What are the symptoms of eczema?

Introduction

Eczema, also known as atopic dermatitis, is a chronic skin condition characterized by itchy inflammation and a variety of symptoms that can impact quality of life. It is a common ailment with multiple subtypes, each presenting with its own set of challenges.

Key Insights from Research Papers

Symptoms of Eczema:
- Itchiness and sleep loss are the most frequently reported symptoms in atopic eczema treatment trials.
- Seasonal variations influence symptom severity, with some patients experiencing worsened symptoms in winter due to lower temperatures, and others in summer correlating with high grass-pollen exposure.
- Sleep disturbances such as fatigue, daytime sleepiness, and insomnia are associated with adult eczema, which can lead to poorer overall health and increased health care utilization.
- Eczema is often accompanied by skin sensitivity to irritants and can manifest as an eczematous eruption.
- Emotional disturbances, particularly of a depressing kind, have been noted to influence the symptom-reporting behavior in eczema patients.
Environmental Influences on Eczema Symptoms:
- Climates with higher temperatures, increased sun exposure, and higher humidity are associated with poorly controlled eczema symptoms.
Associated Conditions and Factors:
- Gastrointestinal symptoms such as diarrhea, vomiting, and regurgitation are more common in children with eczema, particularly those with extensive skin disease.
- Adult-onset recalcitrant eczema may be a marker for underlying noncutaneous lymphoma or leukemia.
- The prevalence of eczema symptoms by the second year of life is over 20%, with many cases exhibiting classic flexural patterns but remaining undiagnosed.

Conclusion

Eczema symptoms primarily include itchiness and sleep disturbances, with variations in severity influenced by environmental factors such as temperature and pollen exposure. Emotional well-being can also affect symptom reporting. Additionally, eczema can be associated with gastrointestinal issues in children and may be an indicator of more serious underlying health conditions in adults. Understanding these symptoms and their triggers is crucial for managing the condition effectively.

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What are the symptoms of eczema?

Summary

Introduction

Key Insights from Research Papers

Conclusion

Sources and full results

Reporting of symptoms in randomized controlled trials of atopic eczema treatments: a systematic review

Symptoms, particularly itch and sleep loss, are commonly reported in atopic eczema treatment trials, but often evaluated as part of a composite instrument, making it difficult to extract symptoms-only data from most published studies.

Seasonality in symptom severity influenced by temperature or grass pollen: results of a panel study in children with eczema.

Children with eczema experience seasonal variations in symptom severity, with itch reduced by 22% and extent increased by 65% when outdoor temperature increases by 15 degrees C, and more symptoms in summer with high grass-pollen exposure.

Sleep disturbances in adults with eczema are associated with impaired overall health: a US population-based study.

Adult eczema is associated with higher odds of fatigue, sleepiness, and insomnia, which together predict poorer overall health and increased doctor visits.

Eczema and infection.

Infections are common in eczema patients, and can cause severe itching and inflammation.

Warm, Humid, and High Sun Exposure Climates are Associated with Poorly Controlled Eczema: PEER (Pediatric Eczema Elective Registry) Cohort, 2004–2012

Higher temperature and increased sun exposure are associated with poorly controlled eczema symptoms in children, while higher humidity may also contribute to the issue.

Emotional disturbance in eczema: a study of symptom-reporting behaviour.

Eczema patients exhibit a variety of vulnerable personalities, with eczema often substituting for psychological disturbances, such as anxiety or depression, and influencing symptom-reporting behavior.

Adult-onset recalcitrant eczema: a marker of noncutaneous lymphoma or leukemia.

Adult-onset recalcitrant eczema may be linked to noncutaneous lymphoma or leukemia, and a systematic evaluation is necessary when a readily identifiable cause is not found.

Prevalence of eczema symptoms in the second year of life

More than one in five children develop eczema by the second year of life, with nearly two-thirds undiagnosed, and chronic rash in early life is associated with comorbid allergy symptoms and dog-keeping during pregnancy.

Gastrointestinal symptoms in atopic eczema

Gastrointestinal symptoms are common in children with atopic eczema, particularly diarrhoea, vomiting, and regurgitation, and may play a role in the pathogenesis and failure to thrive.

Eczema

Atopic eczema is the most common chronic inflammatory disease among children, and is associated with other atopic disorders like asthma and allergic rhinitis.

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