Can I Leave My Eczema Untreated?

Have you ever wondered if it’s okay to leave your eczema untreated? Well, believe it or not, this article explores that very question. We all know how frustrating and uncomfortable eczema can be, but is it really necessary to seek treatment for it? In this article, we will examine the potential consequences of leaving your eczema untreated and help you make an informed decision about the best course of action for your skin. So, let’s dive in and find out if leaving your eczema untreated is a wise choice.

Potential Risks of Untreated Eczema

Impact on Skin Health

Untreated eczema can have a significant impact on the overall health of your skin. Eczema is characterized by dry, itchy, and inflamed skin, which can lead to cracks and open wounds. Without proper treatment, these wounds can become infected and make the condition even more challenging to manage.

Increased Risk of Infections

The compromised skin barrier in eczema leaves you more susceptible to infections. Bacteria, viruses, and fungi can easily penetrate the damaged skin, leading to conditions such as cellulitis or impetigo. These infections can cause additional discomfort and may require a course of oral antibiotics or antivirals to resolve.

Chronic Itching and Discomfort

One of the most distressing symptoms of eczema is the unrelenting itching. When left untreated, the itch-scratch cycle can become a vicious cycle, leading to more intense and persistent itching. Scratching the affected areas can further damage the skin and make it more prone to infection. Additionally, chronic discomfort from untreated eczema can significantly impact your daily activities and quality of life.

Long-Term Effects

Skin Thickening and Darkening

Untreated eczema can lead to the thickening and darkening of the skin. Prolonged inflammation and repeated scratching can cause the skin to become thicker and develop a rough, leathery texture. Over time, areas of the skin affected by eczema may also darken, resulting in hyperpigmentation.

Scarring and Hyperpigmentation

Severe and untreated eczema can cause scarring, particularly if the skin is repeatedly scratched or injured. The constant inflammation and disrupted healing process can result in permanent scarring, which can affect your self-esteem and confidence. Hyperpigmentation, or the darkening of the skin, can also occur as a result of long-term eczema.

Psychological Impact

The persistent symptoms and visible manifestations of eczema can take a toll on your mental and emotional well-being. Living with untreated eczema can lead to increased stress, anxiety, and depression. The itchiness, discomfort, and visible skin changes can cause self-consciousness and impact your social interactions and overall quality of life.

Complications of Untreated Eczema

Eczema Herpeticum

One of the severe complications of untreated eczema is a rare but potentially life-threatening condition called eczema herpeticum. It occurs when the herpes simplex virus infects the compromised skin of individuals with eczema. Eczema herpeticum typically presents with rapidly spreading painful blisters and requires immediate medical attention.


Untreated eczema can also lead to a condition known as neurodermatitis. This condition is characterized by thickened, scaly patches of skin, which are caused by repetitive scratching or rubbing. Neurodermatitis can be incredibly itchy and uncomfortable, leading to further damage to the skin and exacerbating the symptoms of eczema.

Sleep Disturbances

The persistent itching and discomfort associated with untreated eczema can make it challenging to get a good night’s sleep. Scratching during the night can disrupt your sleep and result in excessive tiredness during the day. This sleep deprivation can affect your mood, cognitive function, and overall well-being.

Factors Influencing Whether to Treat or Leave Untreated

Severity of Symptoms

The severity of your eczema symptoms plays a crucial role in determining whether treatment is necessary. Mild cases of eczema may respond well to self-care measures and over-the-counter creams, while more severe or chronic cases may require prescription medications and medical intervention.

Frequency and Intensity of Flare-ups

If you experience frequent and intense flare-ups of eczema, leaving it untreated may not be sustainable. These flare-ups can disrupt your daily life and cause significant discomfort, making treatment necessary to manage the symptoms effectively.

Quality of Life Impact

Consider how eczema affects your overall quality of life. If the condition is causing significant physical discomfort, emotional distress, or interfering with your ability to engage in daily activities, seeking treatment is essential. Improving your quality of life should be a priority.

Patient Preference and Goals

Ultimately, the decision to treat or not to treat eczema should be made in consultation with healthcare professionals and based on your personal preferences and goals. A dermatologist can provide guidance on the available treatment options and help you make an informed decision.

Benefits of Seeking Treatment

Symptom Relief

Seeking treatment for eczema can provide significant relief from symptoms such as itching, inflammation, and dryness. Prescription medications can help calm the immune response, reduce inflammation, and alleviate discomfort, leading to improved skin health and overall well-being.

