Eczema: What is going on here?
This blog is a response to several emails in the “Comments” section of our website regarding Dr. Aron’s and others asserting that “All the red skin people have staphylococcus (staph) bacterial infections as the cause of their redness and that bathing in a bleach bath will solve all problems.”
The diagnosis of eczema varies in its manifestation and treatment modalities. Number 1: There is mild eczema especially in pediatric patients with the only manifestation being skin dryness and scaliness.
Care more for the individual patient than for the special features of the disease.
This form of eczema should be treated with lubrication, some sun exposure, and no steroids. Number 2: There is mild eczema or atopic dermatitis with itchy areas of rash often in the crooks of the elbows and backs of the knees. This type of eczema should be treated with a mid strength corticosteroid cream or ointment for a very short period of time, no more than a week. Sunshine is helpful and extra lubrication should be applied especially in winter or cold climates. Number 3:
There is Red Skin Syndrome seen in the eczema atopic dermatitis patients who have become addicted to steroids over time because of prolonged usage after worsening of the rash. Almost the entire skin surface turns red especially when steroids are not applied for a few days. These patients require the complete cessation of steroids and the treatments suggested in this website for cure.