What is eczema?
Eczema is an inflammatory reaction of the skin. It is not contagious and cannot be caught from another person. The Department of Health notes that in children it commonly appears on the cheeks, around the lips, on the wrists, the inner elbows and in skin folds.
Typical features are itch, dry skin, redness and swelling with blisters; when blisters break they weep, then crust and flake. Where flares recur, the affected skin can thicken and coarsen. Broken skin may also become infected with bacteria.
Some people with eczema also have allergic rhinitis or asthma. The three are often regarded as different expressions of the same underlying tendency, which is why a doctor may ask about nasal and airway history when assessing eczema.
What causes eczema?
There is no single cause. The factors listed by the Department of Health include inherited tendency, environmental allergens, and certain food proteins.
| Category | Examples | What it means day to day |
|---|---|---|
| Inherited tendency | Family history of eczema, allergic rhinitis or asthma | Cannot be changed, but knowing the triggers early reduces how often flares happen |
| Environmental allergens | Dust, wool, pollen, pet hair and dander | Carpets, soft toys and pets are the commonest household sources, and contact can be reduced deliberately |
| Food proteins | Egg, seafood, dairy, beef, peanut | Not the same for everyone; cutting foods out unilaterally can affect nutrition, so confirm with a doctor first |
| Sweat and heat | Hot humid weather, not washing after strenuous exercise | Particularly relevant in a Hong Kong summer; how breathable clothing is bears directly on control |