Prevent facial atopic dermatitis. 

Overview

One of the most common types of eczema is atopic dermatitis, which makes the skin red and itchy. If you get eczema on your face, it can be very painful and make it hard to move. Flaky, red spots that crack, bleed, or ooze may show up near your eyes, on your cheeks, or on your temples. In simple terms, this means that people with atopic dermatitis have immune systems that respond too strongly to things that don't bother most people. Facial acne doesn't have a clear cause. Either you or someone in your family has had eczema or allergies, so you may be more likely to get it.

Topical medicines, light treatments, and steroid creams are often used to treat facial eczema.

To treat eczema on the face and stop flare-ups, keep reading.

Atopic dermatitis?.

Atopic dermatitis

• The skin defenses are often broken, which makes it easier for skin irritants to get through the skin and into the body. 
• That can make spots of skin hurt, itch, and change color.
• Anywhere on the body can get atopic dermatitis. 
• Teenagers and adults most often get it on their wrists, ankles, elbows, and knees. 
• Faces can also be affected by long-term skin problems.

What is atopic dermatitis of the face?

• Dr. Libby said that atopic dermatitis is a long-term inflammatory skin disease that can happen anywhere in the body. 
• When it comes to the face, atopic eczema usually shows up on the lips and neck folds in kids and around the eyes in adults.
• Because itchy and rashy atopic dermatitis on the face is so common, Dr. Libby said, it is easy to mistake for other skin diseases.
• For example, babies often get contact dermatitis around their mouths from drooling or from first trying certain foods. 
• This type of eczema is caused by direct touch with an irritant. 
• You might also think you have psoriasis or a fungal infection like ringworm, which can leave you with itchy, scaly places on your body.

Even though these conditions look alike, they are caused by different things and need to be treated in different ways.

Different Kinds of Face Eczema

• Contact Dermatitis, 
• Atopic Dermatitis, 
•  Seborrheic Dermatitis.

Signs and symptoms

Here are some key signs that you probably have it on your face:

• Boils that ooze and crust over
• Feeling bumps on the backs of your arms and legs
• Skin color changes
• Drainage or blood in your ears
• Dry skin
• Scratches on the surface
• Redness and swelling around the hurt places
• Swelling of the skin.

Why and how it happens

You can get atopic dermatitis anywhere on your body. Here are some things that can cause it.

People with weak skin barriers may face eczema from certain things.

• The immune system is set off by something, which makes the skin's layer dry and sensitive. Some of these factors are allergens and irritants.
• Few jewelry and perfumes can cause allergies.
• Soaps and cleaners are examples of irritants.
• Some ingredients in skincare and makeup items may make facial eczema worse.
• Also, people with eczema may not have enough ceramides, which help keep water in the skin.
• If you don't drink enough water, your facial skin might get dry.

" A physician from New York named Amanda Doyle, MD, told Health. Hormone changes, like those in estrogen and progesterone, can also make eczema get worse on the face."

" Dendy Engleman, MD, FAAD, a board-certified dermatologist in New York, said that genes may play a part. It's more likely that you will get it if your parents have it. Some people with atopic dermatitis also have changes in their genes that make it harder for their skin to protect itself."

How is facial eczema diagnosed?

The video explains the causes and treatment of atopic dermatitis

A doctor can tell if you have face eczema by looking at your skin. They might ask about your health background and if you've been around irritants recently.

You might need medical tests like the ones below:

• Skin tests for allergies: These help find out if certain allergens are making your symptoms worse. An allergy will be put on your skin by a doctor or nurse to see if it makes you sick.
• A skin biopsy is when a doctor or nurse takes a small piece of the damaged skin to test.
• This test helps rule out other skin problems.

Medicines

There are a number of medicines that can help ease the effects, such as pills, creams, and injections. Depending on how bad your symptoms are, your doctor will tell you to take certain kinds of medicines.

Put on creams and ointments.

These creams and lotions help keep your skin moist and shield it from things that can irritate it. These creams and ointments might help you:

• Calcineurin inhibitors (TCIs): Pimecrolimus or tacrolimus ointments are examples of these. TCIs reduce swelling and itching and get rid of extra germs on your skin.
• Crisaborole ointment: This helps with itching, inflammation, and rashes in people with mild to severe eczema.
• Janus kinase (JAK) inhibitors: Ruxolitinib cream is one of these. It helps reduce swelling and itching.
• Skin corticosteroids: An over-the-counter skin steroid like hydrocortisone may help with itching and irritation for a short time. 

Just don't use it for more than two weeks, and if your symptoms don't get better, talk to a doctor. Do not touch your eyes at all times.

