What causes atopic dermatitis?
Atopic dermatitis, also known as atopic eczema, is a complex skin condition caused by a combination of genetic and environmental factors. People affected by it tend to have a weakened skin barrier, which allows allergens and irritants to penetrate more easily.
Common triggers include:
- Contact with harsh cosmetics, soaps, or detergents
- Exposure to dust mites, pet dander, or pollen
- Flare-ups following bacterial or viral infections
Contrary to common belief, atopic eczema is not contagious. It usually occurs in flare-ups, alternating with periods of calm.
Is atopic eczema hereditary?
Yes, there is a strong genetic link. If one parent has atopic eczema, the child is more likely to develop it. If both parents are affected, the risk increases significantly. This condition often forms part of a wider atopic background, which may include asthma, hay fever, or food allergies.
Atopic eczema affects both boys and girls equally and may persist in various forms into adulthood. However, symptoms and severity tend to change over time and may improve with age.
What are the typical symptoms of atopic eczema?
Atopic eczema often starts within the first few months of life, and its symptoms can vary over time. The most common signs include:
- Very dry skin that feels tight or rough
- Persistent itching, often severe and hard to resist
- Red, inflamed patches, sometimes with scratch marks or broken skin
Areas most affected in babies include the face, the folds of the elbows and knees, and the nappy area
The compromised skin barrier also makes it easier for bacteria and allergens to enter, triggering inflammation and discomfort. In children, itching can be intense enough to disrupt sleep and lead to irritability.
Regular medical follow-up is advised to manage symptoms, adapt skincare routines, and reduce flare-ups with the appropriate treatments and emollients.