Skin eczema, often known simply as eczema, is a common skin condition that affects people of all ages. Despite its high prevalence, many individuals dismiss it as just dry or sensitive skin, unaware of the potential impact it has on overall health and well-being.

What is Skin Eczema?

Eczema is a chronic inflammatory condition characterized by patches of red, itchy, and sometimes flaky or weeping skin. It is not contagious but tends to run in families and is often associated with other allergic conditions like asthma or hay fever. Eczema can flare up periodically, with triggers including environmental factors, stress, and even diet.

Common Symptoms of Eczema

If you’re unsure whether your skin issues could be eczema, here are some typical symptoms to look out for:

• Itching 

This is the hallmark symptom and can range from mild to severe. Scratching often worsens the condition, leading to a vicious itch-scratch cycle.

• Redness and Inflammation

Affected areas may appear red, swollen, and tender.

• Dry and Scaly Skin

In chronic cases, the skin may become thickened and rough.

• Blisters and Oozing

During acute flare-ups, small blisters may form, which can ooze and crust over.

• Skin Discoloration

Prolonged eczema can leave the skin lighter or darker than the surrounding areas.

What Happens If Skin Eczema Is Not Properly Managed?

Eczema is more than just an occasional inconvenience—it’s a chronic condition that requires attention and care. If left unmanaged, eczema can lead to several complications that impact not only the skin but also overall health and quality of life.

1. Worsened Skin Symptoms

• Persistent Itching and Discomfort

Unmanaged eczema often leads to chronic itching, which can disrupt daily activities and sleep.

• Skin Thickening (Lichenification)

Repeated scratching can cause the skin to thicken, harden, and become rough, a condition known as lichenification.

• Discoloration

Over time, affected areas may develop dark or light patches, especially in people with darker skin tones.

2. Infections

Open wounds from scratching increase the risk of bacterial, viral, or fungal skin infections. Common infections include:

• Bacterial Infections: Such as Staphylococcus aureus, which can cause redness, swelling, and pus-filled lesions.
• Viral Infections: Like eczema herpeticum, a potentially serious condition caused by the herpes simplex virus.
• Fungal Infections: Often occur in moist, warm areas of the body.

3. Psychological Impact

• Emotional Distress

Persistent symptoms can lead to frustration, anxiety, and depression. People with eczema often report feeling self-conscious or embarrassed about their skin.

• Social Withdrawal

Visible eczema patches may cause some individuals to avoid social interactions or certain activities, affecting their relationships and confidence.

4. Sleep Disruption

• The intense itching of eczema, especially at night, can lead to chronic sleep deprivation. Poor sleep impacts mood, cognitive function, and overall health.

5. Impact on Daily Life

• Reduced Productivity

Ongoing discomfort and lack of sleep can affect focus, energy levels, and performance at work or school.

• Activity Limitations

Certain activities, like swimming in chlorinated pools or exercising, may be avoided due to fear of triggering flare-ups.

6. Long-Term Skin Damage

• Scarring

Frequent scratching and infections can lead to permanent scars.

• Weakened Skin Barrier

Over time, unmanaged eczema can weaken the skin’s natural defense, making it more prone to future irritants and allergens.

7. Associated Health Conditions

• Allergic Conditions

People with atopic dermatitis often develop other allergic conditions, such as asthma or hay fever, if the condition remains uncontrolled.

• Systemic Inflammation

Chronic inflammation caused by untreated eczema may contribute to other health issues, such as cardiovascular disease or metabolic disorders.

8. Reduced Quality of Life

• Living with persistent eczema can affect every aspect of life, from personal relationships to mental and physical health. The constant need to manage symptoms can feel overwhelming without proper support and treatment.

