Are you or someone close to you dealing with the challenges of eczema? We encourage you to read and share this detailed guide crafted by our founder, Dr. Sarah Villafranco. For those who prefer a visual approach, follow her step-by-step tutorial on how to alleviate eczema symptoms on Instagram. Additionally, if you’re pressed for time and seeking effective products specifically designed for eczema-prone skin, don’t miss our curated eczema collection.
UNDERSTANDING ECZEMA: WHAT YOU NEED TO KNOW
Eczema, pronounced (EGG-zuh-muh), originates from a Greek word meaning “to boil over,” which aptly describes the skin’s reaction characterized by inflammation, redness, and discomfort. According to the National Eczema Association, approximately 15 million Americans are affected by some variant of this non-contagious condition, which can range from mild to severe. It is particularly prevalent among infants and young children, with studies indicating that eczema impacts around 20% of children and 3% of adults. This condition is frequently associated with other health issues, such as asthma, food allergies, and seasonal allergies, leading to significant emotional and physical distress. The interplay of these factors can exacerbate symptoms, depriving individuals of much-needed rest and perpetuating a distressing cycle.
Eczema manifests in various forms, including atopic dermatitis, contact dermatitis, dyshidrotic eczema, nummular eczema, seborrheic dermatitis, and stasis dermatitis. Individuals may experience one type of eczema or multiple types simultaneously.
- Atopic dermatitis is the most prevalent type of eczema, typically recognized by its rough, itchy patches on the face and in the creases of the elbows and knees. This form of eczema is often linked with asthma and seasonal allergies, collectively known as the atopic triad.
- Contact dermatitis arises from prolonged exposure to irritants or allergens, resulting in a red, itchy rash, often seen under jewelry like wedding rings. This condition usually improves upon removing the irritant and using gentle skincare products.
- Dyshidrotic eczema is arguably the most uncomfortable variant, producing small, intensely itchy blisters on the hands, feet, fingers, and toes. From personal experience, the relentless itching can be maddening, leading many to feel desperate for relief.
- Nummular eczema appears as circular patches and often begins following a bug bite or other localized irritation. This type usually starts as a dry, scaly circle, which can become red and oozing if it becomes irritated or infected. I have successfully treated this form of eczema on my forearm with just a few applications of Night Body Oil!
- Seborrheic dermatitis primarily affects the scalp and presents as dry, flaky patches. Commonly known as cradle cap in infants, this condition can appear at any age, often associated with immune disorders or other chronic health conditions.
- Stasis dermatitis occurs when peripheral circulation is impaired, leading to swelling in the lower extremities and chronic skin irritation.
EXPLORING ATOPIC DERMATITIS AND ITS IMPACT
Atopic dermatitis is another term for a common form of eczema that is particularly prevalent among individuals with allergies and asthma. The term “atopic” translates to “without a place,” while “dermatitis” means “inflammation of the skin.” Together, these terms describe a rather ambiguous medical condition characterized by inflamed skin that can occur anywhere on the body. Often, individuals presenting with unexplained rashes receive a diagnosis of atopic dermatitis, highlighting the need for a comprehensive understanding of skin health.
RECOGNIZING THE SYMPTOMS OF ECZEMA
The hallmark symptom of eczema includes patches of itchy, dry skin that may become scaly and rough, leaving the surrounding skin inflamed and irritated. In infants, flaky patches often emerge on the face and scalp, while young children typically develop symptoms in areas that bend, such as the backs of the knees and elbows. Remarkably, nearly half of young individuals affected by eczema will outgrow the condition, although some adults may continue to experience symptoms, particularly on the hands. Skin impacted by eczema is especially vulnerable to irritation and infection, exacerbating the overall discomfort.
