Eczema On The Legs Is What Happened
Eczema on the legs is usually found on the back of the legs, legs, calves, etc. It is mostly subacute or chronic, manifesting as small, indistinct, knotty patches, often with blisters on the surface, and often cracking in winter.
Eczema is a common allergic skin disease, can be divided into two kinds of acute eczema and chronic eczema.
Its onset is characterized by local or generalized erythema, papules, blisters, vesicles, exudation, crusting, flaking, and hyperpigmentation.
The clinical characteristics are polymorphic rash, tendency to exude, symmetrical distribution, accompanied by intense itching, and prone to recurring episodes.
There are many causes of leg eczema, mainly including external and internal factors.
Allergic body is the main reason for the onset of leg eczema, leg eczema occurs because the human body is attacked by many pathogenic factors, breaking the body’s immune balance, resulting in cell DNA template breakage, skin peripheral nerve dysfunction leading to epidermal cell rupture, the release of free radicals, malondiyl, putrescine and other chemical substances deposited under the skin, stimulating the skin peripheral nerve caused by itching, blisters, skin thickening, erosion, water and other leg eczema symptoms.
There are many allergens around us in our lives, which are also one of the reasons why leg eczema is prone to recurrence, such as chemicals, friction of clothing, animal dander and so on.
The actual fact is that you may not be surprised by the high incidence of eczema in your daily life, but the phenomenon of eczema on the skin cannot be ignored, and so is eczema on the legs.
Several special types of eczema
1. Coin-Shaped Eczema
Coin-shaped eczema: it occurs on the back and extensor side of the limbs. The lesions are scattered about the size of a nickel, round erythematous blisters, mild vesicles and crusts, etc., the boundaries are clearer, and the damage can be slightly enlarged in the progressive phase. Most of them are chronic in nature, with intense itching.
2. Autologous Allergic Eczema
The epidermis is a coin-shaped eczema: the onset of certain parts of the skin such as the lower extremities, pubic femur and other places often suffer from eczema. Soon after the deterioration of eczema at the primary site in other parts of the body that eczema-like damage.
It starts as a small inflammatory papule, which quickly becomes a cluster of papules and later fuses into small, flaky eczema-like lesions. The distribution of lesions is mainly on the extremities, followed by the trunk and face.
Itching is intense, with a burning sensation, and may be accompanied by superficial lymph node enlargement, general malaise, and low-grade fever. The attack is usually acute and can spread throughout the body within 1 to 2 weeks after the primary lesion improves, and the secondary rash can gradually subside. The course of the disease is prolonged for more than several weeks.
3. Infectious Eczema-like Dermatitis
Coin-shaped eczema: often occurs in the area often stimulated by secretions such as broken abscesses, sinus tracts, ulcers, around fistulas or near the female genitalia. Initially, the lesions are limited to the area around the purulent lesion and are flushed and well-defined.
There are numerous small blisters, pustules or folliculitis, covered with plasmacy or purulent secretions or scabs. The lesions may expand peripherally, sometimes surrounded by 1 week of peeling skin flakes, often with pus accumulation underneath.
The nearby lymph nodes are often enlarged. The lesions may be linearly distributed by scratching. Self-perceived itching is lighter than general eczema.
The eczema is typed according to the site of occurrence, eczema often occurs in a certain area, the clinical manifestations also have a certain specificity, is divided as follows.
- Ear eczema: mostly occurs in the crease behind the ear, manifesting as erythema, oozing, cracking and crusting. Sometimes with seborrhea. It is often symmetrical on both sides.
- Breast eczema: Most often seen in women who are breastfeeding. Brownish-red lesions on and around the nipples, areolas, with clear borders, vesicles, crusting, cracking and pain in the nipple. In obese women or those with droopy breasts, flushing or vesicular oozing often occurs in the inframammary folds.
- Umbilical fossa eczema: bright red or dark red spots at the umbilical fossa with moist surface, oozing and crusting with clear borders, rarely affecting the skin around the umbilicus
- Scrotal eczema: In acute attacks, the scrotal skin is edematous, moist or with vesicles, oozing, and crusting. Most of them are chronic, with deep scrotal skin wrinkles, infiltration, thickening, orange peel or walnut shell shape, dry, covered with scales, deepening of pigmentation, or partial loss of pigmentation. Itching is intense. The course of the disease is long, often several months or years.
- Female eczema: Infiltration and hypertrophy of the skin of the labia and its vicinity, with clear boundaries. Rarely, erythema, erosion and exudation occur. The skin of the labia majora may become mossy due to frequent scratching due to intense itching, and sometimes some pigment loss spots are visible.
