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Eczema (Atopic Eczema)

What is atopic eczema?

Atopic eczema is an inflammatory condition of the skin. Atopic is the term used to describe conditions such as eczema, asthma, seasonal rhinitis and hay fever, which often have a genetic basis. Eczema is the term used to describe changes in the upper layer of the skin that include redness, blistering, oozing, crusting, scaling, thickening and sometimes pigmentation (although not all of these changes will necessarily occur together). The words eczema and dermatitis are interchangeable and mean the same thing: thus atopic eczema is the same as atopic dermatitis. For simplicity we shall use atopic eczema in this leaflet.

Atopic eczema affects both sexes equally and usually starts in the first weeks or months of life. It is most common in children, affecting at least 10% of infants at some stage. It usually disappears during childhood, although it can carry on into adult life or come back in the teenage or early adult years. It may occasionally develop for the first time in adulthood.

What causes atopic eczema?

This is still not fully understood. A tendency to atopic conditions often runs in families (see below) and is part of your genetic make-up. In people with atopic eczema, the function of their skin as a barrier to the outside world does not work well, so that irritant and allergy-inducing substance enter their skin, and may cause dryness and inflammation. Atopic eczema is not catching.

Is atopic eczema hereditary?

Yes. Atopic eczema (as well as asthma and hay fever) tends to run in families. If one or both parents suffer from eczema, asthma or hay fever, it is more likely that their children will suffer from them too. In addition, there is a tendency for these conditions to run true to type within each family: in other words, in some families most of the affected members will have eczema, and, in others, asthma or hay fever will predominate.

What are the symptoms of atopic eczema?

The main symptom is itch. Scratching in response to itch may be the cause for many of the changes seen on the skin. Itching can be bad enough to interfere with sleep, causing tiredness and irritability.

What does atopic eczema look like?

Atopic eczema can affect any part of the skin, including the face, but the areas most commonly affected are the bends of the elbows and knees, and around the wrists and neck (a flexural pattern). Other common appearances of atopic eczema include discrete coin-sized areas of inflammation (a discoid pattern), and numerous small bumps that coincide with the hair follicles (a follicular pattern).

If you have eczema, it is likely your skin will be red and dry, and scratch marks (and bleeding) are common. When the eczema is very active (during a ‘flare-up’) you may develop small water blisters on the hands and feet, or the affected areas of your skin may become moist and weepy. In areas that are repeatedly scratched, the skin may thicken up (a process known as lichenification), and become even more itchy.

What makes atopic eczema flare up?

Many factors in a person’s environment can make eczema worse. These include;

  • Heat, dust and contact with irritants such as soap or detergents
  • Being unwell: for example having a common cold can make eczema flare
  • Infections with bacteria or viruses can make eczema worse. Bacterial infection (usually with a bug called Staphylococcus) makes the affected skin yellow, crusty and inflamed, and may need treatment with antibiotics. An infection with the virus that causes cold sores (herpes simplex virus) can cause a painful widespread (and occasionally dangerous) flare of eczema, and may need treatment with antiviral tablets
  • Dryness of the skin
  • Perhaps stress
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Coal Tar Soap DermaZinc Soap DermaZinc Shampoo
Coal Tar Soap
Our Price: $3.25
DermaZinc Soap
Our Price: $8.70
DermaZinc Shampoo
Our Price: $17.95
Coal Tar soap is a soothing and cleansing antiseptic. We recommend Coal Tar Soap as an adequate replacement for Polytar soap which was discontinued by Stiefel Labs back in 2009.
Coal tar, the liquid by-product of distilled coal, is well known for its ability to aid in the removal of toxins that build up and often are the source of inflamed, irritated, itchy skin characteristic of skin disorders such as psoriasis and eczema.
DermaZinc Soap is extremely effective, providing relief of chronic skin conditions. DermaZinc Soap is safe and effective for both adults and pediatrics for daily use. Many patients have reported successful results using DermaZinc Soap for treating acne and fungal conditions, as well as diaper rash and cradle cap. Medicated, over-the-counter DermaZinc Shampoo is recommended for the treatment of chronic skin conditions of the scalp. DermaZinc Shampoo is one of the most effective anti-itching, anti-flaking, anti-fungal agents available for treating seborrheic dermatitis, dandruff, and other chronic skin disorders.

X-Seb T Plus Shampoo X-Seb T Pearl Shampoo Topix Zolidyne Shampoo
Zolidyne Shampoo
Our Price: $20.00
As of 1/1/2015: Baker Cummins is no longer in business and has phased out ALL X-Seb Coal Tar Shampoo. In place of the X-Seb Shampoo, we are shipping DermaZinc Shampoo (2% Zinc) which has been found to aid in the treatment of scalp conditions.

