Worsening of Eczema Condition
Eczema is a common skin condition that affects millions of people worldwide, characterised by dryness, itching, and discolored rashes. This article aims to shed light on the different stages of eczema and the impact it can have on skin pigmentation.
Eczema progresses through three clinical stages: acute, subacute, and chronic. During the acute stage, the skin is intensely itchy, red, swollen, and inflamed, with possible oozing and crusting. The skin may show visible signs of irritation and damage from scratching, sometimes leading to blister formation.
As eczema moves into the subacute stage, inflammation and redness lessen, but the skin remains dry, scaly, and itchy. Lesions begin to flatten out, with less swelling and crusting compared to acute eczema.
In the chronic stage, the skin becomes thickened, leathery, and rough, a condition known as lichenification. Chronic eczema often results in persistent plaques and texture changes.
It is important to note that the stages of eczema do not necessarily progress in a linear manner. A person may have multiple patches of eczema in different stages on their body at the same time.
One of the less discussed aspects of eczema is its effect on skin pigmentation. After eczema flares, post-inflammatory hyperpigmentation (PIH) commonly occurs, resulting in darker patches at the sites of inflammation, especially in individuals with darker skin tones. Conversely, hypopigmentation may develop, where affected areas become lighter than surrounding skin due to decreased melanin production following inflammation.
These pigmentation changes tend to be temporary and often improve over months, but can be persistent in some cases. Chronic eczema leads to not only pigmentation changes but also skin thickening (lichenification), which further alters skin texture and appearance.
If signs or symptoms of an infection develop, it is crucial for a person to contact a doctor right away. Changes in skin pigmentation due to eczema can take several months or more to resolve. A person should let their doctor know if they develop new or worsening skin symptoms.
In managing eczema, a person's doctor or dermatologist may recommend changes to their skin care routine, medication, or other treatments to manage the condition or potential complications. This could include the use of moisturisers, topical corticosteroids, or antibiotics in case of infection.
In conclusion, understanding the stages and progression of eczema, as well as its impact on skin pigmentation, is essential for effective management and treatment. If you suspect you have eczema, it is advisable to consult a healthcare professional for accurate diagnosis and guidance.
