[54F] Experiencing eczema, itching, and bloodshot eyes

Patient Description

A 54-year-old female has been experiencing dry, itchy skin diagnosed as eczema, primarily affecting the shins, for approximately six months. The itching is intermittent and has been managed with triamcinolone cream as prescribed by a dermatologist. The patient also reports persistent bloodshot eyes despite adequate sleep and no known exposure to irritants or recent eye injuries. There have been no changes in detergents, diet, or environment that could have contributed to these symptoms. The patient has a history of similar itching episodes.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Eczema: This is a condition that makes your skin red and itchy. It's common in children but can occur at any age. Eczema is long-lasting and tends to flare periodically. It may be accompanied by asthma or hay fever.

    • Treatment typically involves hydrating the skin, reducing inflammation and itch, and preventing flare-ups.
  • Allergic Conjunctivitis: This is inflammation of the tissue lining the eyelids (conjunctiva) due to an allergic reaction. It can cause bloodshot eyes, itching, and tearing. It's often associated with other allergic conditions like hay fever.

    • Treatment usually involves avoiding the allergen, using artificial tears, and taking antihistamines or anti-inflammatory drops.
  • Dry Eye Syndrome: This condition occurs when your tear glands don't produce enough tears or produce poor-quality tears. It can cause red, itchy, and tired eyes.

    • Treatment often involves over-the-counter eye drops, prescription eye drops, or tear duct plugs.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Keep your skin moisturized: Use a moisturizer designed for sensitive skin. Apply it right after you bathe to lock in moisture.

  2. Avoid scratching: Scratching can worsen eczema and lead to infection. Try to keep your nails short and smooth to prevent skin damage.

  3. Use a humidifier: This can help keep your skin and eyes from getting too dry.

  4. Avoid allergens: If you notice certain substances or conditions worsen your symptoms, try to avoid them.

  5. Use artificial tears: These can help keep your eyes lubricated.

Remember, these suggestions are not a substitute for professional medical advice.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or don't improve with treatment
  • You have severe pain in your eyes
  • You experience vision changes
  • Your skin becomes red, hot, swollen, or develops blisters

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Eczema: American Academy of Dermatology Guidelines

People Also Ask


What are some common triggers for eczema flare-ups?

Common triggers for eczema flare-ups include stress, dry skin, irritants like soaps and detergents, allergens such as dust mites and pollen, and changes in weather or temperature.


How can I differentiate between allergic conjunctivitis and dry eye syndrome?

Allergic conjunctivitis often presents with itching, redness, and tearing, usually in response to allergens, while dry eye syndrome is characterized by a gritty feeling, redness, and tired eyes due to insufficient tear production. A healthcare professional can help differentiate between the two based on symptoms and history.


What are the best practices for managing dry, itchy skin due to eczema?

To manage dry, itchy skin due to eczema, keep the skin moisturized with a suitable cream, avoid hot showers, wear soft fabrics, and use a humidifier to maintain air moisture. Avoid known irritants and allergens that may trigger flare-ups.


When should I seek medical attention for bloodshot eyes?

You should seek medical attention for bloodshot eyes if you experience severe pain, vision changes, or if the redness persists despite treatment, as these could indicate a more serious condition.


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