Allergen Testing: A Key Step in Managing Eczema

Understanding what triggers your eczema is a vital part of effective management, and allergen testing can help pinpoint specific causes. While not all eczema is caused by allergies, certain allergens can exacerbate the condition. Here’s what you need to know about allergen testing:

Types of Allergen Tests

1. Skin Prick Test (SPT): 

Tiny amounts of potential allergens are applied to the skin, usually on the forearm or back, and the skin is gently pricked. If you’re allergic, a small, raised bump (similar to a mosquito bite) will appear. It will give reactions to common allergens like pollen, pet dander, dust mites, mold, or foods.

2. Patch Test: 

Patches containing suspected allergens are placed on your back for 48 hours. The skin is then examined for reactions and identifies sensitivities to metals, fragrances, or other contact triggers.

3. Blood Test (IgE Test): 

A blood sample is analyzed for the presence of antibodies (IgE) to specific allergens. It is often used to detect allergies to foods and environmental triggers.

4. Elimination Diet: 

Suspected food triggers are eliminated from the diet for a set period (usually 2–4 weeks) and then reintroduced one at a time to observe any reactions. It is normally used to detect specific food triggers, especially in cases of atopic dermatitis linked to food sensitivities.

Why Does Diet Matter?

Many people are unaware of the role diet plays in managing eczema. Diet plays a significant role in eczema management, not only as a potential trigger for flare-ups but also as a source of nutrients that support skin health and reduce inflammation. Understanding the connection between what you eat and how it affects your skin can allow you to make choices that alleviate symptoms and prevent future occurrences.

How Diet Impacts Eczema

1. Triggering Flare-Ups

Certain foods may act as allergens or irritants, provoking immune responses that lead to inflammation and worsen eczema symptoms. Identifying and avoiding these foods can reduce the frequency and severity of flare-ups.

2. Reducing Inflammation

Inflammation is a core driver of eczema, and diet plays a significant role in managing it. Certain foods contain compounds that reduce systemic inflammation, helping to soothe eczema symptoms. Transitioning to a diet rich in whole, anti-inflammatory foods can help bring down inflammation levels and support long-term skin health.

3. Supporting the Skin Barrier

The skin barrier is your body’s first line of defense against irritants and allergens. A compromised skin barrier in eczema sufferers leads to dryness, increased sensitivity, and vulnerability to infections. A nutrient-rich diet can fortify the skin barrier by providing essential building blocks, such as:

• Vitamin A helps repair and maintain skin integrity.
• Vitamin E protects the skin from oxidative stress and promotes healing.
• Healthy fats the skin hydrated and supple.

4. Improving Gut Health

Recent research has revealed a strong connection between gut health and skin health, known as the gut-skin axis. An imbalanced gut microbiome can lead to systemic inflammation, which may worsen eczema symptoms. Diets high in processed foods and low in fiber can disrupt gut health, increasing the likelihood of eczema flare-ups. Foods that improve gut health include:

• Probiotics that help regulate the immune system and reduce eczema severity.
• Prebiotics that support a balanced microbiome.
• High-fiber foods can promote a diverse and thriving gut microbiota.

Foods That Can Help Manage Eczema

Incorporating these foods into your diet can help reduce inflammation, strengthen the skin barrier, and promote overall skin health:

1. Anti-inflammatory Foods

• Fatty Fish (Rich in Omega 3 fatty acids)
  • White pomfret
  • Mackerel
  • Sardines 
• Leafy Greens & Berries (Rich in antioxidants)
  • Spinach
  • Kale
  • Broccoli
  • Blueberries 
  • Strawberries 
  • Mulberries
  • Blackberries 

• Spices (Anti-inflammatory properties)
  • Turmeric 
  • Ginger

2. Skin-Friendly Nutrients

• Probiotics
  • Yogurt
  • Kefir
  • Fermented foods like kimchi and sauerkraut
• Vitamin E
  • Nuts
  • Seeds
  • Avocados
• Vitamin D
  • Fortified dairy alternatives 
  • Eggs
  • Sun exposure 
  • Supplements
• Zinc
  • Pumpkin seeds
  • Legumes
  • Whole grains 

