Will Eczema Go Away If Left Alone?

Imagine a world where you no longer have to worry about the pesky irritation and discomfort of eczema. It’s a dream come true, isn’t it? But the burning question on your mind is: will eczema go away if left alone? Well, you’re in for a treat because in this article, we’ll explore whether this infuriating condition can magically disappear without any intervention. So sit back, relax, and prepare to discover the truth behind the possibility of bidding farewell to eczema naturally.

Causes of Eczema


Eczema, also known as atopic dermatitis, can have a genetic component. If you have a family history of the condition, you may be more prone to developing eczema yourself. Certain genes are believed to play a role in the dysfunction of the skin barrier, which leads to the symptoms associated with eczema.

Environmental Factors

Environmental factors can also contribute to the development or exacerbation of eczema. Common triggers include irritants such as harsh soaps, detergents, and fabrics, as well as allergens like pollen, pet dander, and certain foods. Changes in temperature and humidity levels can also impact the condition, with dry and cold environments often worsening symptoms.

Skin Barrier Dysfunction

A key factor in the development of eczema is the dysfunction of the skin barrier. In individuals with eczema, the skin fails to retain moisture effectively, making it more vulnerable to irritants and allergens. This compromised barrier allows substances to penetrate the skin and trigger an immune response, resulting in inflammation, itching, and other symptoms associated with eczema.

Symptoms of Eczema

Dry and Itchy Skin

One of the most common symptoms of eczema is dry and itchy skin. This persistent dryness can cause discomfort and a constant urge to scratch, leading to further irritation and potential damage to the skin. It is important to avoid scratching as much as possible, as this can worsen the symptoms and increase the risk of infection.

Red or Inflamed Patches

Eczema often presents as red or inflamed patches on the skin. These areas may appear swollen, warm to the touch, and can sometimes develop a crust or ooze fluid. The severity of the redness and inflammation can vary from person to person and can also fluctuate over time.

Bumps or Blister-like Lesions

In some cases, eczema can result in the formation of small, raised bumps or blister-like lesions. These blisters may be filled with fluid and can be particularly itchy and uncomfortable. Scratching these lesions can lead to further inflammation and potentially cause them to rupture, increasing the risk of infection.

Thickened or Scaly Skin

Over time, chronic eczema can cause the affected skin to thicken and become scaly in appearance. This rough and leathery texture is known as lichenification and is a result of prolonged inflammation and repeated scratching. Thickened skin can be more difficult to treat and may require more intensive therapies.

Cracked or Leathery Skin

Severe cases of eczema can cause the skin to become excessively dry and cracked. Cracks in the skin can be painful and may lead to bleeding or infection. If you notice any cracks or breaks in the skin, it is important to keep the area clean and moisturized to aid in the healing process.

Types of Eczema

Atopic Dermatitis

Atopic dermatitis is the most common type of eczema and often develops in early childhood. It is characterized by dry and itchy skin, along with red and inflamed patches. Atopic dermatitis is often associated with other allergic conditions such as asthma and hay fever.

Contact Dermatitis

Contact dermatitis occurs when the skin comes into direct contact with irritants or allergens. This type of eczema can be further divided into allergic contact dermatitis and irritant contact dermatitis. Allergic contact dermatitis occurs when the immune system reacts to a particular substance, while irritant contact dermatitis occurs as a result of exposure to irritating substances.

Dyshidrotic Eczema

Dyshidrotic eczema primarily affects the hands and feet and is characterized by the presence of small, itchy blisters. These blisters can be particularly uncomfortable and can interfere with daily activities. The exact cause of dyshidrotic eczema is unclear, but it may be related to certain allergies or stress.

Nummular Eczema

Nummular eczema is characterized by round or coin-shaped patches of red and inflamed skin. These patches may be itchy and can ooze fluid or crust over. Nummular eczema is often triggered by dry skin and is commonly seen in older individuals.

Seborrheic Dermatitis

Seborrheic dermatitis primarily affects the scalp and face, causing red, scaly patches and dandruff-like flakes. It is believed to be caused by a combination of factors, including yeast overgrowth, sensitivity to a specific yeast called Malassezia, and an overactive immune response.

Stasis Dermatitis

Stasis dermatitis, also known as venous eczema, typically affects the lower legs and is often associated with poor circulation. The condition occurs when blood flow in the veins is impaired, leading to fluid buildup and swelling. Stasis dermatitis can cause the skin to become red, itchy, and inflamed.

