Eczema: Who’s Affected and What You Should Know

Over 31 million Americans live with eczema, a chronic skin issue that can really affect your life. It’s also common in babies, affecting about 15% of them. By age 1, around 60% of people with eczema show symptoms. Another 30% start showing symptoms by age 5.

Eczema is a non-contagious condition that makes your skin red, itchy, and dry. It can happen to anyone, often starting before you’re five years old. It’s caused by dry, sensitive skin and can be triggered by things like irritants or the weather. While there’s no cure, you can manage it with the right treatment and skin care advice from a doctor.

Key Takeaways

  • Eczema is a common, chronic skin condition that affects millions of Americans, including a significant portion of children.
  • Symptoms of eczema often appear before the age of 5, and the condition can persist throughout life.
  • Eczema is not contagious but is influenced by a combination of genetic and environmental factors.
  • Proper skin care and medical treatment are essential for managing eczema and preventing flare-ups.
  • Severe cases of eczema can lead to additional health complications, including allergies and asthma.

Understanding Eczema: An Overview

Eczema, also known as atopic dermatitis, is a chronic skin condition. It affects millions of people around the world. It’s marked by dry, itchy, and irritated patches that can really affect someone’s life.

Knowing about eczema and its symptoms is key for those trying to manage it.

What is Eczema?

Eczema is a complex skin issue caused by genetics and the environment. It makes the skin’s barrier weak, leading to water loss and sensitivity. This sensitivity causes inflammation, resulting in red, itchy rashes, and scaly skin conditions.

Common Symptoms of Eczema

The main signs of eczema are:

  • Dry, itchy skin that can crack or flake
  • Red, inflamed rashes that may leak or crust
  • Rough or leathery skin patches
  • Severe itching that can keep you awake and disrupt your day
  • Eczema can look different on different skin tones, showing up as red, brown, purple, or gray patches

The exact cause of eczema is still a mystery. But research points to a mix of genetics and environmental factors. These include stress, irritants, and allergens.

Prevalence and Demographics of Eczema

Eczema is a chronic skin condition that affects millions globally. In the United States, over 31.6 million people, or 10.1% of the population, have eczema. This condition is most common in early childhood, with about 60% of individuals getting diagnosed in the first year of symptoms.

Eczema Affects Millions Worldwide

Eczema can happen to anyone, regardless of age, gender, or race. But some groups are more likely to get it. The latest eczema statistics show different rates by skin color and race:

  • White: 11%
  • Black or African American: 10%
  • Asian or Pacific Islander: 13%
  • Native American: 13%

Eczema Across Age Groups

Eczema is most common in children. About 9.6 million U.S. children under 18 have atopic dermatitis, the most common type. This number has risen from 8% to 15% since 1997.

Many kids outgrow eczema, but some may start experiencing it as adults. Around 16.5 million U.S. adults (7.3%) have atopic dermatitis, with a third having severe cases. About 25% of adults first got eczema as adults.

Causes and Risk Factors of Eczema

The exact cause of eczema is not fully known. It’s thought to be due to a mix of genes and environmental factors. People with eczema have an immune system that overreacts to irritants or allergens, causing inflammation.

Genetic and Environmental Triggers

Eczema often happens in families. If you have a family history of eczema or other atopic conditions like asthma or hay fever, you’re more likely to get it. Some genes, especially those related to filaggrin, can make the skin more prone to eczema.

Environmental factors can also trigger eczema. Common irritants and allergens include:

  • Harsh soaps, detergents, and certain fabrics
  • Pet dander, dust mites, and other airborne allergens
  • Certain foods, such as dairy, eggs, and nuts
  • Extreme weather conditions, such as cold, dry air or sudden temperature changes
  • Stress and emotional factors

Common Eczema Triggers

There are many triggers that can make eczema worse. These include:

  1. Dry skin: Not enough moisture in the skin can make eczema worse, causing more inflammation and itching.
  2. Irritants: Things like household products, soaps, detergents, and fragrances can cause flare-ups.
  3. Stress: Stress can release chemicals in the body that make eczema symptoms worse.
  4. Allergens: Being around allergens like pet dander, dust mites, or certain foods can cause flare-ups.
  5. Weather changes: Big changes in temperature, humidity, or weather can mess with the skin’s barrier, leading to eczema symptoms.

