Skin irration in back of knee - #11522

Hello dear See as per clinical history it seems some inborn allergy I suggest you to please get below tests done for confirmation Patch test Blood allergen test Intradermal skin test Kindly share the details with dermatologist for better clarification Please donot take any medications without consulting the concerned in person doctor otherwise there can be chances of getting side-effects Hopefully you recover soon Regards

Hello,

Firstly to make things clear once and for all to you, THERE IS NO PERMANENT CURE FOR ECZEMA which is also called as ATOPIC DERMATITIS.I understand this has been troubling her for years. Eczema is a long-term skin condition — it cannot be permanently cured, but with the right care, we can keep the skin healthy and prevent flare-ups.

1. My General Advice -

Always prefer cotton clothes.

Use fragrance-free, mild soap or cleanser (Cetaphil, Dove baby soap, Sebamed).

Moisturize at least 2–3 times daily (Cetaphil Moisturizing Cream / Vaseline petroleum jelly / Sebamed lotion).

Avoid hot water baths, use lukewarm water.

Avoid scratching — keep nails short.

2. Medical Treatment -

During flare (red, itchy,patches):

Apply Hydrocortisone 1% cream thin layer twice daily × 5–7 days.

OR Mild steroid (Mometasone furoate 0.1% cream once daily × 5 days) – only on affected patch.

For itching: Tablet Levocetirizine 5 mg at night if needed.

For long-term: Continue regular moisturizer daily, even when no rash.

3. Important things to keep in mind

If rash spreads rapidly, oozes pus, it is secondary infection, need to start antibiotics after doctor’s review.

If very severe, not controlled with mild treatment, Needs dermatologist opinion for stronger medicines.

Regards,

Dr. Nirav Jain MBBS, DNB D.Fam.Med

RX 1) calamine lotion Use at day time 2) Levocetrizine 5 mg 1 tab at night for 5 days

Thank you.

Eczema, particularly when localized like behind the knee, can be a persistent condition. Since this has been an ongoing issue since childhood, it might be a type of atopic dermatitis, which is chronic and often has genetic links. It’s important to focus on both immediate symptom relief and long-term control to manage flares effectively. Corticosteroid creams are commonly prescribed to reduce inflammation during flare-ups; low to mid-potency ones like hydrocortisone or triamcinolone can be used, but it’s crucial to follow the doctor’s instructions closely on how much and how often to apply it. Always apply a thin layer and avoid overuse to prevent side effects like skin thinning. Moisturizers play a vital role as well. They help maintain the skin barrier and reduce irritation; using a thick, fragrance-free moisturizer several times a day, especially after bathing, can make a significant difference. It’s good that cotton clothes are more comfortable for her as synthetic fibers or wool can aggravate the skin. Consider using hypoallergenic laundry detergents without added dyes or fragrances to further reduce irritation. Although there isn’t a known ‘permanent cure’ for eczema, some strategies, like identifying potential allergens or irritants, can significantly cut down on flare-ups. If her eczema doesn’t improve with topical treatments or seems more extensive, consulting a dermatologist might be needed to explore other options like phototherapy or systemic medications. Meanwhile, maintaining regular follow-ups with your healthcare provider is essential to monitor the condition’s progress and adjust treatments as necessary. Always seek medical attention if signs of infection develop, such as increased redness, swelling, or pus.