A 32-year-old woman presented to her family physician (FP) with an itchy red rash that had developed on the back of her neck 6 months earlier. She said that the rash itched all day long and she found herself scratching it frequently. She also said that for the past 10 years, she’d had a brown rash around her neck. The patient reported that diabetes ran in her family and said she knew she needed to lose weight. She was screened for diabetes a year earlier, and her glucose and glycosylated hemoglobin were normal.What’s your diagnosis? The FP diagnosed lichen simplex chronicus (LSC) in this patient, based on the lesion’s clinical appearance and location, as well as the patient’s history of repeated daily scratching. LSC is more common in women than in men, and occurs mostly in mid- to late-adulthood, with the highest prevalence in people who are 30 to 50 years of age.A very common location for LSC in women is the back of the neck.
In this case the LSC was coexisting with acanthosis nigricans. Fortunately, this patient did not have diabetes, but her obesity and family history predisposed her to acanthosis nigricans.The treatment for LSC is topical mid- to high-potency corticosteroids. Oral sedating antihistamines can be added at night if pruritus is bad during the evening. If the patient acknowledges that stress is involved, obtain a good psychosocial history and offer the patient treatment for any problems you uncover.Patients need to minimize touching, scratching, and rubbing of the affected areas.
Explain to patients that they are unintentionally hurting their own skin. Suggest that they gently apply their medication or a moisturizer instead of scratching the pruritic areas.In this case, the FP prescribed topical triamcinolone ointment and stressed the importance of not rubbing or scratching the area. The patient’s LSC healed well.Photos and text for Photo Rounds Friday courtesy of Richard P. This case was adapted from: Usatine R, Johnson A. Self-inflicted dermatoses. In: Usatine R, Smith M, Mayeaux EJ, et al, eds.
Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2013: 856-862.To learn more about the Color Atlas of Family Medicine, see:You can now get the second edition of the Color Atlas of Family Medicine as an app by clicking on this link.
Due to eczema CausesYou must be wondering what the causes are, read on to unlock reasons you may end up this problem. 1.Eczema or dermatitis is a group of skin conditions associated with inflammation of the skin which can appear on any part including the mouth, lip, public areas, etc. (We shall not discuss everything on dermatitis).Perioral dermatitisPerioral dermatitis is a skin rash that mainly affects areas around the mouth especially in young women. This rash normally presents itself as red spots or pink spots that appear lumpy.
Perioral dermatitisThis rash can sometimes affect the skin around the eyes and when this occurs it may appear flaky and dry.In most cases, the rash is not painful but does trigger itching and can increase sensitivity or ignite a burning sensation. Perioral dermatitis is not contagious. PsoriasisGenerally, psoriasis occurs when “body’s skin cells build up too quickly because of rapid cell production.” healthline.com.The most common symptom of psoriasis is a build-up of skin cells that form patches. The patches may cause pain during eyelid movements. Normally, the skin becomes dry and may cause cracks in other areas. In addition, you may also find red scaly around the eyes developing.
Psoriasis around eyes and eyelidsRisks factors for psoriasis include the following:. Family and a personal history of psoriasis. Stress and anxiety. Suppressed immune system. obesity3.
Wrong cosmeticsNot all products are really good for your facial skin. These products comprise lash curlers, liners, mascara together with the tools used to apply the facial makeup and skincare products. Some of the bad ingredients in some the things mentioned here will trigger an irritation. When you begin to scratch or itch this area, it will dry out and possibly start to form flakes.The common ingredients that will trigger irritations include:. Parabens, phenylmercuric acetate, imidazolidinyl urea, quaternium-15, and potassium sorbate which are all preservatives added to some facial products. Resins.
Additives such as Bismuth Oxychloride. Emollients. Contaminants such as nickelIf that is not the case then, your makeup remover, facial cleansers are likely to cause the similar problems. InfectionsBlepharitis is another cause of on the eyelids. Read on to get more information on the symptoms. Sunburncan occur after an exposure or overexposure to sources that emit UV radiations such as the sun rays, wielder’s arc or sunlamps. Other causesThere are other possible factors and specific conditions some of which we’ll look into while looking at dry flaky, sore and red skin around eyes.
Dry flaky around, above under eyes & eyelidsWhat do you do to dry skin which is also flaky or looking scaly? Dryness will increase the chances of developing hence a premature aging. Besides the causes we have already seen, such as perioral dermatitis and poor cosmetics, other common reasons why you will have dry and flaky skin in this area include the following: 1. Cold and windy weatherDid you end up asking yourself what happened to that softer and smoother skin after winter sporting? If you do not take sufficient measures to counter conditions during the winter and fall, you will be a shock and surprise to learn weather has an effect. In essence, cold (or call it extreme chilling cold) robs moisture resulting in dryness and a tightness feeling.Furthermore, your skin may look flaky after it has tightened but flaking actually takes place if it is not hydrated or moistened sufficiently.
