Eczema can be a persistent and challenging condition, often leaving the individual: you or a loved one frustrated when the expected improvements do not materialize despite various treatment efforts. In this discussion, we will explore six reasons why eczema may not respond as anticipated.
Firstly, continuous exposure to the trigger of eczema can slow or stop the healing process. Whether the cause is allergic contact dermatitis or irritant contact eczema, ongoing contact with the offending agent hampers progress. Addressing this requires identifying and avoiding these triggers, be it allergens or irritants, to break the vicious cycle of irritation.
The second reason, closely tied to the first, revolves around persisting habits that exacerbate eczema. Excessive hand washing with hot water and harsh soaps, common in certain professions like healthcare, can worsen the condition. Breaking these habits, opting for moderate practices, and choosing gentle, dye-free, and scent-free soaps become crucial steps in preventing further irritation.
Choosing the right moisturizer is the third factor influencing eczema. Not all moisturizers are equal, and the misconception that they are can impede progress. Opting for proven moisturizers like white petroleum jelly or our vegan all-purpose moisturizing balms ensures consistent benefits. The key is to apply a minimal amount directly on affected areas, avoiding unnecessary residue as well as getting the maximum desired effect.
In the fourth scenario, using an inadequate strength of medication or insufficient application can hinder improvement. Ensuring the correct strength of prescribed medication and consistent application twice a day, following medical guidance, is crucial for positive outcomes.
The fifth reason cautions against self-prescribed additions to the treatment plan. Incorporating antibiotic creams, anti-fungals, or essential oils may seem harmless but can introduce irritants and allergens, potentially disrupting progress. Adhering strictly to the prescribed treatment without personal additions is vital.
Finally, a hidden concern arises from potential allergies to steroids or other topical products. Some individuals may unknowingly have a steroid or propylene glycol allergy, leading to fluctuating responses to treatment. If worsening and improvement cycles persist, consulting a dermatologist to explore potential allergies ensures a more accurate and effective treatment approach.
In conclusion, addressing hand eczema requires a comprehensive understanding of the condition, diligent avoidance of triggers, proper skincare practices, consistent medication application, and avoiding unnecessary additives. By recognizing and rectifying these factors, individuals can improve their chances of achieving the desired improvements in eczema.
Thanks for reading and God bless.
Yuval Bibi, MD/PhD - Board Certified Dermatologist
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