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Complications
By Mayo Clinic staffComplications of atopic dermatitis (eczema) include:
- Neurodermatitis. Prolonged itching and scratching may increase the intensity of the itch, possibly leading to neurodermatitis (lichen simplex chronicus). Neurodermatitis is a condition in which an area of skin that's frequently scratched becomes thick and leathery. The patches can be raw, red or darker than the rest of your skin. Persistent scratching can also lead to permanent scars or changes in skin color.
- Skin infections. Sometimes, scratching can break the skin and cause open sores and fissures that can become infected. A milder form of infection is impetigo, usually due to staphylococcal infection. Having atopic dermatitis predisposes you to this infection.
- Eye complications. Severe atopic dermatitis can also cause eye complications, which may lead to permanent eye damage. When these complications occur, itching in and around the eyelids becomes severe. Signs and symptoms of eye complications also include eye watering and inflammation of the eyelid (blepharitis) and the lining of the eyelid (conjunctivitis). If you suspect complications with your eyes, see your doctor promptly.
References
- Weston WL, et al. Epidemiology, clinical manifestations, and diagnosis of atopic dermatitis (eczema). http://www.uptodate.com/home/index.html. Accessed May 20, 2009.
- Weston WL, et al. Treatment of atopic dermatitis (eczema). http://www.uptodate.com/home/index.html. Accessed May 20, 2009.
- Bieber T. Mechanisms of disease: Atopic dermatitis. New England Journal of Medicine. 2008;358:1483.
- Eczema/atopic dermatitis. American Academy of Dermatology. http://www.aad.org/public/Publications/pamphlets/EczemaAtopicDermatitis.htm. Accessed May 20, 2009.
- What is atopic dermatitis? National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/hi/topics/dermatitis/ffdermatitis.htm. Accessed May 20, 2009.
- FDA public health advisory Elidel (pimecrolimus) cream and Protopic (tacrolimus) ointment. U.S. Food and Drug Administration. http://www.fda.gov/cder/drug/advisory/elidel_protopic.htm. Accessed May 20, 2009.
- Habif TP. Atopic dermatitis. In: Habif TP. Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 4th ed. Philadelphia, Pa.: Mosby; 2004. http://www.mdconsult.com/das/book/body/138783445-3/843851716/1195/22.html. Accessed May 21, 2009.
- Huang JT, et al. Treatment of Staphylococcus aureus colonization in atopic dermatitis decreases disease severity. Pediatrics. 2009;123:e808.
- Atopic dermatitis: Possible complications. American Academy of Dermatology. http://www.skincarephysicians.com/eczemanet/complications.html. Accessed June 3, 2009
- German chamomile. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 3, 2009.
- Evening primrose oil. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 3, 2009.
- Witch hazel. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 3, 2009.
- Borage. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 3, 2009.