Treatment Options for Eczema

Topical Steroids

Topical steroids are commonly prescribed to reduce inflammation and relieve symptoms associated with eczema. These corticosteroid creams or ointments work by suppressing the immune response in the skin and can help alleviate itching, redness, and swelling. It is important to follow the instructions provided by your healthcare professional and use topical steroids as directed.


Moisturizers play a crucial role in managing eczema by helping to restore and maintain the skin’s natural moisture barrier. Regular and consistent application of moisturizers can help prevent dryness, minimize itching, and reduce the risk of flare-ups. Look for moisturizers that are fragrance-free and specifically formulated for sensitive skin.

Calcineurin Inhibitors

Calcineurin inhibitors are a type of topical medication that can help reduce inflammation in the skin. These medications work by blocking certain immune system cells from releasing inflammatory substances. Calcineurin inhibitors are typically used for short-term treatment of eczema, especially in areas of thin skin or on the face.


Antihistamines are commonly used to relieve itching and promote better sleep in individuals with eczema. These medications work by blocking the effects of histamine, a chemical released by the immune system in response to allergens or irritants. Antihistamines can help alleviate itchiness and reduce the discomfort associated with eczema.

Topical Immunomodulators

Topical immunomodulators (TIMs) are non-steroidal medications that help modulate the immune response in the skin. They are often used as an alternative to topical steroids for long-term management of eczema, especially on sensitive areas such as the face and eyelids. TIMs can help reduce inflammation and control symptoms without the side effects associated with steroids.


Phototherapy, also known as light therapy, involves exposing the skin to controlled amounts of ultraviolet (UV) light. This treatment option can help manage eczema by reducing inflammation and suppressing the immune response in the skin. Phototherapy is typically administered under medical supervision and may involve sessions several times per week.

Systemic Treatments

For individuals with severe or refractory eczema, systemic treatments may be considered. These medications are taken orally or by injection and work by targeting the immune system to reduce inflammation throughout the body. Systemic treatments for eczema are typically prescribed only when other treatment options have proven ineffective.

The Course of Eczema

Acute Phase

The acute phase of eczema refers to the initial onset of symptoms or a flare-up after a period of remission. During this phase, the skin is most inflamed and symptoms such as itching and redness are more intense. Effective management during the acute phase can help reduce inflammation and shorten its duration.

Subacute Phase

The subacute phase occurs after the acute phase and is characterized by a decrease in inflammation and a gradual improvement in symptoms. The skin may still appear red or discolored during this phase, and itchiness may persist. Consistent application of treatments and adequate skincare can help the subacute phase progress towards remission.

Chronic Phase

The chronic phase of eczema refers to persistent or long-lasting symptoms that are present for extended periods of time. In this phase, the skin may become thickened, dry, and scaly, and symptoms may fluctuate in intensity. Long-term management strategies are important during the chronic phase to maintain control and prevent frequent flare-ups.

Factors Affecting the Duration of Eczema

Severity of Eczema

The severity of eczema can have an impact on its duration. Generally, more severe cases may take longer to resolve and require more intensive treatment options. Mild cases of eczema may go into remission relatively quickly with proper care and treatment.

Treatment Compliance

Consistently following the prescribed treatment plan and practicing good skincare is essential in managing eczema. Non-compliance with treatment can prolong the duration of eczema symptoms and increase the risk of flare-ups. It is important to communicate with your healthcare professional and address any concerns or difficulties you may have with your treatment plan.

Triggers and Allergens

Identifying and avoiding triggers and allergens is crucial in managing eczema. Exposure to known triggers can prolong the duration of symptoms and increase the frequency of flare-ups. By understanding and managing your triggers, you can help shorten the duration of eczema and minimize its impact on your daily life.

Individual Response

Each individual’s response to treatment can vary, and some people may naturally resolve their eczema symptoms more quickly than others. Factors such as overall health, immune system function, and predisposition to allergies can influence the duration of eczema. It’s important to remember that everyone’s journey with eczema is unique, and what works for one person may not work for another.

Can Eczema Go Away Naturally?

Spontaneous Remission

In some cases, eczema may go into spontaneous remission, meaning it resolves on its own without specific treatment. However, the likelihood of spontaneous remission varies among individuals, and it is not a guaranteed outcome. It is important to consider other treatment options and preventive measures to effectively manage eczema.

