Where on the body? Eczema and different areas of skin

Some people found it easier to list the areas of their bodies that hadn’t been affected by eczema than to list all the parts of their body that had. Anissa said that she’d had eczema ‘anywhere that there’s skin really’. One place where people said that they’d not had eczema was on the sole of their feet (although it is possible to have eczema here), but nearly all other skin surfaces were mentioned by at least one person we talked to. This includes Maham who’d had eczema on the palms of her hands before.

Some parts of the body were thought of as ‘normal’ places for eczema, such as where the skin creases or folds like the inside elbow and behind the knees. The most commonly mentioned parts of the body were the hands, scalp and face. Other parts of the body were often seen as less likely to be affected by eczema, such as the chest/breasts and genitals.

Vicky talks about all the different parts of her body where she’s had eczema in her lifetime.

Age at interview 19

Gender Female

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Eczema has developed on different parts of the body for Himesh. He feels most concerned about areas that other people can see.

Age at interview 17

Gender Male

Age at diagnosis 10

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People had different concerns and difficulties, depending on where their eczema was. Some people said they felt self-conscious about having eczema or related scarring on their face and hands because it could be seen. For others, having eczema on their back was most difficult because it was harder to apply topical creams like emollients (see here for overview on emollients and here on their use) and steroids. Eczema could also have a big impact on movement and flexibility, making it difficult to do even simple tasks like making a hot drink.

Shams explains about the difficulties he has when putting treatments on his back, especially when eczema makes it difficult for him to move.

Age at interview 18

Gender Male

Age at diagnosis 7

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When his eczema is severe on his arms and neck, Gary can’t move easily which impacts on everyday tasks.

Age at interview 23

Gender Male

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Aisha struggled with scars from her eczema. Her doctor told her about skin camouflage’, a service previously run by the Red Cross and now by the charity Changing Faces and some dermatology departments.

Age at interview 21

Gender Female

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Eczema on the hands

The hands were often an affected area among the people we talked to. Some said this was tough because they are visible. This could be a focus of teasing and bullying. Aadam remembers being nicknamed ‘old man hands’ when he was at primary school. Since the hands are ‘constantly’ being used, it could also be difficult to avoid touching triggers or to keep on top of management routines such as frequent moisturising. Laura said seeing eczema on her hands was a good reminder to use her emollients though.

Ele explains about the difficulties of having eczema on her hands, including after moisturising and with using soaps.

Age at interview 22

Gender Female

Age at diagnosis 2

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Scalp and hairline eczema

The scalp, hairline and neck were also common areas affecting people. These could be difficult places to have itchiness or to scratch, as some worried that other people would think they had head lice. Scalp eczema was described as a more extreme version of dandruff and people worried that skin flakes in the hair or on clothes would look bad in a work setting. Vicky and Abid also spoke about feeling uncomfortable getting a haircut, but Alice’s hairdresser wasn’t too concerned when she got her hair bleached and coloured.

Going to the barbers could be an uncomfortable experience for Abid. He would be given unhelpful treatment suggestions and found shaving painful.

Age at interview 24

Gender Male

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Alice developed eczema in her scalp. She worried about what people thought when she scratched her head, but her doctor and hair dresser weren’t too bothered.

Age at interview 22

Gender Female

Age at diagnosis 7

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Aisha talks about where she’s had eczema and the difficulties with her scalp.

Age at interview 21

Gender Female

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Eczema on the face

Eczema on the face was seen as particularly difficult because it is so visible and important for identity. Having eczema on particular facial features (such as around their eyes, ears and lips) could have extra concerns too. For example, eczema on the eyelids could cause swelling and putting creams on this delicate area could make it difficult to blink properly or concentrate.

Georgia started to get eczema on her upper lip after several years without it. At first she thought was a cold sore.

Age at interview 20

Gender Female

Age at diagnosis 4

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Sarah explains why she finds the face, especially around her eyes, to be the worst body location for having eczema.

Age at interview 23

Gender Female

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Having eczema on her eyelids made Molly’s eyes feel tired which made it more difficult to focus on her studies.

Age at interview 21

Gender Female

Age at diagnosis 4

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Having eczema on certain parts of the face was also linked to other health issues for some people. Aadam has a condition called keratoconjunctivitis related to his eczema which affects his eyes, making them extremely dry. Vicky had eczema inside her ears which scarred one of her eardrums when she was a child, causing some long-term hearing loss.

Aadam explains about an eczema-related condition called keratoconjunctivitis that affects his eyes.

Age at interview 18

Gender Male

Age at diagnosis 1

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Facial hair, as well as body hair, can be tricky when you have eczema. Some people found that shaving frequently caused less irritation than stubble but others found that shaving on eczema-affected areas was too painful and could damage the skin more. Some people had lost some hair on their face or scalp if they had damaged the skin and the eczema had scabbed over. For example, Vicky remembers losing her eyebrows as a result of rubbing at the eczema on her face when she was a child.

Vicky finds that shaving her legs can help reduce irritation to her skin, but some patches of eczema are too painful to shave over.

Age at interview 19

Gender Female

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Aadam remembers being one of the first boys in his year at school to get facial hair. He balances keeping his stubble the right length so it doesn’t irritate his eczema.

Age at interview 18

Gender Male

Age at diagnosis 1

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Eczema in ‘intimate areas’

Having eczema on an ‘intimate’ body part (for example, the genitals) not typically thought of as a ‘normal’ place for eczema could make a person feel especially self-conscious. It could also mean that getting a diagnosis took longer because doctors might suggest other possible causes first, as was the case for Jessica who had vulval (near the vagina) eczema. A few people said they would like more specific information about genital eczema – this included those who’d experienced eczema in ‘intimate’ areas or were concerned about this happening in the future.

Some young women we spoke to had experienced eczema on the chest and breasts. These parts of the body can easily become ‘sweaty’, making the eczema even more itchy and sore. Bras can also rub, but some women said that they wouldn’t feel comfortable going out in public without one on. Ele would leave it until last minute before putting on a bra and going out because of the pain. The inner thighs and bum were other body parts that some people had found tricky to have eczema on.

Jessica saw many GPs and did her own research before being diagnosed with vulval eczema and receiving specialist treatment.

Age at interview 20

Gender Female

Age at diagnosis 20

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Georgia talks about how it can be difficult to cope with itchiness, especially in intimate areas like near the bum, and what other people think about her scratching.

Age at interview 20

Gender Female

Age at diagnosis 4

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Lizzie finds that the skin rubs together more when she wears summer clothes, which can aggravate her eczema.

Age at interview 19

Gender Female

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