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.
Topical steroids work by altering chemicals that cause inflammation. The most potent forms are Class I and they are 600-1000X stronger than over the counter hydrocortisone 1%, which is a Class VII. Side-effects of mild steroids are extremely rare and uncommon. As these creams are applied directly to the skin, there is a possibliity that limited absorption into the bloodstream can occur. These man-made drugs closely resemble the cortisol hormone in the body and therefore, there is the possibility this can lead to a decrease in natural cortisol levels. Replacing natural hormones with synthetic ones are the principles of hormone replacement therapy. An unusually high amount of synthetic cortisol over an extended period of time will send signals to the body that less natural cortisol is needed, however, HPA Axis Suppression is far more likely with oral/inhaled steroids than topical steroids, as oral steroid therapy actually takes over adrenal function.
Phototherapy or light treatment is an effective treatment for eczema. With phototherapy, various wavelengths of sunlight (UVB, UVA, combined UVA/UVB, UVA1, or narrow-band) are administered in a unit that is similar to a telephone booth but which is lined by fluorescent appearing light bulbs. The type of phototherapy that you will receive will be determined by your dermatologist. It is usually administered twice weekly. Possible side effects of phototherapy are redness, sunburn, or dryness. Long-term side effects, which are more likely with white skin, are possible skin cancers and enhanced aging.