Core Viewpoint - The article discusses the characteristics, management strategies, and misconceptions related to eczema, emphasizing the need for tailored approaches based on different demographics and conditions. Group 1: Eczema Characteristics - Eczema presents with varying features depending on the disease stage: acute phase shows red papules with exudation, subacute phase shows darkening redness with scaling, and chronic phase shows thickened, leathery skin with pigmentation [2] - In infants, eczema commonly appears on exposed areas like cheeks and scalp, while in school-aged children, it is often found in flexural areas like the elbows and knees. In the elderly, it typically occurs on the lower legs and hands [2] Group 2: Management Strategies - For infants, a moisturizing strategy is crucial, with studies indicating that using moisturizers at least three times daily can reduce moderate to severe eczema flare-ups by 67% [3] - Medication principles for sensitive areas include using 1% pimecrolimus cream or 0.03% tacrolimus ointment, while mild steroids can be used for acute flare-ups on the body [3] - Elderly patients should use moisturizers containing urea (5%-10%) and avoid long-term use of potent steroids, opting instead for intermittent therapy [6] Group 3: Environmental Considerations - Maintaining a room temperature of 20-22 degrees Celsius and humidity of 50%-60% is recommended for eczema management [5] - Clothing for children should be made of pure cotton, and new clothes should be washed in hot water to remove residual chemicals [5] Group 4: Misconceptions and Risks - Traditional beliefs about "removing dampness and toxins" are challenged by modern medicine, which shows that excessive sweating can damage the skin barrier [7] - The fear of using corticosteroids is addressed, highlighting that when used correctly, the risk of skin atrophy is minimal [8] - Patients are advised against blindly avoiding foods unless a specific allergy is confirmed, and a diverse diet during pregnancy may reduce the risk of allergies in infants [10] Group 5: Importance of Individualized Management - Establishing a management model that focuses on moisturizing, medication to control flare-ups, and avoiding triggers is essential [11] - Keeping a diary to track triggers, medication use, and skin condition can aid healthcare providers in creating personalized treatment plans [11]