By Tim Mitchell, Alison Hepplewhite, Gillian Clarke
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Additional resources for Eczema - The At Your Fingertips Guide
Sample text
Breast-feeding with eczema on the nipple or areolar tissue round it can be troublesome from time to time because this area can easily become infected with thrush, making it cracked and sore. Ask your doctor to examine your baby’s mouth as well as your breasts as thrush may be present there too. There are topical creams that can be prescribed to resolve the infection. During treatment, breast-feeding from the affected side should be temporarily stopped and expressing carried out instead, either manually or with the aid of an electric or hand pump.
I have just come back from holiday with the most awful eczema. My doctor says it is photo-dermatitis and might be due to a new sunscreen. Will I ever be able to go on holiday again? Yes, you will. A type of allergic contact eczema whose cause involves natural or artificial ultraviolet light is quite rare but may be on the increase. Sunscreens are the most commonly reported culprits (photo-allergens), but they are always used in the sun! Other common photo-allergens are fragrances, topical non-steroidal anti-inflammatory drugs and some antibacterial creams.
The deepest layer of the skin is called the subcutis and is predominantly made up of an insulating layer of fat. In eczema, it is the dermis and epidermis that are affected. The epidermis shows the most marked changes. The inflammation leads to leaky blood vessels, so fluid collects between the keratinocytes, causing them to separate. The brick wall takes on a sponge-like appearance. As the eczema becomes chronic, the constant rubbing and scratching causes the epidermis to regenerate more quickly, so it becomes thickened.