine, can also significantly impact eczema management. We work closely with our patients to identify and address lifestyle factors that may be contributing to their symptoms.

Patient education is a key component of our approach. We ensure that our patients understand their condition and know how to manage it effectively. Our clinic offers resources and support to help patients navigate their eczema journey.

Frequently Asked Questions

Conclusion

Understanding the causes of eczema is crucial for effective management and treatment. Genetic factors, environmental triggers, and lifestyle choices all play a role in the development and severity of eczema. By identifying these factors, patients can take proactive steps to manage their condition and improve their quality of life.

At Loh & Celine Skin Specialist Clinic, we are dedicated to providing comprehensive care for eczema patients. Our personalised treatment plans, combined with patient education and support, help our patients achieve better skin health and overall well-being. Don’t let eczema control your life—take the first step towards healthier skin by scheduling a consultation with our experienced dermatologists.