Resolution with Age

For some individuals, eczema may improve or even disappear as they get older. This improvement is often attributed to changes in the immune system and skin barrier function. However, it is important to note that eczema can persist into adulthood and may require ongoing management.

Avoiding Triggers and Irritants

One way to potentially reduce the duration of eczema is to identify and avoid triggers and irritants. By minimizing exposure to substances that aggravate the skin, you can help prevent flare-ups and allow your skin to heal more quickly. Working with a healthcare professional to develop a personalized plan for trigger avoidance can be beneficial.

Lifestyle Modifications

Making certain lifestyle modifications can contribute to the management of eczema and potentially shorten its duration. Maintaining a healthy skincare routine, managing stress levels, and incorporating a balanced diet can support overall skin health and reduce the frequency and severity of flare-ups.

Holistic Approaches

Some individuals may explore holistic approaches in managing their eczema symptoms. These approaches can include herbal remedies, acupuncture, and dietary supplements. While there is limited scientific evidence to support the efficacy of these approaches, some individuals may find them beneficial in conjunction with conventional treatments.

When to Seek Medical Intervention

Persistent Symptoms

If you have been experiencing persistent eczema symptoms that do not improve or continue to worsen despite home management, it is recommended to seek medical intervention. Your healthcare professional can evaluate the severity of your symptoms and recommend appropriate treatment options.

Severe Discomfort

If eczema symptoms are causing severe discomfort, interfering with daily activities, or impacting your quality of life, it is important to consult a healthcare professional. They can evaluate the severity of your symptoms and prescribe medications or therapies to alleviate discomfort and manage your condition effectively.

Difficulty Sleeping

Eczema can significantly interfere with sleep due to the relentless itching and discomfort it causes. If you are experiencing difficulty sleeping or your eczema is disrupting your sleep patterns, it is advisable to seek medical intervention. Your healthcare professional can provide strategies to improve sleep quality and recommend appropriate treatments.


If you suspect an infection in the affected areas, characterized by increased redness, swelling, warmth, pain, or the presence of pus, it is crucial to seek immediate medical attention. Infection can complicate eczema and lead to more severe symptoms and complications if left untreated.

Factors Hindering Self-care

If factors such as lack of improvement, treatment non-compliance, or difficulty managing eczema at home are hindering your self-care efforts, do not hesitate to consult a healthcare professional. They can provide guidance, support, and possibly suggest alternative treatment options to help you effectively manage your eczema.

Preventing Eczema Flare-ups

Avoiding Triggers

One of the most effective ways to prevent eczema flare-ups is to identify and avoid triggers. These can include specific foods, environmental factors, or irritants. Keeping a diary or journal to track potential triggers can help you identify patterns and make informed decisions regarding trigger avoidance.

Proper Skincare Routine

Establishing a proper skincare routine can play a significant role in preventing eczema flare-ups. This includes using gentle cleansers, applying moisturizers regularly, and avoiding harsh soaps or products that contain potential irritants. Opting for fragrance-free and hypoallergenic skincare products can also help minimize skin reactions.

Good Hygiene Practices

Maintaining good hygiene practices can help prevent eczema flare-ups and minimize the risk of infections. This includes regular handwashing with mild soap and warm water, especially before applying any topical treatments or moisturizers. Additionally, it is important to keep the affected areas clean and dry to prevent bacterial or fungal overgrowth.

Stress Management

Stress can be a trigger for eczema flare-ups in some individuals. Practicing stress management techniques such as mindfulness meditation, deep breathing exercises, or engaging in activities that promote relaxation can help reduce stress levels and potentially prevent flare-ups.

Dietary Considerations

While there is limited scientific evidence linking specific foods to eczema flare-ups, some individuals may find that certain foods can trigger their symptoms. If you suspect food allergies or sensitivities are contributing to your eczema, considering an elimination diet or consulting a healthcare professional or registered dietitian can help identify potential dietary triggers.


Managing eczema requires a comprehensive approach that takes into account the underlying causes, symptom management, and preventive measures. While eczema may not necessarily go away on its own, it can be effectively managed with appropriate treatment and lifestyle modifications. Long-term management involves adherence to prescribed therapies, identification and avoidance of triggers, and regular communication with a healthcare professional. With proper care and support, individuals with eczema can lead fulfilling lives and keep their symptoms under control. Remember to consult a healthcare professional for personalized advice and guidance in managing your eczema.