Getting shots

Some medicines used to treat eczema, like Dupixent (dupilumab) and Adbry (tralokinumab-ldrm), can be injected. If topical treatments don't work, these biological drugs can help lower inflammation. Regular shots can be done at home or by going to a doctor's office.

Oral Medicines

These treatments work all over your body to make your skin look better and ease painful symptoms. If other treatments don't work, oral JAK inhibitors like Cibinqo (abrocitinib) and Rinvoq (upadacitinib) can help people with mild to severe eczema. You may need to take other drugs that weaken your immune system, like methotrexate or azathioprine.

Also, read https://knowyourskin.britishskinfoundation.org.uk/condition/eczema/.

LED light therapy

Light treatment, also called phototherapy, uses ultraviolet (UV) light to help skin that is itchy or inflamed feel better. You might need two or three treatments a week for a few weeks or months. Some people get light therapy from a doctor, while others have gadgets they can use at home.

Light treatment is different from sunlamps and tanning beds, whether you use them inside or outside. These things hurt your skin and raise your risk of getting skin cancer.

How to Treat and Avoid

• The most usual way to treat atopic dermatitis, according to all three dermatologists, is with steroids. 
• The method is a little different for facial skin, though, because it is so thin and delicate.
• It is stated that "you want to be a little more cognizant of the skin, and you try to stay away from using the most potent steroids when you are treating the face or the arms."
• Because thinner skin absorbs more of the steroid, there is a greater chance of side effects like stretch lines, discoloration, and thinner skin.

Prevention

• According to Dr. Libby, she typically uses non-steroidal topicals or a very small amount of topical steroid cream to treat atopic eczema on the face.
• All of those help skin that is red, itchy, and flaky. "Maintaining a healthy skin barrier is going to be key," said Dr. Libby, to lower the risk of flare-ups.
• Get that lotion out of the cabinet. It keeps your skin moist and makes sure that your skin's protection works right. 
• The good things stay inside, and the bad things leave.

" Dr. Libby said to look for a lotion that has ceramides. Ceramides are a type of lipid that protects the skin barrier, and people with eczema often don't have enough of them. It also naturally decreases as you age, so Dr. Engelman said it is important to add it back to your face through moisturizer."

" Dr. Engelman also said that you should keep your skincare routine easy and soft. If you have acne, you should stay away from strong ingredients like beta-hydroxy acids (like benzoyl peroxide), alpha-hydroxy acids (like glycolic acid), and retinoids."

If you also want to get rid of acne or the signs of aging, talk to your dermatologist about how to make a routine that will work and not make your face worse. As an example, Dr. Engelman said, "Options like bakuchiol [an alternative to retinol] are probably way better tolerated."

Having Eczema on Your Face

• It can be hard to hide and soothe face eczema because the skin there is usually very sensitive. 
• Stress can make facial eczema worse, which can lead to flare-ups. 
• Talk to a doctor or nurse if your symptoms are too much for you or are making you nervous.
• Eczema lasts a long time and can't be cured. You can still deal with having skin problems by taking certain steps.

Keep eczema triggers away.

• Certain things that are irritating may make your face eczema worse, so stay away from them. Write down the things that cause signs to show up. 
• Different things can cause dry, red skin spots in different people. 
• Talk to a doctor if you're not sure what makes your skin break out.

Pick out your makeup with care.

• If you already have a face eczema rash, be careful putting on makeup because it could make the irritation worse. 
• If you want to wear makeup, pick a wet foundation over a powder that soaks up oil. Those products could make dry skin worse.
• "The liquid is more moisturizing, so it can help to accelerate the healing process," he said.

Take care of your skin properly.

• One that is good for people with eczema doesn't have to cost a lot of money. 
• CeraVe Moisturizing Cream and Vaseline Intensive Care Advanced Repair Moisture were two supermarket finds that Dr. Doyle really liked. 
• For daily and evening skin care, look for moisturizers that have ceramides in them.

Doctors' warning

• Do not use scented lotions or soaps to prevent your face from appearing again. Dr. Doyle recommended Vanicream Cleansing Bar for Sensitive Skin, a gentle, odorless wash for those with sensitive skin.
• "Less is more," Dr. Doyle said. It is common for people to want to use a range of products when they get these types of facial rashes, but it is best to use light, gentle products that rehydrate the skin so that it can heal itself.
• "These tend to be a bit more friendly to eczema patients and those with sensitive skin who are looking for coverage," Dr. Doyle said. "Makeup from Clinique or Bare Minerals is another good choice."

Conclusion

Atopic dermatitis can cause severe itching and discomfort on the face. Many skin conditions can cause red, dry, itchy spots of skin anywhere on your body, even on your face. Eczema is an umbrella term for these conditions. Eczema can't be cured. Light therapy and products that you put on the skin might still help ease the symptoms.