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Should I See A Dermatologist or Allergist For Eczema?

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Question
How do we know whether to consult a dermatologist or an allergist for eczema?
Answer

Both allergists and dermatologists can evaluate and treat eczema. There are some things to think about when deciding which specialist to see.

Allergists can help identify triggers for eczema (e.g., food and environmental allergens). This can be done with a clinical history and allergy testing. They can recommend avoidance measures and environmental controls. In some cases, immunotherapy (allergy shots) can be used. This decreases the body’s immune response to allergens.

A dermatologist can offer a skin biopsy. This is if the eczema is unusual or is not responding to common treatments.

Both specialists may recommend skin patch testing. This can rule out allergic contact dermatitis. They can also recommend treatments. To manage difficult cases of eczema, it’s useful to see both specialists.

Categories
Atopic Dermatitis (Eczema), Treatment
Answered by

John M. James, MD, is a board-certified allergist. He is also President of Food Allergy Consulting and Education Services, LLC. He has worked as a medical specialist in the field of allergy, asthma, and immunology for over 30 years. Dr. James received his bachelor’s degree from the University of Arkansas and his Doctor of Medicine degree from the University of Tennessee. He is board certified by the American Board of Allergy and Immunology.

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Comments (8)

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@Kathy P posted:

It's interesting that you mention having multiple allergic conditions (eosinophilic asthma + eczema). Did you know that those conditions can be related by an overactive immune response called type 2 inflammation? Here is more info on type 2 inflammation that might be interesting.

I've often wondered that and need to remember to ask my dr about it. I've read a bit about it, of course, no where near the time for my next dr appt so I'll remember it! :-)

tkdgirlms
@Zulema C. posted:

@tkdgirlms it may help to track things that trigger eczema flare ups for you. Keeping a diary can help identify if there are any patterns or trends in your flares.

If you aren't currently using one, a cortisone cream can help. Are you currently working with a doctor to manage your eczema? They can help develop a management and treatment plan with you.

I'm not sure how to go about tracking it, I have no idea what gets it flared up or makes it worse once it starts. Suggestions?? I have some cream at home but haven't gone to a dr as they're so booked, it's months before I could possibly get in.

tkdgirlms

@tkdgirlms it may help to track things that trigger eczema flare ups for you. Keeping a diary can help identify if there are any patterns or trends in your flares.

If you aren't currently using one, a cortisone cream can help. Are you currently working with a doctor to manage your eczema? They can help develop a management and treatment plan with you.

ZC
@Zulema C. posted:

Hey @tkdgirlms ☺️ Have there been any changes in your environment or routine? Knowing what things irritate your eczema (triggers) can help you manage your symptoms. Avoiding these is important. Some common eczema triggers include:

  • Allergens (like dust mites, pet dander, latex, and pollen)
  • Soaps, lotions, detergents, and household cleaners
  • Metals such as nickel (in jewelry, cellphones, belt buckles, etc.)
  • Stress, emotions, and illness
  • Irritants (like fragrances, dyes, chemicals, and formaldehyde)
  • Temperature (heat, cold, dry weather)

No changes, I've always used the 'free' detergents and soaps as I had a reaction as a kid. I've never had allergies, been tested 3 times by 3 different drs. I do have eosinphilic asthma and I know asthma and eczema often go hand in hand.

tkdgirlms

Hey @tkdgirlms ☺️ Have there been any changes in your environment or routine? Knowing what things irritate your eczema (triggers) can help you manage your symptoms. Avoiding these is important. Some common eczema triggers include:

  • Allergens (like dust mites, pet dander, latex, and pollen)
  • Soaps, lotions, detergents, and household cleaners
  • Metals such as nickel (in jewelry, cellphones, belt buckles, etc.)
  • Stress, emotions, and illness
  • Irritants (like fragrances, dyes, chemicals, and formaldehyde)
  • Temperature (heat, cold, dry weather)
ZC
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