Eczema Symptom Presentation

Jul 16, 2024 Source: Cainiu Health
Disease description:

These days, I have been feeling very itchy on my legs, and many small, millet-like bumps have appeared. The doctor said it's eczema. So, what are the symptoms of eczema?

Doctor's answer (1)
Dr. Wang Xiaoyan
The clinical manifestations of eczema are diverse and can be divided into three stages—acute, subacute, and chronic—according to the disease course. Acute eczema develops rapidly, often presenting symmetrical distribution, and commonly occurs on the head, face, limbs, and genital areas. It is characterized by polymorphic skin rashes such as erythema, papules, vesicles, pustules, erosion, and crusts, accompanied by intense pruritus. Subacute eczema represents the phase of reduced inflammation following acute eczema, mainly presenting papules, scales, and crusts, although pruritus may still persist. Chronic eczema usually evolves from repeated episodes of the acute or subacute forms. It is characterized by thickened, infiltrated skin lesions that become dark red with pigmentation, having a rough surface covered with scales. Crusting may occur due to scratching. It is commonly found on the lower legs, hands, feet, elbow pits, genital areas, and perianal regions, and the disease course can last for several months or even years. Eczema is characterized by symmetry, exudation, pruritus, polymorphism, and recurrence, all of which significantly impact the patient's quality of life.