Eczema

Eczema2018-08-20T16:11:29+00:00

Eczema at Johns Creek DermatologyEczema at Johns Creek Dermatology: Diagnosis and Treatment

Shereen Timani, M.D. sees a large number of patients suffering from Eczema at Johns Creek Dermatology. The presence of a mild-to-severe itchy, red rash, which can appear anywhere on the body, may be a common condition called eczema, or atopic dermatitis. Eczema affects nearly 35 million people in the U.S., 70% of whom are children under the age of 5. Although symptoms decrease as the child ages, eczema sometimes continues into adulthood. Dr. Timani can diagnose you or your child’s eczema and prescribe the appropriate treatment program.

Cause Unknown

The definition of eczema is derived from a Greek word translating to “effervesce or bubble or boil over.”  Symptoms differ from person to person, and the exact causes are not known. It is theorized that certain types of eczema may have a tendency to be inherited. Also, there may be a link between allergic diseases, such as hay fever or asthma, as a trigger for the skin condition.  All types of eczema cause redness and itching, and in some cases the skin blisters, weeps or peels. Most often the rash appears within the insides of the elbows, on the backs of the knees, and on the hands, neck or face, or anywhere on the body where skin may fold or crease.  In extreme cases, the majority of the body may be covered in the rash. Patients may exhibit one or more of the symptoms:

  • Dry, sensitive skin
  • Intense itching
  • Red, inflamed skin
  • Recurring rash
  • Scaly areas
  • Rough, leathery patches
  • Oozing or crusting
  • Areas of swelling
  • Dark colored patches of skin

Causes of Eczema

Although the exact causes are undetermined, many factors may trigger the flare of eczema, or increase the intensity and areas impacted. These may include:

  • Irritants
  • Allergens
  • Microbes
  • Temperature
  • Food allergy
  • Stress
  • Hormones

Categories of Eczema at Johns Creek Dermatology

There are several itchy rash type skin diseases that are considered eczema. Dr. Timani will evaluate your specific condition to determine the proper classification and appropriate treatment. One of the primary goals of treatment, no matter what the trigger or manifestation of dermatitis, is to break the inflammation- itch-scratch- symptom intensification cycle.  Categories of eczema at Johns Creek Dermatology are described briefly below:

  • Atopic dermatitis: affects the majority of patients from childhood, and is typically a chronic condition which may develop into a severe, widespread rash.
  • Hand eczema: usually is confined only to the hands and affects up to 10% of the population.
  • Contact dermatitis: occurs when the skin comes in contact with certain substances, causing a reaction resulting in skin inflammation.
  • Seborrheic dermatitis: is a common skin condition that may occur simultaneously in patients with eczema, having similar symptoms to eczema, which may make a specific diagnosis difficult.
  • Dyshidrotic eczema: causes blisters on the fingers, palms, and soles of the feet, and women are two times more prone to this disorder.
  • Nummular eczema: appears as well-defined coin-shaped spots on the skin which are either very dry and scaly or wet and open, depending on the itch factor.  Unlike atopic dermatitis, heredity is not usually a factor.  As it resembles ringworm, it is important to visit Johns Creek Dermatology to rule out a
  • fungal infection.
  • Neurodermatitis:  tends to result in a single or several patches—one or many— which result from frequent rubbing or consistent irritation.
  • Stasis dermatitis: is associated with a circulation problem most often affecting the veins in the lower legs. This type of dermatitis can result in more permanent changes in the skin over time.

 Treatment Options

Following your diagnosis, Dr. Timani will craft a treatment plan to resolve the inflammation-itch-scratch cycle and normalize your skin. Although there are multiple subtypes of the condition, an underlying origin of the symptoms is that the immune system is causing skin inflammation. A basic component of your treatment program, no matter what the appearance or trigger,  is moisturizing the area to keep the skin from becoming dry and prone to flare-ups. In most cases,  in order to foster the recovery of the skin, Dr. Timani will prescribe a topical steroid in cream, lotion or ointment form to reduce inflammation and irritation, and diminish itching while relieving the urge to scratch. In cases of sensitivity to steroids, she may prescribe a topical calcineurin inhibitor which is a non-steroidal prescription eczema drug in order to reduce the potential for side effects often associated with long-term use of topical steroids, such as thinning of the skin, stretch marks, spider veins or discoloration of the skin.  In extremely severe cases, it might be necessary to employ the use of immunosuppressant medications to halt the immune system’s attack on the skin.

Each patient is unique; therefore, results will vary.  


Eczema at Johns Creek Dermatology Diagnosis and Treatment: Dr. Shereen Timani at Johns Creek Dermatology has established a reputation for providing professional patient diagnosis and care for a variety of skin conditions. Our practice in Johns Creek, GA, takes exceptional pride in professionalism and personalized care. Johns Creek Dermatology serves patients in the Atlanta Metro area as well as Roswell, Cumming, Alpharetta, Suwanee, Milton, and Duluth. Call to make an appointment if you have a concern about your skin.

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