IDENTIFYING THE CAUSES OF ECZEMA
Identifying a clear cause of eczema can be challenging. According to the Cleveland Clinic, eczema often runs in families and is more prevalent among individuals with a personal or family history of asthma, hay fever, or other allergies. This connection suggests a genetic or hereditary component to atopic dermatitis. Each individual’s experience with eczema results from a unique blend of genetic, environmental, and immunologic factors, making pinpointing the root causes a complex endeavor.
Some researchers propose that there may be a genetic defect in skin cells, leading to compromised barrier functions and an increased susceptibility to microbes and allergens. Others suggest that abnormal immune responses contribute to the weakened skin barrier. Regardless of the cause, once the skin barrier is compromised, the skin becomes more prone to infection and inflammation, which can worsen symptoms like redness, dryness, irritation, and itching.
In addition to genetic factors, environmental irritants can trigger eczema symptoms. Harsh soaps and detergents, pollen, certain foods, dry air, and stress are all known to exacerbate this itchy condition, making awareness and management of these triggers essential for those affected.
COMPARING ECZEMA AND PSORIASIS: KEY DIFFERENCES
- Unlike eczema, psoriasis is not linked to allergies and is classified as an autoimmune condition. This means that the immune system is not functioning optimally and is incorrectly activating, causing symptoms.
- Eczema typically develops during childhood and is more common in children than adults, whereas psoriasis is more frequently observed in adults and is rare in babies.
- Eczema patches are often red, irritated, flaky, and can appear darker in color, while psoriasis patches are usually well-defined with distinct borders, have a silvery hue, and sit atop thickened skin.
- Eczema typically presents on soft skin areas, such as behind the knees and elbows, while psoriasis tends to affect the thicker, tougher skin on those same joints.
CAN ECZEMA DISAPPEAR PERMANENTLY?
The short answer is yes, eczema can subside, but it may return intermittently! Once you understand how to support your skin both internally and externally, your eczema symptoms may lessen significantly and could even disappear entirely. However, neglecting aspects of skin care—such as household products, skincare routines, and stress management—can lead to flare-ups. The positive news is that by renewing your commitment to skin health, you can likely find ways to keep eczema at bay.
IS NATURAL TREATMENT FOR ECZEMA POSSIBLE?
While “cure” is a strong term, it is feasible to significantly reduce or eliminate eczema symptoms through simple lifestyle modifications and the use of clean, natural skincare products. However, reverting to old habits may lead to a resurgence of symptoms. Therefore, it’s more beneficial to view the recommendations in this guide as permanent lifestyle changes aimed at preventing the return of eczema.
DISCOVERING THE MOST EFFECTIVE ECZEMA TREATMENTS
Consulting a dermatologist can provide access to prescriptions for topical steroids or other immunosuppressant therapies, but achieving lasting relief from eczema often requires a deeper investigation into the underlying causes of your symptoms. Identifying the triggers and modifying any contributing behaviors will significantly enhance your chances of long-term relief. Below are some areas to explore that can help alleviate your eczema symptoms.
Adopting an Eczema-Friendly Diet
When it comes to managing any health condition, diet plays a critical role. A diet high in refined sugars, caffeine, alcohol, saturated fats, and processed foods can lead to systemic inflammation, setting the stage for eczema flare-ups. Therefore, the first step is to transition to a predominantly plant-based diet filled with fresh vegetables, fruits, healthy fats, and proteins while moderating caffeine and alcohol intake.
After establishing a healthier diet, consider trying an elimination diet by removing entire food groups for 3-4 weeks to observe any changes in symptoms. Common food categories to eliminate include wheat, corn, and dairy, as they often yield significant improvements in eczema. Keeping a food journal can help track your dietary changes, and taking photos of your skin can document your progress.
Incorporating Eczema-Supportive Supplements
- Daily intake of probiotics has demonstrated potential benefits in preventing or alleviating symptoms of atopic dermatitis, making them a worthwhile addition to your routine.
- Evening primrose oil is supported by anecdotal evidence, though clinical research is limited. Nonetheless, experimenting with this oral supplement may be beneficial.
