
How to treat vesicular eczema
I have developed some blisters on my body, and my family thinks it might be bullous eczema. Could you please advise on how to treat bullous eczema?

Bullous eczema, also known as vesicular eczema or blistering eczema, is a common inflammatory skin reaction primarily characterized by the appearance of blisters of varying sizes on the skin. Treatment of bullous eczema should comprehensively consider the severity of the condition, the patient's age, and overall health status, and should follow an individualized treatment plan.
1. Pharmacological treatment: Antihistamine medications such as cetirizine and loratadine can be used to relieve itching and swelling. During acute flare-ups, topical corticosteroid creams, such as hydrocortisone cream, may be applied locally, although prolonged and extensive use should be avoided.
2. Moisturizing care: Application of moisturizers is also crucial. Products that are fragrance-free and low-irritancy should be selected and applied to the entire body promptly after daily bathing to retain skin moisture and improve skin barrier function.
3. Systemic immunomodulatory agents, such as cyclosporine and methotrexate, may also be used under the guidance of a physician to control recurrent eczema.
4. Phototherapy: For refractory eczema, ultraviolet B (UVB) light therapy may be beneficial, although it should be conducted under the supervision of a qualified physician.
The specific treatment plan should be developed by a qualified dermatologist according to the individual condition of the patient. During treatment, patients should avoid contact with known allergens and maintain good personal hygiene practices.