There are two types of Eczema:

Exogenous or Contact Eczema
Endogenous or Constitutional


Detrgents, alkalis, acids, solvents and abrasive dusts are common causes of irritant contact eczema. Majority of industrial irritants causing contact dermatitis come under this category. Those with fair dry skin and with a family history of allergic diseases such as asthma, hay fever or eczema are more vulnerable to irritant contact dermatitis. Napkin eczema in babies comes under this type of eczema.
It is due to delayed hypersensitivity reaction to a contact with an antigen. Previous exposure to antigen is required for sensitization to occur and the reaction is specific to the antigen or closely related chemical.


Nickel: Jewellery, jeans studs, bra clips.
Dicromate: Cement, leather, matches.
Rubber: Clothing, tyres, shoes.
Colophony: Sticking Plaster.
Paraphenylenediamine: Hair dye, Clothing.
Balsum of Peru: Perfumes, Citrus fruits.
Parabens: Preservatives in cosmetics and creams.
Wool Alcohols: Lanolin, Cosmetics, Creams.
Epoxy Resins: Resin Adhesives.
Topical Applications: Neomycin, Benzocain


Diaper Dermititis

Moist, bright red lesoins over the diaper area sparing the inguinal flexures. Setellite lesions may be seen.

Treatment : Area to be kept dry. Topical antifungal – steroids creams or lotions.

  Hand Eczema

Excessive exposure of hands to soaps, chemicals etc. causing redness, scaling and fissuring.

Treatment : Avoidance of causative factors, Topical steroids-antibiotic preparations.

  Contact Dermatits

Erythematous, oozing, crusted lesions occurring at the site of contact with metals (earrings, wrist watches, necklaces etc.)

Treatment : Avoid contact with the allergens. Topical steroids creams or lotions.

  Foot Wear Dermatitis

Erythema and oozing, or lichenification seen on the dorsal aspects of feet. Depigmentation may also occur.

Treatment : Topical steroids, change of footwear.

  PhotoContact Dermatitis

Itchy, erythematous, scaly and or fluid filled lesions seen on the exposed areas of the face, neck, back of the hands etc.

Treatment : Avoid photosensitizing agents, Use steroid topically and sun screening agents.

  Microbic Eczema

Sensitizaton to causative organism leads to oozing, crusted eczematous lesions around the primary lesion.

Treatment : Local cool compress, topical steroid-antibiotic cream,systemic antibiotic.

  Stasis Eczema

Pruritic, weeping and eroded lesions seen on the lower leg. Varicose veins usually present.

Treatment : Leg elevation , wet compresses, systemic antibiotics and topical steroids.

  Xerotic Eczema (Dry Skin)

Skin is dry and flaky especially over the arms and legs with generalised pruritus.

Treatment : Infrequent bathing; avoid soaps; Urea cream, vaseline or cold cream.

This entry was posted in Diseases & Conditions and tagged , by Manbir & Gurpreet. Bookmark the permalink.

About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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