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Itch - This is the main symptom. A
rash without an itch is generally not due to
eczema. Redness - Increased redness
of the skin usually means increased blood flow
from the capillaries in the deeper layers of
the skin. With eczema flare-ups one
must also be aware of the presence of bacterial
infection in the deeper layers of the skin that
will be accompanied by increased redness and
heat.
Thickening - The skin of areas of
eczema that have been inflamed for a while are
usually thicker than other skin. This occurs as
a protective response of the skin to the
repeated trauma of scratching.
Eczema often affects the skin in areas
around joints such as the elbow, behind the
knees and in front of the ankles.
Commonly one will see splits in the skin here,
as the thickened skin is unable to bend
flexibly as it would normally.
Blisters - With eczema there is less
adhesion between the skin cells, particularly
in the upper layers of
the skin. This contributes to scaling and
makes it easier for skin bacteria to get into
the deeper layers, between the gaps. It also
makes it possible for tissue fluids to ooze
between the cells and, if sufficient, to gather
into collections or
blisters. Crusts - The
fluid that oozes from inflamed skin is rich in
protein. When this dries out in contact with
air the protein is left behind as a crusty
deposit. Often this occurs in conjunction with
infection, when the infected crusts typically
have a golden color.
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