Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Eczema (Atopic Dermatitis)

Eczema (Atopic Dermatitis)

Condition Basics

What is eczema?

Eczema (say "EGG-zuh-muh") is also called atopic dermatitis. It's a skin problem that causes intense itching and a raised rash. Sometimes the rash develops blisters and crusts. It is often scaly. The rash is not contagious. You can't catch it from others.

In lighter skin, the rash may look pink or red. In darker skin, the rash may be hard to see or it may look dark brown, gray, or purple. Or there may be patches of lighter skin.

Eczema often runs in families. People with eczema may also have allergies and asthma.

There is no cure for eczema. But you may be able to control it with care at home.

What causes it?

The cause of eczema isn't clear, but it involves a problem with the skin's ability to hold in moisture. Most people who have it have a personal or family history of allergies and asthma. It can be triggered by harsh soaps, temperature changes, and stress.

What are the symptoms?

Eczema starts with very itchy, dry skin. The skin becomes irritated from scratching. Little blisters may appear and ooze fluid or crust over. A recurring rash can become scaly, tough, and thick from constant scratching. The areas most often affected are the face, scalp, neck, arms, and legs.

How is it diagnosed?

A doctor can usually tell if you have eczema by doing an exam and asking questions about your health. You may also be asked about your family health history. Sometimes a skin biopsy or allergy testing is recommended.

How is eczema treated?

Eczema is usually treated with medicines that are put on your skin (topical medicines). Gentle skin care, including using plenty of moisturizer, is also important. Early medical treatment may keep your symptoms from getting worse. If the topical medicines don't help, your doctor may prescribe other treatments, such as pills, phototherapy, or injections.

Can it be prevented?

There is no known way to prevent eczema. If you have family members with eczema, you have a higher risk of getting it. Although you may not be able to prevent eczema, taking care of your skin can help to keep it as healthy as possible.

Health Tools

Health Tools

Health Tools help you make wise health decisions or take action to improve your health.

Actionsets are designed to help people take an active role in managing a health condition.
Cause

Cause

Things that trigger a flare-up of eczema

The itching and rash of eczema can be triggered by:

  • Allergens, such as dust mites, pollen, molds, or animal dander. Rarely, certain foods trigger a rash and itching.
  • Harsh soaps or detergents, rubbing the skin, and wearing wool.
  • Workplace irritants, such as fumes and chemicals.
  • Weather changes, especially dry and cold.
  • Temperature changes, such as a suddenly higher temperature. This may bring on sweating, which can cause itching.
  • Stress. Stress may lead to more itching and scratching.
  • Washing without moisturizing afterward. This can lead to drier skin and more itching.
What Increases Your Risk

What Increases Your Risk

The major risk factor for eczema is having a family history of the condition. You are also at risk if family members have asthma, allergic rhinitis, or other allergies.

Symptoms

Symptoms

Eczema starts with dry skin that is often very itchy. Scratching causes the dry skin to become irritated. Tiny bumps that look like little blisters may appear and ooze fluid or crust over. This can happen when the skin is rubbed or scratched or if a skin infection is present.

These symptoms may come and go. Over time, a recurring rash can become tough and thick from constant scratching.

Eczema may be mild, moderate, or severe. How much your symptoms affect you will depend on how much of your skin has a rash and how itchy it is. It also depends on how much the eczema affects your daily activities, sleep, and well-being.

The areas most often affected are the face, scalp, neck, arms, and legs. The rash is also common in areas that bend, such as the back of the knees and the inside of the elbows.

What Happens

What Happens

Eczema is most common in babies and children. It tends to come and go over months to years. It is common for the rash to get infected at times. Most children outgrow it. But some teens and adults continue to have problems with it, though usually not as bad as when they were children.

Health problems caused by eczema

There are some other health problems that can happen when you have eczema.

Eczema can cause problems with sleep. The itching caused by it, especially during flares, can make it hard to fall asleep or to get good sleep.

Skin infections can happen more often in people who have it. The skin may become reddish and warm, and a fever may develop. Most skin infections are treated with antibiotics.

People with eczema often have allergies and asthma. Depression and anxiety have also been linked with eczema.

