Atopic Dermatitis (Eczema)

Eczema is far more than dry skin — it is a chronic inflammatory condition rooted in a compromised skin barrier and an over-reactive immune response, and the relentless itch can disrupt sleep, school, and work. At Intracoastal Dermatology we treat eczema across every age group, from infants to adults who have struggled with flares for decades. Dr. Blair Harris and our physician assistants focus first on getting the inflammation under control, then on a barrier-repair and trigger-avoidance routine that keeps it that way.

The exact cause of eczema is not fully understood, but genetic and environmental factors are believed to play a role. Triggers such as infections, stress, certain medications, and injuries can exacerbate eczema symptoms.

• Contact Dermatitis

  An allergic reaction to substances that come into contact with the skin, causing redness, itching, and inflammation. Treatment involves avoiding triggers, using emollients, and topical corticosteroids.

• Nummular Eczema

  Characterized by coin-shaped patches of irritated skin, often triggered by dry skin, irritants, or stress. Management may include moisturizing creams, and topical corticosteroids.

• Dyshidrotic Eczema

  Causes small, itchy blisters on the hands and feet, often triggered by stress, allergies, or exposure to irritants. Treatment involves topical corticosteroids, and antihistamines.

• Seborrheic Dermatitis

  A common form of eczema affecting the scalp, face, and other oily areas of the body, causing red, scaly patches. Management includes medicated shampoos, topical corticosteroids, and antifungal creams.

Treatment for atopic dermatitis aims to relieve symptoms, reduce inflammation, and prevent flare-ups. Here are some common approaches:

• Moisturizing

  Keeping the skin hydrated can help reduce itching and scaling.

• Stress Management

  Finding ways to manage stress, such as through exercise, meditation, or therapy, can be beneficial.

• Avoiding Triggers

  Identifying and avoiding triggers, such as certain foods, infections, and skin injuries, can help prevent eczema flare-ups.

Because eczema varies so much from person to person, follow-up matters: what calms one patient's flares may do little for another's. We fine-tune your regimen over time — prescription topicals, newer systemic options for stubborn cases, and practical skincare guidance you can actually maintain. Most patients do best with a clear written routine and periodic check-ins to adjust it as seasons, stress, and skin change.