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Atopic eczema

Atopic eczema (atopic dermatitis) is a common skin condition that causes itchy skin. It affects people of all ages but is most common in young children. It cannot be cured, but treatment can help manage the symptoms.

If these symptoms are severe, persistent or worsening, seek medical advice promptly.

Prescription review online

Prescription review online

A doctor will review your case and issue a prescription if medically appropriate.

Talk to a doctor online

Talk to a doctor online

Discuss your symptoms and possible next steps with a doctor online.

This page provides general information and does not replace a doctor’s consultation. If symptoms are severe, persistent or worsening, seek medical advice promptly.

Atopic eczema (atopic dermatitis) is a common skin condition that causes itchy skin. It affects people of all ages but is most common in young children. It cannot be cured, but treatment can help manage the symptoms.

Check if it's atopic eczema

Atopic eczema can appear in different areas of the body, but it's common on the elbows, knees and hands. In babies and toddlers, it's also common on the face.

Atopic eczema can make your skin:

  • itchy
  • dry, cracked, crusty, scaly or thickened
  • red, white, purple or grey, or lighter or darker than the skin around it (depending on your skin tone)
  • blister or bleed

Symptoms can start at any age, but they usually start in babies and young children and tend to get better as they get older.

There are usually times where your symptoms get worse (called flare-ups) and times where they are better.

  • 1: Dark brown skin with atopic eczema on the back of the knees (thumbnail). 1
  • 2: White skin with atopic eczema on an ankle (thumbnail). 2
  • 3: Light brown skin with atopic eczema on hands (thumbnail). 3
  • 4: White skin with atopic eczema on a baby's face (thumbnail). 4
  • 5: Dark brown skin with atopic eczema on the inside of an elbow (thumbnail). 5
  • 6: Light brown skin with atopic eczema on and around a knee (thumbnail). 6

Other types of eczema

There are also other types of eczema, including contact dermatitis, discoid eczema, pompholyx (dyshidrotic eczema) and varicose eczema.

See a GP if:

  • you or your child have symptoms of atopic eczema
  • treatments are not helping your atopic eczema

Causes of atopic eczema

It's not always known what causes atopic eczema.

You're more likely to have it if:

  • one or both of your parents have atopic eczema
  • you or a close family member has asthma or hay fever

Atopic eczema can be made worse by things like:

  • coming into contact with an allergen or irritant such as soap, washing detergent, pets, some fabrics, pollen, house-dust mites or certain foods
  • heat or changes in temperature
  • skin infections, such as a staph infection
  • stress
  • hormonal changes, such as during pregnancy

Atopic eczema is not contagious so you cannot catch or spread it.

Things you can do to help with atopic eczema

There are some things you can do that can help with atopic eczema.

Consult with a doctor about Atopic eczema

Consult with a doctor about Atopic eczema

Discuss your symptoms and possible next steps with a doctor online.

Do

  • avoid things that make your eczema worse such as soap, washing detergent, some fabrics or pets

  • apply moisturising treatments (emollients) to your skin as often as possible (at least 2 times a day) – continue to moisturise even if your eczema improves

  • wash with an emollient instead of soap

  • keep cool – being hot can make your eczema more itchy

  • keep nails short and put anti-scratch mittens on babies to help prevent damage to the skin from scratching

Don’t

  • do not scratch your eczema, as it can make it worse – if your eczema is itchy, try gently rubbing the affected area with your finger instead

  • do not share your emollients with anyone else

  • do not put your fingers into an emollient pot – use a spoon or pump dispenser instead

  • do not use aqueous cream as it can irritate the skin and make eczema worse

  • do not change your diet unless you are told to by a doctor (this includes if you are breastfeeding a baby with eczema)

  • do not smoke or go near naked flames if you use an emollient – emollients are not flammable on the skin, but when they get on fabrics such as dressings, clothing and bedding they can catch fire more easily

A pharmacist can help with mild atopic eczema

A pharmacist can give advice and recommend some treatments if you have small areas of eczema that are dry and slightly itchy.

If your eczema is more severe, it's best to see a GP.

Treatment for atopic eczema

There's currently no cure for atopic eczema, although the symptoms tend to get better as you get older.

There are treatments that can help manage it and improve your symptoms.

The main treatments are:

  • moisturising creams, lotions, ointments and gels you apply to your skin and wash with (emollients)
  • steroid creams, lotions or gels you apply to your skin (topical corticosteroids)

If your eczema is more severe, there are other treatments such as special dressings or medicines.

A GP can prescribe some treatments, or you may be referred to a skin specialist (dermatologist).

Living with atopic eczema can be difficult. If it affects your mental health, you may be referred to a mental health specialist.

Online doctors for Atopic eczema

Discuss your symptoms and possible next steps for Atopic eczema with a doctor online.

5.0 (69)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

5.0 (63)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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