Quantcast In atopic dermatitis, the skin is often dry with elevated hair follicles. This image displays a close-up of brown, scaly, elevated follicles typical of atopic dermatitis (eczema). This image displays atopic dermatitis (eczema) in the body folds of the back of the legs coupled with staph bacteria. In atopic dermatitis (eczema), chronic itch and associated rubbing of the skin leads to skin thickening and the increased prominence of normal skin markings, as displayed in this image. In atopic dermatitis (eczema), the rash often is seen as scaly bumps over each hair follicle. Inflammation around the hair follicles, giving a dotted appearance, is typical to follicular eczema. Atopic dermatitis (eczema) that has been present for an extended period of time begins to looks thickened and darker. This image displays atopic dermatitis (eczema) on the back of the legs with erosions from scratching. This image displays severe atopic dermatitis (eczema) on a child's eyelids. This image displays the typical scaly and slightly pink lesions of atopic dermatitis (eczema) in a teenager. Atopic dermatitis (eczema) typically involves the folds of the elbows and knees. When longstanding, the skin can be very thickened (lichenified) from chronic scratching.
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Eczema (Atopic Dermatitis):
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Picture of Eczema (Atopic Dermatitis): In atopic dermatitis, the skin is often dry with elevated hair follicles. Divider line
In atopic dermatitis, the skin is often dry with elevated hair follicles.
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Treatments Your Physician May Prescribe
Topical or oral (systemic) medications can include:
  • Topical steroid creams or ointments may be prescribed to treat active areas of localized eczema. Lower strength steroids may be used on the face and medium to high strength steroids may be used on the torso and arms and legs.
  • Care should be taken when using topical steroids in skin folds because of the risk of thinning of the skin.
  • Steroid-sparing agents such as topical tacrolimus or pimecrolimus may be prescribed for milder cases of eczema or for certain areas of involvement, such as the face. 
  • Oral antihistamines may be prescribed to decrease itching.
  • If an infection is suspected, topical or oral antibiotics may be prescribed.
Procedures:
  • For more extensive eczema, forms of light therapy may be recommended.
  • Those with resistant disease may be treated with oral medications used to suppress the immune system, such as cyclosporine or tacrolimus.
Last Modified: 25 Aug 2008

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