How does eczema start? I had one regular blister on my foot that would not heal. Within 2 weeks, I had many tiny blisters. The initial blister did heal. I have been dealing with these blisters for 5 months now. I went to the doc 3 times. The last specialist said I am experiencing stress…which I am, which makes the eczema worse. She said leather shoes are better than tennis shoes. She told me to stay hydrated inside and out. She prescribed me a cream that I took to reduce the inflammation, but I try not to use. I wear socks with everything to avoid friction on my feet. I am on my feet most of the work day. Even power walking gives me blisters and irritates the tiny blisters. I miss my feet. I was eating healthy prior to all this…it is a struggle now, just balancing all of life’s demands. I am glad to find your blog. Any helpful advice welcomed.
• Protect and improve skin barrier. Apply thick cream based or ointment based moisturiser at least twice a day. Avoid products with fragrances and plant extracts. Avoid irritants such as soap, shampoos, prickly materials, heat, friction and long hot showers.
• Control inflammation with intermittent courses of appropriate topical steroids . Weak topical steroids are used on the face, under arms and groins and stronger steroids are used elsewhere. Topical calcineurin inhibitor is also helpful.
• Cool compresses will calm the itch quickly. Use wet dressing over moisturiser and topical steroid for more severe dermatitis, especially if itch prevents the person from sleeping.
• Treat secondary bacterial infection with bleach baths, mupirocin ointment or oral antibiotics.
• In severe dermatitis, phototherapy and systemic treatment such as oral corticosteroids , cyclosporin , azathioprine , methotrexate and mycophenolate mofetil may be necessary.