For people with atopic dermatitis, also called eczema , the world is full of triggers. As the American Academy of Dermatology (AAD) notes, the list associated with flare-causing culprits is long, starting with ingredients in cosmetics and skin-care products and continuing with tobacco smoke, l aundry detergent , pollution, plus wool clothing.

But some eczema causes are not so obvious. While reasons for inflammation, itch, and pain will vary from person to person, watch out for the following potential offenders.

1. Candles and Air Fresheners

Fragrances and perfumes in cosmetics and personal-care products are notorious for causing skin reactions, notes the National Eczema Association . But fragrances may lurk in unexpected places, such as in candles and air fresheners.

“If a product has a scent, there could be some kind of triggering chemical in there, ” says Danilo Del Campo, MD , a dermatologist along with the Chicago Skin Clinic. “Candles might especially be an eczema trigger during the winter holidays. People want that holiday feel in the house, but it can cause dermatitis problems. ”

2 . Viral Illness

On a blog for the National Eczema Organization, Anna Fishbein, MD , an associate professor of pediatrics at Northwestern University’s Feinberg School of Medicine within Chicago, highlighted viral illness as a common and often overlooked eczema trigger.

A viral infection like the common cold or flu can stoke systemic inflammation throughout the body, including on the particular skin. On top associated with that, the National Dermatitis Society   information that constant nose blowing due to cold or even flu might cause the skin reaction on or around the particular nose.

The Allergy & Asthma Network adds that the herpesvirus, which may cause cold sores in and around the mouth, can lead to atopic dermatitis flares. Herpesvirus also poses a risk of complications which includes a potentially very serious condition called eczema herpeticum inside which infection spreads over wide areas of skin and can even harm organs.

3. Insects

Insect bites may cause trauma to the skin that will provokes an eczema flare. When bitten by the bug, the body sends inflammatory chemicals, such as histamine , towards the affected area, which in turn might lead to a good eczema sparkle.

Cockroaches don’t bite people, but proximity to them can lead in order to an dermatitis flare, according to Edidiong Kaminska, MD, a founder and the particular medical director of Kaminska Dermatology in Chicago. “It’s not the cockroach itself that produces a reaction, but insects carry a lot of things on them, ” says Dr . Kaminska. “The particles this sheds can easily trigger an eczema response in the particular skin. ”

Some bugs that fuel flares can’t be seen by the naked eye. Dust mites are usually microscopic, insect-like pests that feed upon dead pores and skin and live in bedding, mattresses, upholstered furniture, carpets, or curtains. Some individuals with atopic dermatitis have an allergic skin reaction   to dust mite droppings.

Individuals who are sensitive to mites can better protect themselves by regularly cleaning bedding, carpets, and other fabrics.

4. Overwashing

“It’s very common for Americans to take a bath or even shower once or even twice a day, ” Doctor De Campo says. “But simply by overwashing, we lose the natural oils associated with our skin. The epidermis then becomes more dry and more prone to developing eczema. ”

Although thorough hand-washing can destroy bacteria that cause illnesses, too much can further break down the integrity of the skin barrier (which is already compromised in eczema) and lead to flares. The Allergy & Asthma Network advises people to wash with gentle cleansers , use lukewarm water, and moisturize immediately afterward.

5. Jewelry

Not all jewelry aggravates eczema-prone skin, yet rings, earrings, necklaces, plus other body ornaments made of nickel can be problematic, especially if you have a good allergy. According to the particular Mayo Medical center , the nickel allergy is a common cause of contact eczema , a condition linked to atopic dermatitis.

It may not be readily apparent that will nickel is in a piece of jewellery, since a small amount of nickel is often mixed into silver or white gold. Individuals can develop an allergy to nickel through repeated and prolonged exposure, and once the allergy is established, the individual may always become sensitive in order to nickel and will need to avoid get in touch with.

Note that eyeglasses, snaps, buttons, plus zippers may also contain nickel.

6. Acidic Food

Although not common, food can cause eczema to surface , in accordance to Del Campo. He adds that will acidic foods can end up being a particular issue, including strawberries, tomatoes, and citrus fruits such as oranges, lemons, limes, and grapefruit.

For some individuals, other foods can result in flares as well, including artificial sugars, trans fats, processed meat, red meat, refined carbs, and dairy.

7. Face Masks

Fabrics that trap heat or even irritate the skin are well-established troublemakers when it comes to dermatitis. Polyester, latex, wool, denim, rough linen, and leather can all worsen atopic dermatitis plus other forms of skin swelling, while fabrics made along with pure cotton, silk, or bamboo tend to be more eczema-friendly, according to the Country wide Eczema Society .

De Campo suggests that the pandemic introduced a new skin agitator: the face mask.

“During the outbreak, we have been seeing a lot of flare-ups around the mouth area and on the lips within patients who otherwise were doing well with regard to a long time, ” says Del Campo. “People were constantly reusing the same mask, and dyes used in the masks sometimes created a problem. Masking was definitely a brand new factor that we weren’t expecting. ”

The Allergic reaction & Asthma Network offers a number of tips on how to reduce the likelihood that a face mask will trigger an eczema flare: Cleanse the face with a gentle wash, pat skin dried out, and apply moisturizer before putting on a face mask; make sure the mask isn’t too tight (it shouldn’t dig in to skin) or even too loose (it should not move close to and rub); apply moisturizer again after taking off the particular mask; plus wash a cloth encounter mask often to remove sweat, oils, pores and skin cells, and germs.

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