sunburn type rash in eczema sufferer

[JJ57]

22yo male with history of eczema since infancy (also asthma/allergies).  Historically treated with hydroxyzine and topical steroid cream.  One year ago, skin condition worsened.  Experienced "sunburn" like appearance to face with severe itching to scalp and face. the usual bleeding and large, painful lymph nodes to scalp and neck.  Treated with several rounds of oral steroids and antibiotics.  No relief presently with maximum dose of hydroxyzine.  Symptoms now reappearing after recent round of steroids.  Please help!!!

[Bhupinder Kaur, MD]

Hello,
In most cases of eczema no one treatment will be effective. There should be a combination of therapies to treat the skin and making lifestyle changes(prevention of triggers and application of lots of moisturizers) to control flare-ups. Doing so tends to increase effectiveness and reduce side effects from medications. If the eczema is more severe, phototherapy (a type of treatment that uses light therapy) or systemic (circulates throughout the body) medication like oral steroids may be prescribed. Please discuss these options with your dermatologist and also consult an allergist to find out the triggers to which you may be allergic. Then avoiding these triggers can prevent flare ups.

I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.