Reduced Risk of Complications

Treating eczema promptly can reduce the risk of developing complications such as infections, scarring, and hyperpigmentation. By addressing the underlying inflammation and improving the skin barrier function, treatment can help prevent these long-term effects.

Improved Skin Health

Treatment options for eczema aim to restore and maintain the health of your skin. With proper care and prescribed medications, you can achieve healthier, hydrated, and more resilient skin. This will not only alleviate the symptoms of eczema but also improve the overall appearance and texture of your skin.

Enhanced Quality of Life

Addressing the physical and emotional impact of eczema through treatment can significantly enhance your overall quality of life. By managing the symptoms effectively, you can regain confidence, reduce stress, improve sleep, and enjoy daily activities without constant discomfort.

Available Treatment Options

Topical Steroids and Immunosuppressants

Topical corticosteroids are commonly prescribed to reduce inflammation and itching in eczema. Immunosuppressant creams and ointments can also be used to control eczema by suppressing the immune response and reducing inflammation.

Moisturizers and Emollients

Moisturizers and emollients are essential in managing eczema. Regularly applying these products can help hydrate and nourish the skin, restore its moisture barrier, and reduce dryness and itching. Look for products that are fragrance-free and specifically formulated for eczema-prone skin.

Antibiotics or Antivirals

In cases where eczema has become infected, your healthcare provider may prescribe antibiotics to treat bacterial infections or antiviral medications for viral infections such as eczema herpeticum. These medications help clear the infection and prevent further complications.


Phototherapy, or light therapy, involves exposing the affected skin to specific wavelengths of light to reduce inflammation and soothe the symptoms of eczema. This treatment option may be recommended for individuals with moderate to severe eczema who have not responded to other treatments.

Oral Medications

For severe cases of eczema that do not respond to topical treatments, oral medications such as corticosteroids or immunosuppressants may be prescribed. These medications work from within the body to suppress the immune response and reduce inflammation.

Lifestyle Changes to Manage Eczema

Avoiding Triggers

Identifying and avoiding triggers that exacerbate your eczema can help manage the condition effectively. Common triggers include specific foods, allergens, certain fabrics, chemicals, and environmental factors. Keeping a diary of your symptoms can help you pinpoint potential triggers.

Moisturizing and Hydration

Keeping your skin moisturized and adequately hydrated is essential for managing eczema. Apply a moisturizer or emollient multiple times a day, especially after bathing, to lock in moisture and prevent dryness. Avoid hot showers or baths, as they can strip the skin of its natural oils.

Gentle Skincare Practices

Adopting gentle skincare practices can minimize irritation and further damage to your skin. Use mild, fragrance-free cleansers and avoid using harsh soaps or scrubs. Pat your skin dry gently with a soft towel instead of rubbing it vigorously.

Stress Management

Stress can worsen eczema symptoms and trigger flare-ups. Practice stress management techniques such as meditation, deep breathing exercises, yoga, or engaging in hobbies that bring you joy. Taking care of your mental well-being can have a positive impact on your skin health.

Maintaining a Healthy Diet

There is no specific diet for eczema, but maintaining a healthy and balanced diet can support overall skin health. Include a variety of fruits, vegetables, lean proteins, whole grains, and healthy fats in your diet. Stay adequately hydrated by drinking plenty of water.

When to Consult a Dermatologist

Persistent or Recurring Symptoms

If your eczema symptoms persist or keep recurring despite self-care measures, it is essential to consult a dermatologist. They can assess the severity of your condition and recommend appropriate treatment options to effectively manage your symptoms.

Worsening of Eczema

If your eczema symptoms worsen over time, it is crucial to seek medical attention. Worsening symptoms may indicate the need for a change in treatment approach or the presence of complications that require medical intervention.

Signs of Infection

If you notice signs of infection, such as increased redness, warmth, swelling, or pus-like discharge from affected areas, it is important to consult a dermatologist promptly. Infections in eczema can progress rapidly and may require antibiotic or antiviral treatment.

Disruption of Daily Activities

If your eczema significantly impacts your daily activities or quality of life, it is time to seek professional help. A dermatologist can help improve your eczema management plan and provide support to minimize the impact of the condition on your daily life.


While it may be tempting to leave eczema untreated, it is essential to understand the potential risks and consequences of doing so. Untreated eczema can lead to a myriad of complications, ranging from skin infections and scarring to psychological distress. Seeking treatment for eczema can provide symptom relief, reduce the risk of complications, and improve your overall skin health and quality of life. Consulting a dermatologist and adopting lifestyle changes, along with appropriate medical interventions, can help effectively manage eczema and minimize its impact on your well-being.