Where
Plot No D13B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
- Serves Trimulgherry, West Marredpally, Bowenpally, Alwal
- Formerly BNR Skin & Vitiligo Hospital
Hyderabad
Eczema and atopic dermatitis treatment
Eczema is a barrier problem before it is an inflammation problem. Treatment that only suppresses the flare and never repairs the barrier produces exactly the pattern most families describe: better for a week, back within a month.
45 years in dermatologyDermatologist & dermatosurgeonKarkhana, SecunderabadBooking on WhatsApp
At a glance
- Curable
- No — but usually well controlled
- In children
- Most improve substantially with age
- Foundation
- Emollients, used generously and daily
- Flares
- Anti-inflammatory treatment, then step down
- Steroid phobia
- A bigger problem than steroid overuse
- Watch for
- Infection — weeping, crusting, sudden worsening
The mechanism
A leaky barrier, then inflammation.
Skin in atopic dermatitis does not hold water well and does not keep irritants out well. Water escapes, the skin dries and cracks, irritants and allergens get in, and the immune system reacts. The itch that follows leads to scratching, scratching damages the barrier further, and the cycle continues.
That is why moisturiser is not supportive care in eczema — it is the treatment. Applied generously and daily, including on skin that currently looks fine, it reduces the number of flares and the amount of steroid needed over a year.
Most families use far too little. A child with widespread eczema needs emollient measured in hundreds of grams a month, not a small tube that lasts the season.
The protocol
How eczema is managed
Emollient, generously, daily
Applied several times a day, and always after bathing on damp skin. On good days as well as bad — that is what prevents the next flare.
Treat a flare properly
An anti-inflammatory of the right potency for the site, used for long enough to actually clear it. Under-treating prolongs everything.
Step down, don’t stop dead
Reduce frequency as it settles. For frequently flaring sites, twice-weekly maintenance to the usual spots prevents the next flare.
Break the itch cycle
Nails short, cotton clothing, cool rooms at night, and treating the itch specifically. Scratching is a driver, not just a symptom.
Steroid fear
The bigger problem is under-treatment.
Almost every family arrives worried about steroid creams, and the worry is understandable — potent steroids used carelessly on thin skin do cause harm. But in practice far more eczema is damaged by treating it too little and too briefly than by treating it too much.
Used at the right potency for the site, for a defined period, and stepped down properly, topical steroids are safe and are the reason eczema became manageable. Where the face or eyelids are involved, steroid-free anti-inflammatory options are used instead.
If it might be an allergy insteadPotency matches the site
What is right for the shins is wrong for the eyelids. Site, not severity alone, chooses the strength.
A finger-tip unit
There is a proper measure for how much to apply. Being shown it is worth more than any leaflet.
Where to book
One clinic, in Secunderabad
Consulting rooms, phototherapy and the surgical list at one address in Secunderabad — the practice formerly known as BNR Skin & Vitiligo Hospital.
How to book
On WhatsApp — one number, answered by the clinic team, who confirm a time and say what to bring.
- Photographs welcome before you travel
- Video consultation arranged the same way
Questions patients actually ask
Eczema questions
Will my child grow out of eczema?
Many children improve substantially through childhood, and a majority are much better by adolescence. It does not disappear in everyone, and skin often remains dry and sensitive even when the eczema itself has settled.
Are steroid creams safe for eczema?
Yes, when the potency matches the site, the course is long enough to clear the flare, and treatment is stepped down rather than stopped abruptly. Under-treating eczema causes more harm in practice than appropriate steroid use.
How much moisturiser should we be using?
Far more than most families expect — for a child with widespread eczema, hundreds of grams a month. It is applied several times daily and continued on clear skin, because that is what prevents the next flare.
Does food cause eczema?
Food allergy is a genuine trigger in a minority of children with severe eczema, and worth investigating in that group. In most people diet is not the driver, and unnecessary restriction risks nutrition without helping the skin.
Why does eczema get worse at night?
Skin temperature rises and there are fewer distractions, so the itch dominates. Cool bedding, cotton nightwear, emollient before bed and treating the itch specifically all help.
Is eczema contagious?
No. It cannot be passed to anyone. Infected eczema can spread bacteria or virus, which is a separate issue and a reason to have sudden worsening looked at.
Keep reading
Related on this site
The first appointment is a diagnosis.
Not a treatment plan sold on the spot. Message the clinic and bring your history.