Dealing with eczema in winter

If you’re feeling a little extra itchy during the colder months, you might be encountering an eczema flare-up. With the cold winter air being drier than normal, eczema flare-ups can be more prevalent than during the summer season. So what can you do prevent eczema in winter?
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Well, the answer is – you can’t completely prevent eczema, as it’s a chronic condition. But there are things you can do to make eczema flare-ups less common or easier to manage in winter. We spoke to Jenny Bui, Avène’s Scientific Communication Manager, to find out how.
What is eczema and why is it prevalent in winter?
“Eczema, also known as atopic dermatitis, is a chronic condition characterised by skin that is dehydrated itchy and inflamed,” explains Jenny. “Genetic factors are linked to physical abnormalities in the skin barrier, imbalance of good and bad bacteria on the skin, and an overactive immune system which causes these symptoms.”
Now that you know what it is, let’s figure out why you might be experiencing it a little more often in winter. It turns out there are a number of factors that can cause an eczema flare-up, but most often in winter you’ll find that it’s due to the changes in humidity and overall temperature.
“As temperatures drop, so does the humidity of the air. This means that the air is very dry in winter,” says Jenny. “Low humidity, which is very dry air, causes you to lose moisture from your skin to the atmosphere. This will therefore make your eczema worse and increase the likelihood of a flare-up.”
But if you’ve been trying to combat these changes by sitting in front of a heater all day, guess what – you’re probably making it worse. “Heaters and central heating cause the air indoors to become even more dry. Increased heat overall also increases evaporation of water from your skin to the environment,” says Jenny. “Sudden changes from cold outdoor environments to indoor dry environments can also aggravate your skin as it needs to adapt to the changes in temperature.”
How can I avoid eczema flare-ups in winter?
You might feel as if all of this is pretty unavoidable seeing as a lot of these triggers, such as the weather, are out of our control. But Jenny says that there are things you can do to keep eczema flare-ups at bay in winter.
Avoid/control indoor triggers
“Especially when you are more often indoors due to the cold weather, you are surrounded by allergens such as pet dander and dust mites. Keep pets out of the bedroom, wash sheets and blankets regularly, invest in dust-mite proof covers for your pillows and mattress, remove carpets.”
Avoid overheating
“Increased temperatures cause your skin to dry out. It may be tempting to have hot showers and baths in winter, but you need to avoid this! Instead use tepid to warm water. Always use a soap-free body wash, and remember not to rub your already sensitive skin with a towel, always pat dry. And don’t stay too close to sources of heat, such as heaters, fireplaces, avoid electric blankets.”
Watch what you wear
“Naturally you would want to dress warmly in winter but be careful not to overheat yourself. It is ideal to wear layers of breathable, cotton clothing rather than heavy layers, to allow you to remove your clothing and to adjust your body temperature as needed. Materials such as wool can also irritate the skin and increase flare-ups, so these should be avoided where possible.”
I’ve got an eczema flare-up – how can I manage it?
So you’ve got the itch and you’re desperate to manage it. Lucky for you, there are a few things you can do to deal with it and make living with eczema in winter a little easier.
“Flare-ups occur when your skin is inflamed, red, itchy and can become cracked and broken. Your skin is also more susceptible to infections during this time,” says Jenny. “Topical steroids are the safest and most effective treatment for all age groups, by controlling the inflammation. Topical steroids such as hydrocortisone 1% cream or ointment can be applied directly onto the affected areas. This is over the counter and can be obtained after assessment by a pharmacist, or depending on the age, location and severity of the flare up, you may be referred to your doctor.”
These topical steroid creams and ointments should be applied liberally to the area each day until the flare-up has completely healed – which can take up to a few weeks. Once the affected area has healed, you can work to hydrate the skin barrier in an effort to reduce the frequency and severity of future winter flare-ups.
“You must vigilantly moisturise twice daily, even when your skin feels good. However, you must never apply moisturisers to the area of the flare-up until it has completely healed. In winter, you can use an even thicker moisturiser than you normally would,” explains Jenny.
So what should your winter anti-eczema routine look like? Well, it involves dedication and a few good products to be used religiously. It’s important to note that even with the right products, if you suffer from eczema, you’ll still experience flare-ups – but these products can help to reduce the severity and duration of winter eczema flare-ups.
Cleansing
When it comes to cleansers, Jenny recommends choosing soap-free cleansers, body washes and oils. “Cleansers must always be soap free. Soap strips the skin of the moisture that patients with eczema already have a deficit in. Products containing irritating ingredients such as fragrances and alcohol should also be avoided.”
bh loves: Avène XeraCalm A.D. Lipid-Replenishing Cleansing Oil, Nutri-Synergy NS Sensitive Skin Cleanser, Billie Goat Soap Original Soap, Dr LeWinn’s Private Formula Sensitive Cleansing Milk.