When to Call a Doctor

When to Call a Doctor

Call your doctor if you or your child has eczema and:

  • Itching makes you or your child irritable.
  • Itching is interfering with daily activities, mood, or sleep.
  • There are crusting or oozing sores, severe scratch marks, widespread rash, severe discoloration of the skin, or a fever that is accompanied by a rash.
  • Painful cracks form on the hands or fingers.
  • Eczema on the hands interferes with daily school, work, or home activities.
  • Signs of an infection develop. These may include:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the area.
    • Pus draining from the area.
    • A fever.
Exams and Tests

Exams and Tests

A doctor can usually tell if you have eczema by doing an exam and asking questions about your health. You may also be asked about your family health history. Sometimes a skin biopsy or allergy testing is recommended.

Learn more

Treatment Overview

Treatment Overview

Treatment for eczema depends on how severe your rash is. It's usually treated with medicines that are put on your skin (topical medicines) and with moisturizers.

Getting medical treatment early may keep your symptoms from getting worse.

  • Topical medicines are usually creams, gels, or ointments. They include medicines such as corticosteroids, calcineurin inhibitors, and crisaborole. These reduce itching and help the rash heal.
  • Moisturizers—including skin barrier repair moisturizers—can help. They can reduce the itching, keep your rash from getting worse, and help your rash heal.

If topical medicines don't help, your doctor may prescribe other treatments. These may include pills, phototherapy, or injections. Your doctor may also talk to you about bleach baths and wet wraps.

Learn more

Self-Care

Self-Care

  • Use moisturizer at least twice a day.
  • If your doctor prescribes a cream, use it as directed. If your doctor prescribes other medicine, take it exactly as directed.
  • Wash the affected area with warm (not hot) water only. Soap can make dryness and itching worse. Pat dry.
  • Apply a moisturizer after washing your hands or after bathing. Use petroleum jelly or a cream such as Cetaphil, Lubriderm, or Moisturel that does not irritate the skin or cause a rash. Apply the cream while your skin is still damp after lightly drying with a towel.
  • Use cold, wet cloths to reduce itching.
  • Keep cool, and stay out of the sun.
  • If itching affects your sleep, ask your doctor if you can take an antihistamine that might reduce itching and make you sleepy, such as diphenhydramine (Benadryl). Be safe with medicines. Read and follow all instructions on the label.
  • Control scratching. Keep your fingernails trimmed and smooth to prevent damage to the skin when you scratch it. Wearing cotton mittens or gloves can help you stop scratching.
  • Try to avoid things that trigger your rash. These may include things like allergens, such as pollen or animal dander. Harsh soaps, scratchy clothes, and stress are other examples.

Learn more

Medicines

Medicines

Medicines are used to help control itching and heal the rash caused by eczema. Topical medicines are applied directly to the skin. Options include:

  • Corticosteroids. They are a commonly used topical treatment. These medicines come in different strengths. Oral corticosteroids are sometimes used to treat severe eczema.
  • Calcineurin inhibitors. These include tacrolimus ointment and pimecrolimus cream. They can be used to treat mild-to-moderate atopic dermatitis.
  • Crisaborole. This ointment is used to treat mild-to-moderate atopic dermatitis.

Carefully follow your doctor's directions. Corticosteroids and calcineurin inhibitors are strong medicines. They shouldn't be used for long periods of time.

Other medicines that may be prescribed include:

  • Antibiotic, antiviral, or antifungal medicines, if the rash gets infected.
  • Antihistamines, to treat the itch.
  • Medicines that affect the immune system. Examples include cyclosporine, dupilumab, or methotrexate. They're used for adults, and sometimes children, if other treatment doesn't help.

Current as of: November 16, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 2024 Ignite Healthwise, LLC. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Ignite Healthwise, LLC.

Related Links

Asthma in Children Allergic Rhinitis Complementary Medicine Food Allergies Asthma in Teens and Adults

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

The Cigna Group Information

About Cigna Healthcare Company Profile Careers Newsroom Investors Suppliers The Cigna Group Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice Language Assistance [PDF] Report Fraud Sitemap Cookie Settings

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details