- Anal eczema: The perianal skin is moist and flushed, vesicular, and may be scattered with a few papules, or the anal mucosal folds may be thickened and cracked. The itching is unbearable.
How To Treat Skin Eczema
1. The Overall Treatment Principle:
What kind of drug formulations to treat eczema according to the performance of eczema, such as redness and swelling is obvious, exudate more should choose the solution cold wet compress, do not use ointment; erythema, papules when available lotion, emulsion, mud cream, oil, etc. is blistered, vesicles need to use oil, performance of scales, crusts with ointment.
There is a wide variety of drugs available for eczema, and they should be used under the guidance of a doctor. The new medication must be cleaned up before replacing the previous medication. It is best to rub in a small piece of eczema when replacing the drug and observe the effect to decide whether to use it. Avoid aggravating the condition by improper use of drugs.
For eczema is not serious baby, only local medication, but can not abuse drugs on their own, so as not to cause skin damage or infection.
2. Cold Wet Compress
- Commonly used 1:10,000 potassium permanganate solution wet compress (note that must make potassium permanganate completely dissolved, undissolved potassium permanganate will burn the baby’s skin), both to make the trauma clean, but also to play a bactericidal astringent and oxidizing effect. It is best to use Chinese herbal medicines that clear heat and dampness (such as 30 grams of Da Qing Ye, 30 grams of Amaranthus, 20 grams of honeysuckle, 15 grams of Phellodendron, 30 grams of fishy grass, 20 grams of Poria, 30 grams of white foxglove, 30 grams of white fresh skin, etc.) to decoct topical wash or cold wet compress.
- 4 to 6 layers of fine gauze, in order not to drip as moderate, the wet gauze will be applied to the trauma, according to the amount of eczema exudate to determine the time and frequency of replacement, when the gauze absorbed exudate has reached half full and degree, the gauze will be replaced. Two to three times a day. Exudate more, wet dressing should be more diligent dressing replacement, to avoid absorbing exudate dressing long stay on the trauma, stimulating the surrounding normal skin, resulting in the expansion of the trauma.
- For large area of eczema, the nature of the drug, concentration and size of the wet dressing area should be given due attention.
- If the redness and swelling of the trauma surface gradually subsides, the exudate is reduced, the trauma surface has dried, you can stop the wet dressing and use the paste instead.
- Please note when applying cold and wet dressing: the wet dressing area should not exceed 1/3 of the whole body area to avoid dehydration caused by excessive evaporation from the body surface.
The liquid of wet compress should not be too cold, otherwise it will easily cause compensatory vasodilation and cause cold. When the room temperature is low, the liquid should be warmed up before wet compressing. If there is an infection, the gauze should be washed and disinfected (can be boiled and disinfected) before use. The wet dressing solution should be freshly prepared to prevent the effect from being affected by the deterioration of the solution.
How To Take Proper Care Of Pediatric Eczema?
One Of The Pediatric Eczema Care Tips.
- The baby’s skin should be kept clean and moist. Bathing babies with infant eczema is helpful, generally once or twice a day in summer, the number of times can be reduced in winter, every other day on the line. Water temperature is generally between 36 and 38°C, not too hot, because too high a temperature will make the baby’s skin more dry.
- To the baby bath, try to use a weak acid bath for the baby, generally once or twice a week with the bath can be. Bathing time is usually controlled at 5 to 10 minutes. After the bath, you should quickly apply moisturizers while the skin is still wet. Use creams for very dry skin, lotions for normal skin in summer and creams in winter.
Pediatric Eczema Care Tip Number Two.
Dress your baby in natural fiber clothing, such as cotton, so that your baby’s skin can breathe freely, but not too hot. Also, avoid wool and other materials that make it itchy, as these garments can irritate your baby’s very sensitive skin and aggravate infant eczema symptoms.
Pediatric Eczema Care Tip Number Three.
Pollen, dust mites and animal dander may trigger or aggravate infant eczema. You need to consult an allergy specialist. Your doctor may offer specific advice on how to reduce allergens in your home, including how to clean rooms more effectively, use air filters, and possibly put away carpets and rearrange furniture.
Pediatric Eczema Care Tip Number Four.
When bathing a baby with infant eczema, use mild, unscented bath and shampoo, or use those that are suitable for sensitive skin. When washing your baby’s clothes and bedding, also use mild, unscented laundry products that are suitable for sensitive skin and pay attention to rinsing them well.
Pediatric Eczema Care Tip Number Five.
Rapid changes in temperature may make infant eczema worse, especially when the temperature rises and the weather is too hot. Therefore, try not to let your baby get suddenly cold and hot.