- Black cumin seed oil, also known as nigella sativa or black seed oil, has garnered attention for its potential role in treating eczema. Personally, I take a teaspoon of black seed oil daily for its anti-inflammatory properties, and I believe it has positively impacted my condition, similar to perioral dermatitis, which is closely related to eczema. If you struggle with eczema, trying black seed oil supplements could be worthwhile. I recommend this brand of liquid black seed oil and these black seed oil gummies.
Identifying Eczema Irritants
- Remember: “I MUST eliminate sodium lauryl and sodium laureth sulfate from my toothpaste, shampoo, hand soap, body wash, laundry detergent, and dish soap.” SLS is commonly found in foaming products and is a potent skin irritant. Many individuals are surprised to discover that their supposedly natural laundry detergent or toothpaste contains these harmful ingredients. Fortunately, eliminating SLS from your life can significantly improve your eczema symptoms. For tips on how to remove SLS from your routine, check out this post!
- Another common irritant is synthetic fragrance—always check your labels for words like “fragrance” or “parfum” and opt for products that are unscented or contain only small amounts of skin-friendly essential oils.
- Be sure to avoid sulfates, artificial colors, ethoxylated ingredients, parabens, phthalates, and silicones as well to maintain skin health.
- Whenever possible, choose loose, comfortable cotton clothing to minimize skin irritation.
- If you reside in a dry climate, consider using a humidifier in your home, especially in your bedroom while you sleep.
- Maintaining cleanliness in your living space, with a focus on reducing pet hair and dust, can also help manage eczema.
- Opt for warm showers, as hot water can aggravate eczema, even if it feels soothing initially!
- For hand eczema, wash with cool water and a gentle, SLS-free soap, and avoid alcohol-based hand sanitizers, as they can strip moisture from the skin.
Lastly, consider consulting with your physician for allergy testing to rule out specific allergies that could be triggering your eczema. We sincerely hope it’s not your beloved cat! I recommend skin testing with a certified healthcare provider, as popular mail-in allergy tests often yield false positives, leading to unnecessary dietary restrictions.
HOW DOES STRESS IMPACT ECZEMA SYMPTOMS?
Indeed, stress is a significant factor—it plays a role in nearly every health condition and must be managed just like any other contributing factor. If you are not proactively addressing stress through methods such as exercise, yoga, meditation, leisurely walks in nature, reading, or sipping herbal tea, it’s time to start prioritizing these practices. Stress management is not just a trendy topic on social media; it is essential for reducing stress-induced hormones in the body, thereby freeing up resources to combat inflammation and enhance skin health.
If you have discovered effective strategies for managing your eczema, we invite you to share your experiences in the comments below—we’re eager to hear what has worked for you! Additionally, we’ve shared much of this information on our YouTube channel, so if you prefer visual learning, don’t forget to check that out!
RECOMMENDED SKINCARE PRODUCTS FOR Eczema
Explore our selection of doctor-formulated, natural skincare products from Osmia, crafted with simple and pure ingredients, designed specifically for individuals with eczema-prone skin. These products contain little to no essential oils, ensuring they are safe and effective.
When managing eczema, it is crucial to provide ample moisture to your skin. Apply body oil while your skin is still damp from the shower to lock in hydration. If needed, you can mix body oil with body mousse in your hands before applying for an additional protective layer.
For specific product recommendations, be sure to watch our IGTV video about eczema here. Don’t forget to explore our complete eczema collection below!

With love and hopes for less itching,

ESSENTIAL RESOURCES FOR ECZEMA MANAGEMENT:
https://www.nytimes.com/2017/06/26/health/acne-eczema-skin-bacteria.html
https://nationaleczema.org/eczema/
Effects of probiotics for the treatment of atopic dermatitis: a meta-analysis of randomized controlled trials
https://nationaleczema.org/eczema/types-of-eczema/
https://my.clevelandclinic.org/health/diseases/9998-eczema


