Eczema: A Practical Checklist
Eczema: what is worth doing, what is worth avoiding, and when to stop and see a doctor.
A chronic inflammatory skin condition causing dry, itchy, inflamed skin. It is managed rather than cured, and a common reason treatment fails is using far too little moisturizer and too little of the prescribed medicine.
Key takeaways
- Mainstay of care: moisturizers, used generously and often
- Moisturizer quantity: usually far more than most people expect
- Most useful single change: Moisturize several times a day, including when the skin looks clear.
- Commonest mistake: Harsh soaps and fragranced washes.
- See a doctor if any of the signs under "When to speak to a doctor" below apply to you.
Do
- Moisturize several times a day, including when the skin looks clear
- Apply moisturizer within a few minutes of bathing, gently rather than rubbing hard
- Use the medicine strength you were prescribed rather than under-treating
- Identify and reduce triggers such as harsh soap, heat and specific fabrics
Do not
- Harsh soaps and fragranced washes
- Under-using prescribed topical steroids through fear of them
- Fragranced lotions, which commonly irritate
The numbers behind the list
Here are the figures the checklist is drawn from.
| Measure | Figure |
|---|---|
| Mainstay of care | moisturizers, used generously and often |
| Moisturizer quantity | usually far more than most people expect |
| Topical steroids | matched in strength to severity and body area, used as directed |
| Fingertip unit | a standard measure for applying topical steroid |
If you change one thing
Moisturize several times a day, including when the skin looks clear. It is first on the list above. If the rest feels like too much at once, start there and leave the others.
Related topics
- Eczema and Allergy: What Published Guidance Supports (Allergies)
- Dry Eye: What the Evidence Actually Says (Eye Health)
- What the Guidance Really Says About Skin in Later Life (Healthy Aging)
- The Evidence on Occupational Asthma, Without the Hype (Workplace Health)
Where to go next
- A Q and A on Eczema
- Eczema at a Glance
- Eczema — the reference entry
- Skin Health: The Complete Guide
- Acne: What Published Guidance Supports
- What the Guidance Really Says About Psoriasis
When to speak to a doctor
Seek same-day care for rapidly worsening eczema with fever, painful clustered blisters or punched-out sores, which can indicate eczema herpeticum — a medical emergency. See your doctor for weeping, crusting or yellow discharge suggesting bacterial infection, or for eczema that is not responding to treatment. Call 911 for widespread skin pain with blistering and feeling very unwell.
Where this comes from
- National Institute of Arthritis and Musculoskeletal and Skin Diseases — Atopic Dermatitis
- American Academy of Dermatology — Eczema types: Atopic dermatitis
How this page was put together
Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.
Medical disclaimer
This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.
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