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Eczema: what it is, how to recognize it and soothe the skin

May 18, 2026  ·  6 min. read

Eczema, also known as atopic dermatitis, is a common skin condition that affects millions of people worldwide. It is characterized by dry, itchy, and scaly patches of skin that can be uncomfortable and sometimes even painful. Eczema is a chronic condition, meaning it is a long-term condition that can come and go over time.

What Is Eczema and Why Does It Occur?

Eczema is a general term for a group of chronic inflammatory skin conditions characterized by a compromised skin barrier. In other words, the skin can no longer properly retain moisture inside and prevent external irritants from entering. As a result, it becomes dry, itchy, and red.

The causes are usually combined. Genetic predisposition, immune system response, environmental factors, and stress - all of these factors contribute to flare-ups. For some, eczema appears in infancy and weakens over time, while for others, the first symptoms appear in adulthood. Have you noticed that your skin feels worse during the colder months? This is very common.

Types of Eczema and How to Recognize Them

When talking about eczema, what is most often meant is atopic dermatitis - the most common form of this condition. But there are several types of eczema, and each has its own characteristics. Understanding which one you are dealing with is important when choosing skincare products.

Atopic Dermatitis

This is a chronic form that often begins in childhood. The skin is very dry, itchy, and red, flaky patches appear. Common areas include the creases of the elbows, the backs of the knees, the neck, and the face. Atopic dermatitis is often associated with allergies and asthma - this is called the atopic triad.

Contact Dermatitis

Occurs when the skin comes into contact with an irritant or allergen - detergents, metal, fragrances, cosmetic ingredients. The rash appears exactly where the contact occurred. Once the irritant is removed, the skin calms down.

Dyshidrotic Eczema

Manifests as small itchy blisters on the palms and soles. It is more common in summer or during periods of stress.

Seborrheic Eczema

Affects areas with sebaceous glands - the scalp, eyebrows, and the sides of the nose. It manifests as yellowish, greasy scales.

Eczema Symptoms - What to Look Out For

The main eczema symptoms that almost every patient will mention are:

Severe, sometimes unbearable itching. Dry, rough skin that flakes. Redness and inflammation. The skin becomes thinner and constantly cracks in some areas. In more severe cases - oozing sores and crusts. Long-standing eczema thickens the skin; it becomes “leathery,” with a more pronounced pattern.

It is important to distinguish eczema from other skin conditions. For example, psoriasis also presents as red, flaky patches, but its scales are silvery, firmly attached, and the itching is milder than in eczema. Fungal infections and contact allergic reactions can sometimes also mimic eczema, so an accurate diagnosis should be made by a doctor.

When is it necessary to see a specialist? If itching interferes with sleep, sores appear that do not heal, or symptoms spread more widely - do not delay. Skin affected by eczema can become infected with a bacterial or viral infection, and then ointments alone will not be enough.

Beautician's advice

Our cosmetologists notice that many clients with eczema make the same mistake—during a flare-up, they start looking for increasingly stronger products, frequently change creams, and try “natural” home remedies with lemon or honey. But sensitive skin needs exactly the opposite—simplicity, consistency, and gentleness. We recommend putting together a minimal routine: a gentle, non-foaming cleanser, a moisturizing balm with ceramides or panthenol, and, in the case of an acute flare-up, a treatment prescribed by a doctor. Apply the cream to still-damp skin immediately after showering—this helps lock in moisture. And never rub the skin with a towel; only gently pat it dry.

How to Care for Eczema-Affected Skin Daily

Eczema care is based on three principles: gentle cleansing, intensive moisturising, and avoiding irritants. It sounds simple, but consistency is what delivers the best results.

Start with washing. The water should be lukewarm, not hot - heat further dries out the skin barrier. Choose syndet cleansers without soap, SLS, or strong fragrances. Washing should be brief, up to 10 minutes.

After washing - moisturise within the first 3 minutes. This is called the “soak and seal" principle: damp skin absorbs active ingredients best, and then a richer balm locks in moisture. Eczema creams should contain ceramides, niacinamide, panthenol, bisabolol, and butters - these ingredients restore the barrier and soothe inflammation. Apply 2-3 times a day, and even more often during a flare-up.

Clothing - give preference to cotton and avoid wool directly on the skin. Laundry detergents should be fragrance-free, and add an extra rinse. Maintain indoor humidity at least 40-50 %, especially in winter, when central heating dries out the air.

When it comes to cosmetics - choose products from the sensitive skin products category that do not contain alcohol, synthetic fragrances, or aggressive acids. Always test new products on a small area of skin before using them on the face or the entire body.

Dažniausiai užduodami klausimai
Is eczema contagious?
No, eczema is not a contagious condition. It is not transmitted through touch, sharing towels, or any other type of contact. Eczema is a chronic inflammatory skin condition caused by genetic predisposition, immune system characteristics, and environmental factors. You can interact with, hug, or bathe a child with atopic dermatitis without any fear—you will not transmit anything to them, and you will not become infected yourself. The only case in which skin affected by eczema becomes dangerous to others is when a bacterial or viral infection develops in it, for example, the herpes virus. In such a case, the infection is contagious, not the eczema itself.
What is the difference between eczema and atopic dermatitis?
These terms are often used as synonyms, but technically they are not exactly the same. Eczema is a broader concept that includes several types of inflammatory skin conditions—atopic dermatitis, contact dermatitis, dyshidrotic eczema, seborrheic eczema, and others. Atopic dermatitis is a specific, the most common form of eczema, associated with a genetic predisposition to allergies. In everyday language, when people say “eczema,” they usually mean atopic dermatitis. A dermatologist will determine the exact form and select the most appropriate treatment.
Does eczema go away as you grow up?
For many children who develop atopic dermatitis in infancy, symptoms become milder with age or disappear completely during adolescence. In about 60% of cases, eczema is “outgrown.” However, for some people, symptoms persist throughout life, with certain periods of flare-ups and remission. In some cases, eczema appears for the first time only in adulthood. Eczema cannot be completely cured, but proper care, avoidance of irritants and, if necessary, treatment prescribed by a doctor can help keep the skin symptom-free for a long time.
Which ingredients should you avoid if you have eczema?
Read labels carefully. Avoid synthetic fragrances (parfum, fragrance), alcohol (alcohol denat), SLS and SLES sulfates, parabens, strong AHA and BHA acids in high concentrations, retinol during an active flare-up period, and essential oils (especially citrus, mint, eucalyptus). Use caution with lanolin — it suits some people, while it causes a reaction in others. Choose products labeled “for sensitive skin,” “hypoallergenic,” and “fragrance-free.” Suitable ingredients include ceramides, niacinamide, panthenol, glycerin, butters, and colloidal oat extract.
When is it necessary to see a doctor about eczema?
Consult a dermatologist if symptoms interfere with daily life or sleep, if the itching is very severe, or if weeping sores, crusts, or abscesses appear—these may indicate an infection. A consultation is also necessary if the rash spreads more widely, if home care measures do not help after 2 weeks of consistent use, or if eczema recurs frequently. In children under one year of age, any skin changes should be evaluated by a doctor. The specialist will prescribe appropriate treatment, which may include corticosteroid ointments or other prescription products.

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