Exposure to dry conditionsHeat is another environmental factor with adverse effects on the skin. Sources of heat including the sun and can damage exposed areas like the face arms and back. Heat literally dries it out.If you use indoor heating systems or are fond of hot showers and baths this will make your skin to dry and be rough 3. Actinic Keratosis (solar Keratoses)Actinic keratosis is considered disease characterized by premalignant squamous lesion of scaly macule or papule (American Academy of Ophthalmology.) It affects sun-exposed areas and people with a fairer tone. Areas around the nose and eyes may feel rough or have ‘sandpaper’ texture with scaly lesions.
Dry Skin Patches On Back
Sometimes actinic keratosis appears like a patchy flat, white skin that is flaky or scaly. Actinic Keratosis4. BlepharitisBlepharitis is characterized by itchy and flaky eyelids whose symptoms (mainly inflammation) affects the eyelids and eye itself. It is caused by a bacteria. Sometimes your eyelids may become scaly and dry i.e.
Dry flaky skin on eyelids especially if it is “triggered by facial rosacea, seborrheic dermatitis,” md-health.com and bacteria.Other symptoms to suspect of blepharitis include. Red eyes and redness in their lids,. Swelling especially the lash area,. Itchiness around the eyelids. Yellow discharge due to a severe infection.
Eyelid blepharitisApart from blepharitis, other reasons include facial psoriasis, perioral dermatitis or eczema. Remember that blepharitis as a condition could recur if personal hygiene is ignored or it not well treated. Red and dryWhat causes the dry red skin around your eyes? There are several possible causes including psoriasis and seborrheic dermatitis, rosacea, and allergies triggered by atopic dermatitis.
Others include the following:1. Fungal infectionThe red and dry skin can also be caused by fungal infections like the facial ringworm. Such a fungal infection is characterized by a ring-like scaly red rash.
This rash is also itchy. However, on the face, the symptoms of this fungal infection may not be ring-shaped but itchy dry and sometimes can cause if infection symptoms severe.The infection is common in the under eyes area but may affect the neck and hands. External factorsEnvironmental factors such as dampness, chilling cold, weather, exposure to sunlight can trigger redness around your eyes. Dry and soreSoreness is one thing that is hard to persevere particularly when the skin becomes dry itchy and bumpy. This may be complicated if you have allergies and apply cosmetics such as liners, eyelash curlers, hair dye etc.These symptoms mostly occur on dry eyelids but could be associated with conditions like blepharitis. For safety and health purposes desist any treatments for allergy.
The best step to take is to get diagnosed. If the skin around this areas become extremely sore see your eye doctor. If dry skin patchesAccording to ZocDoc Answers, dermatological research shows that the dry patches could be a symptom of eczema (dermatitis). Secondly, it can also be due to a potential allergic reaction due to (increased) sensitivity around the eye skin.
Above eyeWhat causes upper dry eyelids? Most people complain of this problem especially during the winter when we have cold air. Ideally, it is the extreme cold (low air temperature) that strips of moisture leading to this dryness.For your information contact dermatitis on the eyelid is more common, do not assume it is just the weather. It is recommended to go for diagnosis if you are not sure of the causes.
In babies, infants or toddlersThis problem can occur in babies as well. From our discussion certain skin conditions and infections are responsible but the most common causes include blepharitis, eczema (irritant eyelid contact dermatitis) and sunburn.In an attempt to effectively understand and treat eczema of your baby, first you know what the triggers are and the type of eczema.
Infants develop eczema because of a “combination of their genes and environmental factors?” nationaleczema.org On eyes and mouth. Perioral dermatitis around eyes and mouthDryness can be experienced around the eye and extends to the corners of the mouth.
Well, this could be due to allergic reactions symptomatic of red skin which could also itchy. Such an irritation is attributed to toothpaste, fragrances, and shampoo cleaning.
Note that the allergens can easily be transferred from hands to your mouth through devices such as cell phones.Something else that we looked at already considerably is perioral dermatitis. As we stated, the main cause is not well known but individuals who do not often cleanse their face are easily its victims. Treatment for dry eyelidsThis part is going to focus on dry eyelids treatment.
What you learn here can be added to what you will learn afterward. Note that some skin conditions that are linked to this problem should be examined and treated by a specialized doctor.Due to the fact eyelids have the thinnest skin treating the problem can be very crucial. Conditions like blepharitis are easily controlled and treatable.