Moisturising
Your moisturiser is your skin’s saviour in winter! Keep your skin moisturised by applying a gentle but effective moisturiser a few times a day. “You need to moisturise daily twice daily and straight after a bath or shower to maintain moisture in the skin and help prevent evaporation of water into the atmosphere,” advises Jenny. “In winter due to the dry air, you will need to do this more often. This will help reduce dryness and itch, and therefore help prevent flare ups. Ointments are the most effective moisturisers as they are thick and occlusive, thereby helping to retard water loss from your skin. As a general rule, thick ointments and creams are more effective than thin lotions.”
bh loves: Grahams Natural C+ Cream, sebamed Body Lotion, NATTo Tea Tree & Lavender Skin Therapy, DermaVeen Sensitive Relief Eczema Lotion, Trilogy Sensitive Very Gentle Moisturising Cream.
Do you have eczema? Are you prone to winter flare-ups?
Have you tried any of the products mentioned above?
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42 Member Comments
I use something occlusive like Aquaphor on my affected areas.
It works.
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Definitely a NO to synthetic and natural fragrances in skincare...
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Eat foods rich in phytoceramides- this keeps itchiness at bay!
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So very glad CeraVe is now stocked at Chemist Warehouse!
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Aveeno skin relief range and Dermaveen Eczema cream helps a lot with eczema flare-up.
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Mine gets worse in summer but I do get the dry, cracked skin in winter. It's hard to win!
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I use Cerave purchased from the U.S and apply it to wet skin. It is full of ceramides and hyaluronic acid. QV have recently released a lotion with ceramides which is a plus for eczema sufferers.
Colloidal oatmeal is a savior! I love Aveeno, Avène and Dermaveen. Aveeno have an Eczema Therapy Balm but unfortunately it’s not available in Australia.
Urederm and Sebamed are brilliant. I always have a steroidal cream on hand in case of flare ups and I religiously use a cool mist humidifier at home.
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Interesting article.
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Not an eczema but have suffered from dry skin and I prefer oils as moisturiser.
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I use rosehip oil on mine and it clears right up. I like to be warm so forgoing the heater and nice hot showers is impossible for me.
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And here I was slapping moisturizer onto it! Wow.
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Years ago I got a severe flare up on my hands and feet. It came out of the blue. Not sure what caused it but was on a course of AB and steroids to treat. It occasionally re-appears mildly when I’m stressed or use strong detergents. I had this patch on my left foot for years that wouldn’t go away it would constantly itch. I went to a naturopath about my metabolism and was put on a course of supplements which treat from within and help support the gut and my itchy patch on heel cleared!
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I didn't know that you shouldn't put moisturiser on the affected area I thought it would be good for it!
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I really feel for people who has skin conditions like eczema. It's such an annoying condition and it can really affect confidence
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Thankfully I do not have eczema, there is a lot to remember. I have enough conditions to think about.
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It can be painful and get very red, so using the correct products is vital
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I don't suffer from eczema but some of my poor kids do. My youngest has been having heaps of flare ups this winter, her body has been so hard to keep moisturised it just keeps drying out and I hate using steroid creams on her. I try to apply Aveeno underneath so it's not so harsh on her skin.
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I'd like to recommend the vitamin E body butter from The Body Shop.
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Great tips :-) My recommendations would be, instead of using a cream based moisturiser, try a balm like ointment such as DermaVeen Sensitive Relief Eczema Ointment, Dermeze Treatment Ointment or one of my personal favourites, Natralus Essential Paw Paw Ointment. I also second the comments by clearcrystalwater regarding vacuuming diligently and washing sheets and even towels in really hot water.
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I do flare up every now and then but mainly between my fingers. I do not know what causes this as I haven't noticed any trigger points. I do use a prescription cream which eases the itching.
I found the above article an interesting read.
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Mine is always worse in summer :S
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Well there goes that suggestion. I "inherited" an abandoned cat this year and usually sleeps on my bed at night. Dont think I can kick da puss out now.
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i have wheat and grass allergies along with pollen but the grass and the wheat are my eczema enemies so the wheat is somewhat avoidable but grass is everywhere , i use soap free goatsmilk shower gel and lotion most of the year round , and label read everything , i find though my ears are the most sensitive and flare up way more than my hands and creases i sometimes have to see the docs because the flare up is so bad
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Some good tips in this article... I've found a real food diet helped heal my eczema and keep it at bay... Also, moisturising daily too...
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Mine always flares up in winter and is relatively gone in the summer. I find hydrocortisone definitely helps! I also have made sure to switch my hand wash and shower gels to soap-free & ph balanced, which has helped a ton too!
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