Knowing what causes and triggers eczema is key to managing it. By avoiding your personal triggers, you can keep your skin healthy and itch-free.

Who Does Eczema Affect?

Eczema, also known as atopic dermatitis, is a common skin condition. It can affect people of all skin tones and racial backgrounds. Some groups may be more likely to get severe eczema symptoms and struggle more with managing it.

Eczema and Skin Tone Variations

The look of eczema changes with the skin tone. In lighter skin, it shows up as red, inflamed patches. But in darker skin tones, it can look brown, purple, gray, or ashen. This makes it harder to spot and treat in some people.

Racial and Ethnic Disparities in Eczema

Black Americans might have a higher chance of getting eczema and it could be worse for them. This could be due to genes, healthcare access, or how they care for their skin. We need to make sure everyone gets the right treatment to improve their lives with eczema.

“Eczema can have a significant impact on an individual’s quality of life, and it’s important to understand the unique challenges faced by different populations. By addressing the underlying factors and providing tailored support, we can work towards more inclusive and effective eczema management strategies.”

Eczema in Children and Infants

Eczema is a common skin condition in children, affecting about 15% of kids worldwide. It often starts in the first year of life, showing up on the cheeks, elbows, and knees. Kids with family history of asthma and allergies are more likely to get it, showing it might run in the family.

In infants and young kids, eczema can get worse and might lead to food allergies and other allergies. To help, kids can wear mittens and gloves to avoid eczema triggers. Managing it means knowing what causes it, bathing and moisturizing daily, and using creams or medicines as needed.

By age two, eczema often shows up in the elbows, knees, wrists, ankles, and hands in toddlers. In babies, it usually hits the face, cheeks, chin, forehead, and scalp. Many kids and teens with it have family members who also have it, pointing to a genetic link.

Eczema, asthma, and hay fever are all “atopic” conditions caused by being overly sensitive to allergens. Kids with eczema are more likely to get skin infections. Early signs of infection include fever, redness, warmth, pus-filled bumps, or skin that looks like cold sores.

Some kids see their eczema get better by age 5 or 6, but for others, it can stick around into adulthood. It’s not contagious, and the rashes can look different on each child, covering the whole body or just a few spots.

Statistic Percentage
Atopic dermatitis, one of the most common types of eczema, affects children under the age of 18 in the United States 13%
People who have experienced hand eczema at some point in their lives Over 70%
Children with a family history of eczema, asthma, or hay fever more likely to develop atopic dermatitis N/A
Children and teens affected by eczema A significant portion
Children who have eczema (atopic dermatitis) At least 1 in 10

“For most types of eczema, managing flares involves understanding and avoiding specific triggers, implementing a daily bathing and moisturizing routine, and using over-the-counter or prescription medication consistently.”

Eczema in Adolescents and Adults

Many kids grow out of eczema, but it can start for the first time in adulthood too. This often happens in the 20s or after 50. Adult-onset eczema can be as bad as it is in kids, causing itchy rashes on different body parts like the hands, feet, and eyelids.

For some, eczema is part of the “atopic march,” a series of allergic conditions. This can include asthma, hay fever, and food allergies. It’s important for adults with eczema to get the right treatment from a dermatologist or allergist.

Adult-Onset Eczema

About 6% of kids and teens have eczema. A study in Clinical & Experimental Allergy looked at thousands of kids and teens in 14 countries. It found more kids and teens have eczema now than a decade ago.

Eczema and the Atopic March

The International Study of Asthma and Allergies in Childhood found 6% of kids and teens have eczema. The study saw more severe eczema and lifetime cases over ten years. It pointed out that different places and environments affect eczema rates.

eczema in adults

Eczema often gets better in teens thanks to hormonal changes that help the skin. Good skin care like using special soaps and creams is important. CliniSoothe+ (aqueous hypochlorous) is a great antiseptic to stop eczema from coming back.

Types of Eczema and Their Symptoms

Eczema covers many skin conditions, each with its own set of symptoms. Knowing the different types is key to managing and treating it. Let’s look at some common forms of this skin issue.

Atopic Dermatitis

Atopic dermatitis is the most common type of eczema. It often strikes people with asthma or hay fever. It usually starts in childhood but can happen at any age. Symptoms include intense itching, red skin, and a damaged skin barrier.

