WHAT CAUSES ECZEMA?
HOW TO PREVENT IT?

Atopic eczema runs in families: This is because it has a genetic component. If atopic eczema runs in your family, it simply means your skin is less good at producing moisturising oily substances, making it very dry. Why’s that an issue? Your skin is more vulnerable to a world of allergens and irritants, which can penetrate the skin and cause intense inflammation and itching.

YOUR QUESTIONS
OUR ANSWERS

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كيف تبدو الأكزيما؟

عند الأطفال، تتسبّب الأكزيما في حدوث بقع خسنة حمراء متقشرة خاصة عند الخدين والذقن. عند الأطفال الأكبر والبالغين، تصبع بقع الأكزيما موجودة بصورة رئيسية على الرقبة وطيات الجلد حول الكوعين والمعصمين وخلف الركبتين. قد تشتمل بقع الأكزيما على علامات تمدّد وقد تنزف. كما قد تتشكّل البثور وترشح سوائل. بمرور الوقت، قد تصبح البشرة أكثر سمكًا ومرونة.


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هل الأكزيما أحد أنواع الحساسية؟

الأكزيما ليست حساسية، إنها حالة تأتبية. بمعنى آخر، ترتبط بمسببات الحساسية المناعية والحالات التأتبية الأخرى مثل الربو وحمى القش. في حالة الأكزيما، يكون هناك خلل في الحاجز الواقي للبشرة، مما يسمح لمسببات الحساسية المناعية ومسببات التهيّج في اختراق البشرة بعمق وإحداث الالتهاب، مما يؤدي إلى ظهور أعراض الأكزيما (الحكة والاحمرار والبقع الجافة، إلخ).

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كيف يمكن التخلّص من الأكزيما؟

العامل الرئيسي في علاج الأكزيما يتمثّل في كريمات الكورتيكوستيرويدات خلال حالات التهيّج الشديدة (أضعف إسترويد ممكن، ولا يوضع على الوجه أبدًا) وعلاج المداومة باستخدام بدائل الصابون للغسل والاستعمال المنتظم للكريمات المهدئة. لمباعدة حالات الهيّج لفترات طويلة، من المهم إعادة توازن ميكروبيوم البشرة (البكتيريا النافعة التي تعيش على البشرة).

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كيف تحدث الإصابة بالأكزيما؟

الأكزيما هي حالة جينية تسري في العائلات. البشرة جافة "بالفطرة"، بمعنى أنها تشتمل على حاجز واقي ضعيف من مسببات الحساسية والتهيّجات، مما يسمح لها باختراق البشرة والتسبب في حدوث التهاب. في حالة البالغين، قد تحدث الأكزيما بسبب بعض المهن التي تتضمن غسل الأيدي كثيرًأ مثل تصفيف الشعر والتمريض. المسببات البيئية للأكزيما تتضمّن العث في غبار المنزل.

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هل تسبب الأكزيما الحكة؟

نعم! الحكة إحدى الخصائص الرئيسية للأكزيما. يكون الحاجز الواقي لسطح البشرة تالفًا، بمعنى أنه يمكن لمسببات الحساسية المناعية والتهيّج اختراق البشرة بعمق، مما يتسبب في حدوث التهاب وإطلاق هستامين جزيئات الحكة. يمكن علاج أكزيما الحكة الجافة ببدائل الصابون واستعمال المطريّات مرتين يوميًا باستخدام منتج يعيد توازن البكتيريا المفيدة للبشرة.

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TRUE
OR FALSE

TO PUT AN END TO DRY SKIN, IT'S IMPORTANT
TO KEEP HYDRATED.

TRUE

Eczema is caused by a deficiency in skin’s natural protective layer of lipids (its barrier function). That’s why it’s important to keep dry eczema-prone skin hydrated using a targeted moisturiser regularly and consistently, with appropriate skincare products such as Lipikar Baume AP+ or Lipikar Fluide.
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SCRATCHING ECZEMA
STOPS IT FROM ITCHING.

FALSE

Scratching triggersthe vicious circle of atopy: fingernails damage the already fragile skin,allowing more allergens and irritant agents to penetrate, leading to even more scratching and more damaged skin. LIPIKAR Baume AP+ replenishes skins’ surface lipids, helping to space out flare-ups and reducing night-time scratching byhalf.
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ATOPIC DERMATITIS
CAN BE CONTAGIOUS.

