Itch, Scratch And Repeat

27th March 2015

Eczema is an inflammatory skin condition which is becoming more prevalent amongst both children and adults throughout the UK. It is often characterised by a red, itchy rash, which can be both physically uncomfortable and affect a patient’s self-confidence and their general well-being.

Josephine Firth, a registered member of the Society of Homeopaths, explains the condition and considers how homeopathy can offer an alternative to conventional treatment.

In the UK, one in five children and one in twelve adults suffer from atopic eczema, with research showing that the number of new cases each year continues to rise. Eczema varies in severity from a few small dry, itchy, red patches of skin to an extreme condition which can cover most of the body. Atopic eczema, also known as atopic dermatitis, is the most common form. Other types include contact dermatitis, which is caused by environmental or occupational factors, and seborrhoeic eczema, which occurs mainly on the scalp and face. Although the causes of atopic eczema are still not fully understood, it is believed that family history along with environmental factors may have a role to play in the development of the condition. Where both parents have eczema there is an 80% chance of children developing symptoms (dropping to 60% if only one parent is affected), and there is often a personal or family history of hay fever or asthma. Approximately 80% of all cases occur before the age of five, with the majority developing symptoms in the first year of life.

The word eczema comes from the Greek word ‘ekzein’ which means ‘to boil’. The symptoms vary greatly from one person to another and can affect any part of the skin, including the face. The areas most commonly affected are the bends of the elbows and knees, and around the wrists and neck. In mild cases the skin may be dry, scaly, red and itchy, but in more severe cases there may be weeping, scaling, crusting and bleeding. As anyone who has suffered will know, the itching can be intolerable, and the constant scratching that follows often causes the skin to split and bleed, leaving it open to infection. In the long term this can lead to chronic changes in the skin, such as skin thickening (lichenification). Although eczema isn’t contagious it can appear unsightly, and children especially can feel stigmatised by their symptoms, often experiencing bullying, disturbed sleep, anxiety and a loss of self-confidence, which in turn can have an unsettling effect on parents and other family members.

Atopic eczema typically has intermittent flare ups that can be triggered by a number of different factors. These include irritants such as soaps and detergents (including shampoos, bubble baths, shower gels and washing-up liquids); skin infections, particularly with the Staphylococcus aureus bacteria; extremes of temperature and humidity; abrasive fabrics such as wool; food allergies; and inhaled allergens such as house dust mites, pollens, pet dander and moulds.

There is a tendency towards gradual improvement in adult life, but in the meantime what are the available treatment options? Conventional medicine struggles to deal with the condition, and treatments are generally palliative rather than curative. These include steroid creams, antihistamines and antibiotics (where infection is found), which may help alleviate symptoms in the short-term, but can become in­effective or less well tolerated over time. There is also patient concern about the long-term effects of using strong topical corticosteroid creams, which can cause atrophy or thinning of the top layer of the skin.

But is there an alternative? Evidence from both clinical trials and patient outcome studies shows that homeopathy can have positive results in the treatment of eczema. A recent study in Germany found that homeopathy was as effective as standard conventional treatments in the short-term and more effective in the longer term. A six-year study at Bristol Homeopathic Hospital found that 82% of eczema patients under 16 said they felt ‘better’ or ‘much better’ following treatment.

Homeopathy offers a safe, natural and holistic approach to the management of the condition. Because individuals suffer symptoms in a unique way, a professional homeopath takes this into account, tailoring treatment to the individual. Remedies are highly diluted and made from naturally occurring substances that have not been modified or synthesised. As a consequence they are safe, even for new-born babies, and free from the toxic side-effects often experienced when using conventional medicines. Homeopathic remedies gently stimulate the body’s natural healing capacity, encouraging the body to heal itself.

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