Eczema explained, part 2: Is melanin-rich skin more prone to misdiagnosis? Plus, other myths and mistakes you need to know

Eczema doesn’t discriminate and can appear on all skin tones from Fitzpatrick Level 1 (the fairest) to Level 6 (the most melanin rich). And certain side effects like itch disproportionately affect people of color and Asian/Pacific Islander races. Here are some reasons for eczema misdiagnosis in skin of color: 

• Itch is often more severe  
• Placement of lesions (flexural lesions are less common and more likely to develop extensor involvement) 
• Erythema (skin redness) is less visible 
• Lichenification (skin thickening) is more common and severs 
• Dyspigmentation like hyperpigmentation and/or hypopigmentation 

Contrary to popular belief, eczema is neither viral or bacterial. The precise cause of eczema is unknown, but the American Academy of Dermatology believes it comes down to the way our genes respond to our environment. Most dermatologists agree the condition is spurred by the following contributors: 

• Genetics: You may be prone to eczema if members of your family have a history of allergies, hay fever, and/or asthma 
• Lack of filaggrin: Without adequate filaggrin (a vital protein that helps reinforce the skin’s barrier) the skin has a harder time retaining moisture, leading to dry, itchy skin
• Environment: Whether it’s frigid temperatures or high humidity, climate and weather can radically impact eczema’s expression
• Immune system: Over–reactive immune systems can cause certain people to experience inflammation and eczema flare-ups when they come in contact with a topical irritant

You may have heard that eczema occurs only in childhood because approximately 80% of eczema cases fade by the time a child reaches adolescence or adulthood. However, many experience occasional recurrences of the condition in their lifetimes. 

Steroids are a popular, dermatologist-prescribed treatment for eczema because they help manage inflammation. So are prescription drugs like immunosuppressant medications and allergy medications. These may also be effective for preventing itchiness (and the need to scratch that attends it), but they don’t come without side effects, like thinning skin and worsening of symptoms. 

Oat is clinically proven to relieve itch and soothe eczema symptoms—so much so that dermatologists recommend it. And, new ingredient technology research reveals that certain extracts and blends help hydrate and soothe the skin.  

Contact dermatitis (an acute rash spurred by an allergic reaction to, say, a new soap or body butter) can resolve on its own with time. But choosing to let atopic dermatitis clear on its own is a big mistake. This is a lifelong condition that requires management, as well as a healthy dose of diligence and determination. With proper eczema treatment, however, you may see fewer flare-ups and even experience remission for months and sometimes years. 

Don’t be swayed by products claiming they can cure eczema. Unfortunately, eczema is a chronic condition with no known cure. However, a handful of lifestyle adjustments. Identifying your specific triggers and non-steroid over the counter products demonstrate high efficacy for treating and relieving symptoms of eczema.