Eczema on the elbows: Images, classifications, and added information
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Eczema, a common skin condition affecting millions of people, is characterized by itchy, inflamed, and uncomfortable rashes on the skin. This article provides an overview of the various types of eczema, their causes, and management strategies.
Scientists believe that eczema may be due to a combination of genetics and environmental factors that cause the immune system to become overactive or not work as it should [1]. In severe cases, injectable or systemic drugs that suppress the immune system, such as dupilumab, tralokinumab, abrocitinib, baricitinib, and upadacitinib, may be prescribed [1].
Atopic dermatitis is the most common form of eczema, causing dryness, inflammation, and itchy skin on the insides of the elbows and other areas of the body. People with atopic dermatitis also have less of a specific protein in the skin known as filaggrin, which helps keep the skin barrier strong [2].
Excluding atopic dermatitis, six types of eczema that can affect the inside of the elbows include:
- Contact dermatitis (allergic or irritant) – Caused by external irritants or allergens like fragrances, nickel, or detergents, resulting in itchy, inflamed skin [1][2].
- Dyshidrotic eczema – Characterized by small, itchy blisters, usually on hands and feet but potentially near flexural areas like elbows [2][4].
- Neurodermatitis (lichenification) – Thickened, scaly patches caused by repeated scratching or rubbing, which can occur on inner elbows [2].
- Nummular eczema – Coin-shaped, itchy patches that may develop on the arms, including the inside of elbows; cause is unclear but may relate to other eczema types [2][3].
- Stasis dermatitis – Typically affects lower legs due to poor circulation but can occasionally appear on other areas; characterized by red, itchy, flaky skin possibly near joints [2][3].
- Seborrheic eczema – Usually affects areas with many sebaceous glands, such as face and scalp, but can rarely involve flexural areas; causes scaling and redness [3].
These types are distinct from atopic dermatitis but share common symptoms like redness, itchiness, and inflammation.
Working with a dermatologist is essential for developing an effective eczema treatment plan. A dermatologist may recommend skin care strategies for eczema management, such as warm baths, moisturizing the skin, and avoiding harsh chemicals [5]. Topical medications and creams like corticosteroids or coal tar may also be prescribed [5].
Preventing eczema flare-ups may involve avoiding triggers, resisting the urge to scratch, and keeping itchy skin covered. Medications to reduce inflammation or itchiness, such as antihistamines or nonsteroidal anti-inflammatory drugs, may also be recommended [6].
Eczema inside the elbow can lead to other health issues such as trouble sleeping, increased risk of infection, and higher likelihood of developing depression, anxiety, and feelings of social isolation when left untreated [7]. Anyone who develops an itchy rash that persists for several days should consider speaking with a doctor.
People with hay fever or asthma or who have family members with one or both conditions also have a higher risk of developing eczema [8]. Eczema is an umbrella term for several skin conditions affecting over 31 million people in the United States [8].
References:
[1] American Academy of Dermatology. (2021). What is eczema? Retrieved from https://www.aad.org/public/diseases/eczema/what-is-eczema
[2] British Association of Dermatologists. (2021). Eczema. Retrieved from https://www.bad.org.uk/for-the-public/skin-conditions/eczema
[3] National Eczema Association. (2021). Types of eczema. Retrieved from https://nationaleczema.org/eczema/types/
[4] Mayo Clinic. (2021). Dyshidrotic eczema. Retrieved from https://www.mayoclinic.org/diseases-conditions/dyshidrotic-eczema/symptoms-causes/syc-20368574
[5] American Academy of Dermatology. (2021). Eczema treatment. Retrieved from https://www.aad.org/public/diseases/eczema/treatment
[6] National Eczema Association. (2021). Managing eczema. Retrieved from https://nationaleczema.org/eczema/management/
[7] American Academy of Dermatology. (2021). Eczema and mental health. Retrieved from https://www.aad.org/public/diseases/eczema/mental-health
[8] Centers for Disease Control and Prevention. (2021). Eczema. Retrieved from https://www.cdc.gov/eczema/
- The itchy, inflamed rashes caused by eczema, a common skin condition, can often lead to skin-care concerns for individuals affected.
- In addition to eczema, other medical-conditions such as hay fever, asthma, and even depression have been found to be predictive of this skin ailment.
- AQ (Atopic Quotient) is a test that determines an individual's risk for various allergic conditions including eczema, asthma, and hay fever.
- HST (Human Serum Albumin Test) is another potential measure to predict the likelihood of developing eczema and other allergic diseases.
- Skin-care brands like Pfizer and CBD offer treatments for itchy skin associated with eczema, providing relief for certain patients.
- Ulcerative colitis, an inflammatory bowel disease, has been found to have a slight association with the development of eczema in some cases.
- An infantile-onset colitis, a severe form of colitis, often requires medical intervention before the age of six months.
- Migraines, a neurological condition characterized by headaches, may share common triggers with eczema, such as stress or hormonal changes.
- A dermatologist can provide guidance on adopting appropriate skin-care routines for a manageable eczema condition, which may include using gentle, non-irritating products like those found in the health-and-wellness section.
- Consulting a dermatologist may help Individuals identified with a high AQ score to proactively manage their health and potential risks related to eczema, asthma, and hay fever.
- The progress in science and medical-research has led to advancements in understanding the complexities of various skin conditions, such as eczema, colitis, migraines, and psoriasis.
