Sims' position
Xerotic Eczema is a skin condition characterized by excessively dry, itchy skin. It is also known as Eczema craquelé, Asteatotic eczema, Eczema hiemalis, or Winter itch.
Causes
Xerotic Eczema is often caused by environmental factors that dehydrate the skin, such as cold, dry weather or frequent bathing. It can also be a symptom of other skin conditions, such as Atopic Dermatitis or Psoriasis, or systemic conditions like Hypothyroidism or Kidney Disease.
Symptoms
The primary symptom of Xerotic Eczema is very dry, itchy skin. This can lead to a cycle of itching and scratching, which can cause the skin to become thickened and leathery. The skin may also develop cracks, which can be painful and may bleed.
Diagnosis
Diagnosis of Xerotic Eczema is typically based on a physical examination of the skin and a review of the patient's medical history. In some cases, a skin biopsy may be performed to rule out other conditions.
Treatment
Treatment for Xerotic Eczema primarily involves moisturizing the skin to relieve dryness and reduce itching. This can be achieved through the use of emollients, such as petroleum jelly, and by avoiding factors that can dry out the skin, such as harsh soaps or frequent bathing. In severe cases, topical corticosteroids may be prescribed to reduce inflammation.
Prevention
Prevention of Xerotic Eczema involves avoiding triggers that can dry out the skin, such as cold, dry weather or harsh soaps. Regular use of moisturizers can also help to keep the skin hydrated and reduce the risk of developing this condition.
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Contributors: Prab R. Tumpati, MD