How Serious Can Eczema Get?

Living with eczema can be a challenging and sometimes painful experience, but have you ever wondered just how serious it can get? Eczema, also known as atopic dermatitis, is a common skin condition characterized by itchy, red, and inflamed patches. While it may seem like a minor annoyance, eczema has the potential to greatly impact your everyday life. From the constant itching and discomfort to the risk of infection and complications, understanding the seriousness of eczema is essential for effective management and seeking appropriate treatment. Let’s take a closer look at the potential severity of eczema and its implications on overall well-being.

What is Eczema?

Eczema, also known as atopic dermatitis, is a common skin condition that affects millions of people worldwide. It is characterized by inflammation, itching, and a variety of skin symptoms. Eczema can occur at any age, but it is most commonly seen in infants and children. The exact cause of eczema is still unknown, but it is believed to be a combination of genetic and environmental factors.

Types of Eczema

Atopic Dermatitis

Atopic dermatitis is the most common type of eczema. It usually begins in infancy and is often associated with allergies such as hay fever or asthma. Symptoms include dry and itchy skin, red and inflamed patches, and oozing or crusting.

Contact Dermatitis

Contact dermatitis occurs when the skin comes in direct contact with an allergen or irritant, such as certain metals, chemicals, or cosmetics. Symptoms can include redness, itching, and a rash that may blister or become scaly.

Nummular Eczema

Nummular eczema is characterized by round or oval-shaped patches of irritated skin that may be itchy or painful. This type of eczema is often triggered by dry skin, certain fabrics, or environmental factors such as cold weather.

Dyshidrotic Eczema

Dyshidrotic eczema is characterized by small, itchy blisters on the hands and feet. These blisters can be painful and may cause the skin to crack or peel. It is often triggered by factors such as stress, allergies, or exposure to certain metals or chemicals.

Stasis Dermatitis

Stasis dermatitis occurs when there is poor circulation in the legs, leading to the accumulation of fluid and subsequent skin irritation and inflammation. Symptoms can include redness, itching, and swelling, as well as the formation of open sores or ulcers.

Seborrheic Dermatitis

Seborrheic dermatitis commonly affects the scalp, causing dandruff and flaky, itchy patches. It can also occur in other areas with a high concentration of oil glands, such as the face, chest, and groin. This type of eczema is often influenced by factors such as stress, hormones, or certain fungal infections.

Symptoms of Eczema

Eczema often presents with a variety of symptoms that can vary in severity from person to person. Some common symptoms include:

Dry and sensitive skin

People with eczema often have very dry and sensitive skin. It may feel rough, tight, or scaly, and can be prone to cracks or fissures.

Intense itching

One of the hallmark symptoms of eczema is intense itching. This itching can be so severe that it becomes difficult to resist scratching, which can further damage the skin and lead to complications.

Red or brownish-gray patches

Eczema can cause patches of red or brownish-gray skin, which can be inflamed, swollen, or raised.

Small raised bumps

In some cases, eczema can present with small raised bumps, which may be filled with fluid and can become crusty or scaly.

Cracked, scaly, or thickened skin

If left untreated, eczema can lead to skin that becomes cracked, scaly, or thickened. This can cause discomfort and increase the risk of infection.

Raw, sensitive, and swollen skin

Eczema can cause the affected skin to become raw, sensitive, and swollen. This can make everyday tasks, such as wearing clothing or using certain products, painful and challenging.

Common Triggers for Eczema

Eczema can be triggered by a variety of factors, and identifying and avoiding these triggers is an important part of managing the condition. Some common triggers for eczema include:


Certain substances or products can irritate the skin and trigger eczema flare-ups. These can include soaps, detergents, fragrances, and some fabrics.


Allergens such as pollen, dust mites, pet dander, or certain foods can trigger eczema symptoms in some individuals. Identifying and avoiding these allergens can help manage the condition.


Certain bacteria, viruses, or fungi can trigger or worsen eczema symptoms, especially in individuals with compromised skin barriers.

Hot and cold temperatures

Extreme temperatures, both hot and cold, can trigger eczema flare-ups. It is important to protect the skin from extreme weather conditions and maintain a comfortable environment.


Stress can have a significant impact on eczema symptoms. Emotional stress can trigger or worsen flare-ups, so it is important to find healthy ways to manage stress levels.


Hormonal changes in the body, such as during puberty or pregnancy, can affect eczema symptoms. Women may experience changes in their eczema symptoms during their menstrual cycle as well.


Some people with eczema may have food triggers that worsen their symptoms. Common trigger foods include dairy products, eggs, soy, wheat, and nuts. Identifying and avoiding these trigger foods can help manage eczema symptoms.

Complications Related to Eczema

Eczema can have various complications, both physical and emotional, that can significantly impact a person’s quality of life. Some common complications associated with eczema include:

Skin Infections

Eczema can cause breaks in the skin, which can lead to bacterial, viral, or fungal infections. These infections can further exacerbate eczema symptoms and require medical treatment.

Sleep Problems

The intense itching and discomfort caused by eczema can interfere with sleep patterns, leading to sleep deprivation and fatigue. Lack of sleep can worsen eczema symptoms and affect overall well-being.

Psychological Effects

Living with eczema can have a significant impact on a person’s mental health. Eczema can cause feelings of embarrassment, self-consciousness, and low self-esteem. It is important to address the psychological effects of eczema and seek support when needed.

