Introduction

Living with eczema can feel like an uphill battle, as Mr. David Low experienced during his school days and early career. From missing out on physical education classes to struggling as an IT engineer, his journey reflects the profound impact this chronic skin condition has on individuals' everyday lives.

Understanding Eczema

Eczema, or atopic dermatitis, is an inflammatory skin condition that can vary from mild to severe. It typically presents as persistent itching, dryness, and visible rashes that can lead to discomfort. "When poorly managed, eczema can lead to skin infections," warns Dr. Mok Zhun Rui, a leading dermatologist at The Dermatology Practice. Common triggers include allergens like pollen and dust mites, skin irritants from harsh soaps, and even environmental factors like extreme temperatures.

During his National Service, Mr. Low's exposure to dust and heat worsened his condition, leading to flare-ups that affected over 60% of his body. "It was unbearable. I always carried moisturiser with me to combat the incessant dryness," he recalled. Even in the workplace, constant itching made it hard for him to focus, leading him to limit physical activities and alter his diet drastically.

Eczema arises when the skin's protective barrier is compromised, allowing harmful bacteria and irritants to penetrate. Dr. Mok explains that patients often experience an increase in transepidermal water loss, which exacerbates skin dryness and flakiness.

Navigating Eczema Management: What You Need to Know

The severity of eczema can vary widely among individuals. Dr. Mok emphasizes the importance of self-assessment. For minor, dry, and itchy spots, over-the-counter moisturisers may suffice. But when larger areas become inflamed, medical intervention is crucial. "Always monitor for systemic symptoms like fever or chills—these are red flags," he stresses.

Mr. Low has explored multiple treatment options throughout his journey, including topical and oral steroids, immunosuppressants, and monoclonal antibody therapies. Currently, he is using a Janus kinase (JAK) inhibitor, an oral medication specifically designed for moderate-to-severe atopic dermatitis. "My eczema is much more manageable now, which has transformed my quality of life," he shares.

Moreover, Dr. Mok highlights the importance of mental well-being in eczema management. Engaging in mindfulness practices can significantly reduce stress, helping to break the itch-scratch cycle that often exacerbates eczema symptoms.

Conclusion

Today, Mr. Low embraces a fuller life, participating in sports and enjoying sun-soaked vacations without fear of his condition holding him back. "The most rewarding part? Finally getting a good night's sleep!" he exclaims.

For those battling eczema, be proactive! Utilize tools like the Dermatology Life Quality Index Assessment Tool to gauge the impact of your skin condition, and consult with professionals to tailor treatment options that work for you.

In the evolving landscape of eczema management, hope is on the horizon. Advanced therapies are not just changing the game; they're restoring normalcy and comfort to lives affected by this challenging condition. Don't let eczema define you – take charge of your treatment today!