We recommend these suitable products to replace this:
DermaZinc Shampoo
Coal Tar Soap
DermaZinc Spray Drops

X-SEB T Plus Conditioning Shampoo relieves itching, irritation and skin flaking associated with dandruff, seborrheic dermatitis and psoriasis. This formula is designed to effectively treat scaly conditions in a mild, gentle cleansing base, leaving hair healthy looking and manageable. It will not discolor or damage hair that has been color treated or permed.
As of 1/1/2015: Baker Cummins is no longer in business and has phased out ALL X-Seb Coal Tar Shampoo. In place of the X-Seb Shampoo, we are shipping DermaZinc Shampoo (2% Zinc) which has been found to aid in the treatment of scalp conditions.

We recommend these suitable products to replace this:
DermaZinc Shampoo
Coal Tar Soap
DermaZinc Spray Drops

X-SEB T Pearl Shampoo relieves itching, irritation and skin flaking associated with dandruff, seborrheic dermatitis and psoriasis. This formula is designed to effectively treat scaly conditions in a mild, gentle cleansing base, leaving hair healthy looking and manageable. It will not discolor or damage hair that has been color treated or permed.
Topix Zolidyne Shampoo - 2% Zinc Pyrithione
Rid your scalp of itchiness or unsightly dandruff with Derma Topix Zolidyne Shampoo, a delicate shampoo for addressing symptoms of dandruff or seborrheic dermatitis. The gentle formula relieves your scalp and leaves your strands feeling soft and healthy.
DermaZinc Cream Akerat S Psoriasis Skin Cream DCL Zoma Shampoo
DermaZinc Cream
Our Price: $23.95
Zoma Shampoo
Our Price: $28.00
DermaZinc Cream features a high emollient base for skin moisturizing and 0.25% zinc pyrithione. DermaZinc Cream is non-oily, has no lingering odor and is safe to use daily. To achieve maximum results it is recommended that DermaZinc Cream to be applied twice daily on affected areas.

DermaZinc Cream is extremely effective in treating red flaky, itchy, scaly skin associated with mild to moderate cases of eczema, psoriasis, and seborrheic dermatitis.
This product has been discontinued by the MFG. We recommend the following alternatives:

Coal Tar Soap
DermaZinc Cream
Urix 40 Urea Cream
RESTORE Internal Immune Repair
ASAP Silver Cream
ASAP Daily Moisturizing Silver Lotion

This calming treatment cream is formulated to address the most common symptoms of psoriasis.

Akerat S relieves and prevents itching, irritation, redness, flaking and scaly skin.
Recommended Alternatives:
DermaZinc Shampoo (2% Zinc Pyrithione)

Topix Pharma Zolidyne Shampoo (2% Zinc Pyrithione)


DCL Zoma Shampoo
- This is a special conditioning 2% Zinc formula which helps control itching and scaling of the scalp and face. It is particularly effective in controlling common dandruff and seborrhea when used daily.
PS Liquid Scalp Treatment DCL Salicylic Acid Shampoo Avene XeraCalm A.D.
Salicylic Acid Shampoo
Our Price: $30.00
As of 1/1/2015: Baker Cummins is no longer in business and has phased out ALL X-Seb Coal Tar Shampoo. In place of the X-Seb Shampoo, we are shipping DermaZinc Shampoo (2% Zinc) which has been found to aid in the treatment of scalp conditions.

We recommend these products to replace this:
DermaZinc Shampoo
Coal Tar Soap
DermaZinc Spray Drops

For Scalp Psoriasis and Seborrhea Dermatitis
Helps loosen and remove scales of the scalp, an effective treatment for symptom of psoriasis and seborrhea dermatitis.
This formula, containing 3% Salicylic Acid, is effective in treating seborrheic dermatitis, as well as itching, scaling and psoriasis of the scalp. XeraCalm A.D Lipid-replenishing balm
Very dry skin - Atopic-prone skin - Skin prone to itchiness
The XeraCalm A.D Lipid-replenishing balm nourishes very dry skin and soothes itching sensations, for infants, children and adults.

Benefits

XeraCalm A.D Lipid-replenishing balm is based on a multi-competent formula created around an active innovation: I-modulia
DCL T-Shampoo DermaZinc Spray Drops Del-Ray rea lo 40 Cream
DermaZinc Spray Drops
Our Price: $37.60
DCL T-Shampoo - Specifically formulated to control persistent scalp conditions such as dandruff and psoriasis, by gently shedding dead skin cells and treating the inflammation, itching and scaling of the scalp. Patented formulation of medicated DermaZinc Spray Drops is the original topical zinc pyrithione treatment for chronic skin conditions. By combining (0.25%) zinc pyrithione with isopropyl myristate, Dermalogix Partners has created in DermaZinc Spray/Drops one of the most effective anti-itching, anti-flaking, anti-fungal agents available for treating skin disorders sold over the counter

Del-Ray Rea Lo 40 Cream has been discontinued by the mfg. We recommend Intensive Cream 20% Urea in its place

Del-Ray Rea Lo 40 Cream
The unique (40%) urea formulation helps soften/dissolve dry, thickened skin and helps restore lost moisture below the surface.