FALSE

Atopic dermatitis or eczema is a genetic disease and is in no way contagious. The treatment for atopic dermatitis symptoms is based on soap substitutes, emollients and topical corticosteroids.
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DRYING YOUR SKIN WITH
A HAIRDRYER CAN HELP YOUR ECZEMA.

FALSE

This is highly NOT recommended. Drying with a hair dryer is a potential eczema trigger that can cause flare-ups by “attacking” the skin and destroying the lipid film that protects it, further aggravating dry skin eczema. Worse still, it could burn your delicate skin.
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ECZEMA, ATOPY
& HISTAMINE

Eczema is also an “atopic” condition which goes hand in hand with problems such as hay fever, asthma and food allergies. Atopic individuals have a genetic predisposition to producing a type of antibody called IgE which causes allergic reactions in different parts of the body like the eyes, nose, lungs, gut and skin. These antibodies are thought to play a role in atopic eczema by triggering histamine release.

ATOPIC ECZEMA &
THE ITCH-SCRATCH CYCLE

Histamine is your body’s “itch molecule”. When this substance is released by mast cells in the skin, this leads to an immediate itching sensation. Of course, when skin itches, our automatic urge is to scratch. But the more we scratch, the more we break down skin’s surface barrier, leading to more allergen penetration and more itching. This is known as the itch-scratch cycle and atopic eczema-prone children can be particularly affected.

One of the keys to managing atopic eczema-prone skin is to prevent this vicious cycle with regular emollient application. You’ll find out more about top solutions for atopic eczema-prone skin in the dedicated section below.

THE ROLE OF THE MICROBIOME
IN ATOPIC ECZEMA-PRONESKIN

Over and above dryness, atopy and the itch-scratch cycle, new research has revealed an unexpected factor involved in atopic eczema: skin’s “microbiome”. Skin’s microbiome is the sum of micro-organisms (think of them as friends, not critters!) living at its surface.

Did you know? On healthy skin, the microbiome is like a tropical rainforest: flourishing with diversity. While on atopic eczema-prones kin, this diversity is depleted, and the microbiome is unbalanced.

This fascinating finding is opening the doors to a new era of prebiotic cares for atopic eczema-prone skin, which make use of the unique prebiotic properties of thermal water.

Is it possible to prevent eczema? Yes and no. Many of the factors involved in causing eczema aregenetic, such as a deficiency in skin’s surface barrier and the tendency towards atopy. Unprecedented clinical studies have yet recently demonstrated that using emollients as of the first three weeks of life reduces the risk of developing atopic eczema-prone skin of 50%.*

If atopic dermatitis or eczema runs in your family, you are more likely to develop eczema. But this is not to say that you can’t take action: with the right management, symptoms such as itching can be quickly minimised.

To care for atopic eczema-prone skin, use a soap substitute or Syndet in the shower and apply an emollient twice daily. These two steps will go a long way to preventing skin issues recurrence. You’ll find further, in-depth information about expert atopic eczema-prone skin solutions in the next subsection.

In the articles below, you’ll learn about very dry skin and how to take care of it and prevent it (plus an explanation on the difference between dry skin and eczema), plus information about other unexpected causes of atopic eczema such as pollution. We also provide an article to share with your atopic eczema-prone child with tips to avoid the itch-scratch cycle, and why an itch-defusing Stick could be your child’s new BFF!

*“Emollient enhancement of the skin barrier from birth offers effective atopic dermatitis prevention”, J ALLERGY CLIN IMMUNOL, VOLUME 134, NUMBER 4.

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DidYouKnow_Desktop_1

Out of all diseases, atopy is the condition with the 2nd greatest impact on quality of life, particularly due to its effect on sleep loss.

Source: A comparative study of impairment of quality of life in children with skin disease and children with other chronic childhood diseases. P.E. Beattie* and M.S. Lewis-Jones. Department of Dermatology, Ninewells Hospital, Dundee DD1 9SY, U.K.*Royal Hospital for Sick Children, Yorkhill, Glasgow, U.K.

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The information displayed here is intended for general educational purposes only and should not in any case be a substitute for professional medical advice. You should always seek the advice of a qualified health provider with any medical question.