Which patients develop eczema?
Eczema usually appears in childhood, before the age of 5 in 85% of cases.4 The majority of children grow out of it, however a significant proportion continue to experience symptoms throughout their teenage years and into adulthood.5
People with atopic eczema are also likely to have other allergic conditions, such as asthma, food allergy and allergic rhinitis6 (sometimes referred to as the 'atopic march'), which may also need management. In many cases there is also likely to be a family history of eczema, either from one or both parents.4,7
The pathogenesis of atopic eczema is complex and not yet fully understood. However, there are two key aspects that contribute to eczema flares, and which provide the rationale for management eczema:
Defective skin barrier function » « HomeReferences:
- 4.Beltrani VS, Boguneiwicz M (2003) Atopic Dermatitis. Dermatology online journal; 9(2):1
- 5.McHenry PM et al (1995) Management of atopic eczema. BMJ, 310, 843-847
- 6.National Collaborating Centre for Women’s and Children’s Health. Atopic eczema in children: management of atopic eczema in children from birth up to the age of 12 years. Clinical Guideline December 2007 (NICE Eczema Full Guideline) www.nice.org.uk
- 7.Uehara and Kimura (1993) Descendent family history of atopic dermatitis. Acta Derm Venereol, 73(1), 62-63
