Is the hardening of eczema a sign of severity?

Jul 13, 2024 Source: Cainiu Health
Disease description:

My baby has had eczema for several days, and the skin has become hardened recently. Is the eczema becoming harder a sign of worsening condition?

Doctor's answer (1)
Dr. Wang Xiaoyan
Hardening of eczema is not necessarily an indication of worsening condition; the specific situation needs to be judged according to the individual's eczema course and symptoms. Eczema is a chronic skin disease that may progress through acute, subacute, and chronic stages. During the subacute phase, the inflammatory response may be reduced, but exudation may still occur, and hard nodules may develop on the skin. This is a natural progression of the disease and does not necessarily indicate a severe condition. On the other hand, if hardened areas of eczema are accompanied by symptoms such as redness, swelling, and pain, this may indicate increased local inflammation, and medical attention should be sought promptly. In addition, chronic eczema may present with hardened, thickened skin and lichenification, which are results of long-standing disease rather than signs of sudden exacerbation. Therefore, when eczema becomes hardened, patients should remain calm, monitor changes in their condition, and follow appropriate treatment and care under a doctor's guidance.