Treatments for eczema may include moisturizers, steroid creams, and immune system drugs.

Other Common Types of Eczema

There are more types of eczema besides atopic dermatitis:

  • Contact dermatitis – This type is caused by irritants or allergens. It leads to skin inflammation, redness, and blisters.
  • Dyshidrotic dermatitis – This affects the hands and feet, causing itchy, blistering skin.
  • Nummular dermatitis – Known for coin-shaped red marks, it’s common in men over 50 and women in their teens or early twenties.
  • Seborrheic dermatitis – Also known as dandruff, it can also affect the eyebrows, nose, ears, and chest.
  • Stasis dermatitis – This type affects people with poor blood circulation in the lower legs. It can cause weeping, crusting, and skin discoloration.

Each type of eczema has its own symptoms and triggers. Tailored treatments are needed. Getting professional help is key to managing eczema symptoms and keeping skin healthy.

Diagnosis and Management of Eczema

Eczema, also known as atopic dermatitis, is a chronic skin condition. It can be managed with the right approach. If you or your child might have eczema, getting professional help is key for the right diagnosis and treatment.

Seeking Professional Care

A healthcare professional, like a dermatologist or allergist, usually diagnoses eczema. They look at your skin and talk about your symptoms. They might also do skin tests to find allergies or triggers that cause eczema.

Treatment Options for Eczema

There’s no cure for eczema, but there are ways to manage it. Your doctor might suggest one or more treatments. These include:

  • Topical creams and ointments, like corticosteroids and calcineurin inhibitors, to lessen inflammation and itching.
  • Oral medications, such as antihistamines or immunosuppressants, to help with the immune response.
  • Light therapy, which can help some people, but using it for a long time might increase skin cancer risk.
  • Biologic injections, like dupilumab and tralokinumab, for those with severe eczema.
  • Lifestyle changes, such as using fragrance-free moisturizers, avoiding triggers, and managing stress, to keep skin healthy.

Your healthcare provider will help create a treatment plan that fits your needs and eczema severity. With the right plan, you can manage your symptoms and live better.

eczema treatment

“Atopic dermatitis may require trying various treatments over months or years to control it.”

Conclusion

Eczema is a common, long-term skin issue that affects many people around the world. It greatly impacts their daily life. The exact reasons for eczema are complex, involving both genes and the environment. Knowing about eczema overview, risk factors, and how to manage it is key.

Regular visits to healthcare experts are important for those with eczema. They can create treatment plans that work best for each person. This helps manage symptoms better.

Important eczema key takeaways include how eczema affects children more and how skin barrier issues can lead to the disease. Early action and prevention are vital. As research finds new things, people and doctors can work together to improve eczema care.

We can help people with eczema by spreading awareness, encouraging early action, and supporting accessible, custom care. This way, people can better manage their skin health and live fuller lives, even with eczema’s challenges.

FAQ

What is eczema and what are the common symptoms?

Eczema is a common, non-contagious skin condition. It causes severe itching, redness, oozing, and scaly rashes. Symptoms include dry, sensitive skin, red or inflamed patches, rough or scaly areas, and intense itching that can disrupt sleep.

Who does eczema affect?

Eczema can affect people of all ages, genders, and ethnic backgrounds. It’s especially common in children, with about 60% of cases starting by age 1 and another 30% by age 5. Adults can also get it for the first time in their 20s or after age 50.

What causes eczema and what are some common triggers?

The exact cause of eczema is not fully known, but it’s thought to be a mix of genes and environment. Common triggers include irritants like soap and certain fabrics, and allergens like pet dander and some foods. Stress and weather changes can also make eczema worse.

How does eczema present on different skin tones?

Eczema can affect all skin tones, but it looks different. In lighter skin, it often shows as red, inflamed patches. In darker skin, it may look like brown, purple, gray, or ashen discoloration. Some racial and ethnic groups, like Black Americans, may be more likely to have severe symptoms.

Is there a cure for eczema?

Sadly, there’s no cure for eczema. But, it can be managed with the right treatment and skin care. Doctors can recommend creams, medications, and lifestyle changes to help control symptoms and improve the skin’s barrier.