3. Hydration-Rich Foods
   • Watermelon
   • Cucumbers 
   • Oranges 

Foods to Avoid in Eczema

Some foods can trigger or worsen eczema symptoms. Avoiding these can help minimize flare-ups:

1. Common Allergens

• Dairy
  • Milk
  • Cheese
  • Yogurt 
• Eggs
• Wheat and Gluten
  • Bread
  • Pasta
  • Baked goods
• Soy
  • Soy milk
  • Tofu
  • Soy-based products 
• Nuts
  • Tree nuts
  • Peanuts 
• Seafood and Shellfish
  • Shrimp 
  • Crab 

2. Inflammatory Foods

• Sugary Foods
  • High sugar intake can spike inflammation levels and worsen eczema.
• Processed Foods
  • Chips, snacks, and processed meats often contain additives and preservatives that irritate the skin.
• Alcohol
  • Can dehydrate the body and increase inflammation.

3. Histamine-Rich Foods
   • Tomatoes, aged cheeses, fermented foods, and certain fruits like bananas and strawberries may release histamines that aggravate eczema.

How to Create an Eczema-Friendly Diet

1. Focus on Whole Foods

Build your meals around unprocessed, nutrient-dense ingredients like fresh vegetables, lean proteins, whole grains, and healthy fats.

2. Conducting Allergen testing

Work with a healthcare professional to identify specific food triggers through allergen testing and pinpoint foods or substances that may worsen eczema. Once potential allergens are identified, avoid these foods to assess their impact on your symptoms. This targeted approach reduces guesswork and allows for more precise management of your condition.

3. Balance Your Nutrients

Ensure your diet includes a variety of vitamins and minerals essential for skin repair and hydration.

4. Support Your Gut

Incorporate probiotic and prebiotic foods to improve gut health, which can positively impact eczema.

5. Stay Hydrated

Drink plenty of water throughout the day to maintain skin hydration and reduce dryness.

By prioritizing an anti-inflammatory and nutrient-rich diet while avoiding known triggers, you can significantly reduce eczema flare-ups and improve your overall quality of life. A well-planned diet, paired with proper skin care and medical management, is a powerful tool for achieving healthier, more resilient skin.

Why Early and Proper Management Is Crucial

Managing eczema is not just about alleviating symptoms but also about preventing these long-term complications. Proper treatment can:

• Reduce inflammation and itching.
• Prevent infections and other complications.
• Restore the skin’s protective barrier.
• Improve sleep, mental health, and overall quality of life.

If you’re struggling with eczema, don’t ignore it. Seek help from a healthcare provider to develop a personalized treatment plan, including lifestyle adjustments, skincare routines, and, if necessary, medical therapies. Early intervention is key to minimizing the impact of eczema on your life.

Final Thoughts

Eczema is more than just a skin issue; it’s a signal from your body that something might be out of balance. By understanding its triggers, including dietary factors, you can take proactive steps to manage your symptoms and improve your quality of life. If you’re struggling with eczema, don’t ignore it, consider consulting with a healthcare provider or a dietitian to find a tailored solution that works for you.

Remember, small changes in your diet and lifestyle can make a big difference!

Book a Session with Us

Take the first step toward improving your cognitive health by booking a Diet Consultation Session (RM 399), which includes: 

• A 1-hour NFPE nutrition-focused physical examination (certified by Rutgers University on malnutrition assessment).
• Anthropometry measurements (muscle mass, fat, weight).
• A detailed diet assessment and consultation with a dietitian on personalized diet plan (certified by KKM).
• A 1-hour Muscle Strengthening Session using the Dr. Kiseki medical device (worth RM120), a KKM-certified medical device for neuromuscular health. 

Location: Klinik RE, Bukit Damansara, Kuala Lumpur
Call: 011 54308984 (Dietitian Team) to book your appointment.

Let us guide you toward a stronger, healthier you!