Ultraviolet light therapy (UVB phototherapy)This form of treatment is effective for severe signs of eczema. How does it work as far as the dry skin under eyes treatment is a concern?
According to Elisabeth Richard, MD, ultraviolet light alters the function of immune cells in the skin. This helps to reduce itching and inflammation.Statistically, 70 percent of people who get UVB phototherapy eventually get better i.e., they have minimized eczema symptoms all over the skin. It is also quite a successful treatment for psoriasis too.
Creams and facial cleansersOne of the solutions if finding best creams for dry eyelid skin. Some creams will work best for certain individuals and not others. To be on the safer side, seek dermatological help to get best eye cream brands for this dryness.Facial cleansers should be part and parcel of cleaning and skincare regime. That is not negotiable at all.
However, the big question is what facial cleansers should you use?While most cleansers may contribute to dryness, the perfect tip we have for you so far is to visit your doctor who can refer you to a dermatologist or special pharmacy eye clinics. Treatment and remediesBefore using any moisturizers, creams, and lotions to deal with dryness in this areas it is very advisable and prudent by far to ask your eye doctor the correct creams to usee. Not all creams will treat the underlying causes.
So, how do you treat or deal with this problem? Moisturizer creams for dry skin around eyesMoisturizing your skin should be a routine practice especially if you have a naturally dry skin type.Anyone intending to extensively apply creams, lotions or moisturizers should be cautionary bearing in mind that some can aggravate dry skin. In fact, that is one of the reasons why Vaseline jelly is recommended.Before buying any cream for dry eyelids read all manufacturer’s notes and instructions carefully. Ensure that the creams you are buying are free of fragrances that may end up irritating your skin.
Examples of common creams include Protopic ointment and Elidel. Topical steroidsThey include steroid creams which you should apply in small amounts for mild symptoms such as inflammation and itching. If there is constant or severe itching characterized by a rash, you need a prescription hydrocortisone for a short-term use. See your doctor to give you more instructions on how you are supposed to apply it and for how long.Before you attempt to your baby using steroid creams understand what problem she or he has and whether the symptoms are mild or severe. For safety reasons, use the mildest forms of steroid on the affected areas only.
The use of medium strength steroid ointments in infants with moderate to severe eczema is recommended. Avoid applying any other creams to children with dry eyelids before consulting with a medical practitioner.However, if you notice a change in the skin in terms of texture or general appearance after applying any eye cream, discontinue it immediately and report the matter to your doctor. Antibacterial GelAs treatment remedy for dry eyelids, antibacterial gels will prevent staph infections which are likely to worsen symptoms especially dry, flaky skin. 4 Vaseline jellyVaseline jelly and products that are 100% pure petroleum jelly are good remedies for dryness because they have super moisturizing quality. Go for those brands free of alcohol, fragrances, dyes and skin irritants.
Dry Scaly Skin On Legs Pictures
Vaseline jelly can protect your face against many factors that cause problems with the skin such as windburn and chafing.Beauty experts have often advised pure Vaseline to be incorporated in a healthy skin care regime composed of other moisturizing products (creams and lotions) for very dry eyes. Is coconut oil good?Coconut oil is a great natural remedy for individuals with vitamin deficiency, itchy dry skin, especially during the winter and fall. It is a good makeup remover and to get rid of eye bags under eyes too.It is a bit unfortunate for acne-prone individuals to use coconut oil as a moisturizer as it might worsen breakouts.
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Apply Aloe VeraBasically, Aloe Vera gel does not treat the cause but is good in soothing particularly when you experience discomfort brought about by this dryness. Potato or cucumber slicesIf you see starting to appear due to drying effect, cut some thick slices of either cold (Irish, French) potatoes or cucumber.
Lie down, and place a slice on each eye for 10 minutes while it is closed. Remember to rinse your face to avoid the sap getting into the eyes. RosewaterRose water is considered to produce magical results for itchy and dryness especially if your eyelids begin to develop flakes i.e. Becomes flaky. Honey-yogurt maskHave been? This mask produces a super healing effect especially after patients have undergone a dry eye treatment.
Besides, it also enhances hydration while preventing loss of moisture during recovery. If it is applied continually, it eases eye tiredness and will result in a smooth skin.Use natural honey to prepare the mask. You may also add a small amount of milk to your paste.
Rough Dry Patch Of Skin On Neck Hair
Colloidal oatmeal pasteLastly, apply a colloidal paste of oatmeal 3 times a day if your facial skin is irritated or inflamed by external environmental factors such as cold weather. ConclusionExtreme (or chronic) dryness of the skin around eyes can lower quality of life and may increase risks of eye problems or infections. Keep in mind poor diets, smoking, dehydration and lack of moisturizing can contribute to the chronic dry skin.