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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Eczema

Hi doctor. I m a nursing student who suffers from eczema. I ve only discovered this last year before I furthered my studies, which is during my National Service. I sweat a lot and the back of my neck became red, itchy, thick and cracked. Then a doctor gave me aqueous cream and zinc cream (if I m not mistaken) and it started to peel off and I recovered 3 days after using the cream. When I started to join this Nursing course, where we have clinical postings every semester, I tend to get the eczema again every time we got posted. I noticed my eczema only occur when I sweat continuously everyday. I got the last eczema which is the worst I ve ever had when I was posted for 2 months on the month of April this year. The redness and all the symptoms I ve mentioned earlier turned out to cover my whole neck that time, it hurts that I can t turned my head to left and right. And it somehow looked like allergy mixed up with skin rash. It swelled and really really red. I consulted doctors in where I was posted and they gave me few creams like aqueous and one of the costicosteroid creams. I also went for a shot (one of the allergy drugs). It s reducing afterwards but very slow. Then after few days my neck has started to develop pimples again. When I ve finished with posting it started to heal but now I have pigmentations on my neck. What should I do for my next clinical posting?
Sat, 19 Sep 2020
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Internal Medicine Specialist 's  Response
Hi,

Eczema impacts a lot of people. Eczema is called Atopic Dermitis and can be related to other conditions like asthma and even food allergies. The treatment consists of plentiful skin hydration, so small amounts of skin moisturizer numerous times per day, this is better than larger amounts only a few times per day.

Topical steroids are useful and can be employed occasionally when the symptoms worsen drastically but for the most part standard of care is using an aqueous base moisturizer and if that is not successful a referral to a dermatologist is then recommended for further evaluation. It does sound as though you are doing these measures a referral to a dermatologist I think may be in order for you.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. David Girardi, Internal Medicine Specialist
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Suggest Treatment For Eczema

Hi, Eczema impacts a lot of people. Eczema is called Atopic Dermitis and can be related to other conditions like asthma and even food allergies. The treatment consists of plentiful skin hydration, so small amounts of skin moisturizer numerous times per day, this is better than larger amounts only a few times per day. Topical steroids are useful and can be employed occasionally when the symptoms worsen drastically but for the most part standard of care is using an aqueous base moisturizer and if that is not successful a referral to a dermatologist is then recommended for further evaluation. It does sound as though you are doing these measures a referral to a dermatologist I think may be in order for you. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. David Girardi, Internal Medicine Specialist