Disruptions in Daily Life

Eczema can interfere with daily activities and routines. Activities such as bathing, exercising, or dressing may be challenging due to the discomfort and limitations caused by eczema.

Eczema in Infants and Children

Eczema is most commonly seen in infants and children, with many cases of eczema beginning in the first few months of life. Some important considerations for eczema in this age group include:

Most Common Age Group

Eczema often starts in infancy, with most cases appearing within the first year of life. It is estimated that around 20% of infants and young children experience eczema.

Potential Long-Term Effects

While many children outgrow their eczema by adolescence, some individuals may continue to experience symptoms into adulthood. Long-term effects can include persistent dry skin, increased susceptibility to allergies, or chronic skin conditions.

Eczema in Adults

Eczema can affect individuals of all ages, including adults. Managing eczema in adulthood presents unique challenges and considerations. Some important aspects of eczema in adults include:

Prolonged Duration

In some cases, eczema may persist into adulthood, requiring ongoing management and treatment. It is important to establish a proactive care plan to minimize symptoms and prevent complications.

Chronic Itch and Sleep Disorders

Adults with eczema often experience chronic itching, which can significantly impact their quality of life. The constant itching can lead to sleep disturbances and insomnia, further worsening the eczema symptoms.

Reduced Quality of Life

Living with eczema as an adult can affect various aspects of life, including work, relationships, and social activities. It is important to seek support and find coping mechanisms to maintain a good quality of life.

Increased Risk of Other Health Conditions

Studies have shown that adults with eczema have an increased risk of developing other health conditions, such as asthma, hay fever, and food allergies. Regular check-ups and monitoring are important to address any potential complications.

Severe Eczema and its Consequences

While many cases of eczema can be managed with proper care and treatment, some individuals may experience severe eczema that significantly impacts their well-being. Some consequences of severe eczema include:

Persistent and Intense Symptoms

Severe eczema is characterized by persistent and intense symptoms that are difficult to control. The skin may be extremely itchy, raw, and inflamed, causing constant discomfort and pain.

Extensive Skin Involvement

Severe eczema can affect large areas of the body, including the face, hands, and limbs. The skin may be red, cracked, or weeping, making it prone to infections.

Multiple Complications

Severe eczema increases the risk of complications such as skin infections, chronic wounds, and scarring. These complications can further worsen the symptoms and require intensive medical intervention.

Impaired Physical and Mental Well-being

The constant discomfort and limitations caused by severe eczema can significantly impact a person’s physical and mental well-being. It can affect body image, self-esteem, and overall quality of life.

Emergency Situations and Eczema

While most cases of eczema can be managed with routine care and treatment, there are emergency situations that require immediate medical attention. Some emergency situations related to eczema include:

Eczema Herpeticum

Eczema herpeticum is a rare but potentially life-threatening complication of eczema. It occurs when the herpes simplex virus infects the broken skin, causing widespread infection. Symptoms include fever, painful blisters, and a worsening of eczema symptoms. Prompt medical treatment is necessary in these cases.

Other Serious Infections

Severe eczema can weaken the skin’s barrier and make it more susceptible to bacterial, viral, or fungal infections. If skin infections are suspected, it is important to seek medical attention to prevent further complications.

Treatment Options

There are various treatment options available for managing eczema and minimizing symptoms. The treatment plan may vary depending on the severity of the condition and individual needs. Some common treatment options for eczema include:

Moisturizers and Emollients

Moisturizing the skin regularly is essential to prevent dryness and maintain the skin barrier. Using emollients and moisturizers can help provide relief from itching and minimize the risk of flare-ups.

Topical Corticosteroids

Topical corticosteroids are commonly used to reduce inflammation and alleviate eczema symptoms. They come in various strengths and should be used as directed by a healthcare professional.

Topical Calcineurin Inhibitors

Topical calcineurin inhibitors, such as tacrolimus or pimecrolimus, are a non-steroidal alternative for managing eczema. They help reduce inflammation and itching and can be used on sensitive areas such as the face and groin.

Antibiotics and Antiviral Medications

In cases of bacterial or viral infections, antibiotics or antiviral medications may be prescribed to treat the underlying infections and prevent further complications.

Systemic Treatments

For severe eczema that does not respond to topical treatments, systemic medications may be prescribed. These medications work internally to suppress the immune system and reduce inflammation.


Phototherapy involves exposing the affected skin to controlled amounts of ultraviolet light. This treatment can help reduce inflammation and alleviate symptoms, but it should be done under medical supervision.

Biologic Drugs

Biologic drugs, also known as monoclonal antibodies, are a newer treatment option for severe eczema. They target specific molecules involved in the immune response and can help control inflammation and symptoms.

Wet Wrap Therapy

Wet wrap therapy involves applying a layer of moisturizer or topical medication followed by a damp layer of clothing or bandages. This can help lock in moisture, reduce itching, and soothe the skin.

In conclusion, eczema is a common skin condition that can significantly impact a person’s well-being. Understanding the types, symptoms, triggers, complications, and treatment options for eczema can help individuals manage their condition effectively and improve their quality of life. It is important to work closely with healthcare professionals to develop a personalized treatment plan and seek support when needed. With proper care and management, individuals with eczema can lead healthy and fulfilling lives.