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Eczema or dermatitis?

Hi, I've had what I believe to be dermatitis for around 10 years now only on my face. I get it on my chin, top of my mouth, either side of my nose, forehead and around temples and in my eyebrows.

It's not itchy at all it just goes very red and sore, it's not flaky or scaly more like dandruff.

I've tried various over the counter treatments, e-45, aveeno, lasinoh, and recently stinky stuff skin stuff, all of which make my skin super greasy but don't actually help.

The only thing that works is hydrocortisone cream 1%. I put it on before I go to bed and within 3-4 days it has gone back to normal, I can then go 3-4 days without applying it before the redness and soreness comes back.

I would like to know if it is in fact dermatitis I have or eczema and if anyone has any treatments that actually work for them.

I have heard that you are not suppose to use hydrocortisone cream on your face so I'm worried about long term effects but it's the only thing that works for me. I have attached a picture of my nose/mouth for reference. Sorry if that isn't allowed.

Thank you in advance.

  1. I read that the conditions are interchangeable...ive been diagnosed with eczema on eyelids by an opthamologist possibly caused by watering eyes + other things.
    . This area being 3xtra thin &sensitive its diffucult to find a suitable treatment.
    Now being referred for patch testing as one doctor thinks its contac dermatitis!

    1. Yes, , the names do seem to be used interchangeably. The patch testing was very helpful for me, including some surprises. I wrote about it here if you’re interested: Please come back and let us know if you find anything helpful. We’re always interested in what happens. I can’t imagine it on my eyelids! Wishing you well, Cora Lyn, Team Member

  2. Hi, my son has ezeama since the age of 2, he's 21 now. He has had it on most parts of his body over the years. He had it on face and behind ears and was prescribed hydrocortisone, which helped, but as you say comes back. Thankfully as he's got older it's mainly arms, groin and legs but still occasionally face.

    1. As with a lot of stories on here, I can totally relate to your son's hardship. I was diagnosed at two. In my twenties it actually cleared up on my face but it came back with full vengeance in my mid-30s. We all react differently to our environments and depending how we cope with the stresses of life, it can sometimes determine how good or bad our eczema can be. I wish him all the best. Thanks for sharing!! Pete ( Site Moderator)

  3. Also it's important to know that one's diets could also help with inflammation. In addition not all medical brands are good for the skin but actually be drying if use repeatedly without some form of natural based oil or moisturizer as a backup. Sweet almond oil is another calming oil to dermatitis. You can also try adding lavender oil or sweet almond drops to products such as aveeno (though that it already has oats in it, I can't feel the need to stress how much doing as simple as that increases the efficiency). Sea salt is another good thing for the inflammation of skin for dermatitis especially dead sea products.

    1. I remember using Dead Sea products as a teenager. Personally speaking, I never found them to be that effective although now when I think about it it might be because we lived in an area where the water was extremely hard. Think I will have another go with them now that I have a water softener installed. Pete (AtopicDermatitis-Site Moderator)

  4. I have a problem like that too on my face specifically on the side of my lip and it keeps coming back. I tried the brand 'Farmacy' moisturizer however and it seemed to go away. Most of the ingredients are natural. Their moisturizer is quite hydrating and I tried other brands moisturizer as well, because this brand is kind of expensive and bought a thing called 'lanolips' though it's called lanolips which has lanolin it can help with a regular moisturizer but still not as much as that one moisturizer by farmacy alone. I'm yet on the look out for trying other natural products too for my other skincare problems, I have mixed skin both oil and super dry. A good ingredient that I found also help is aloe vera and with hazel. It would also be handy to look for a good serum there's also micellar waters with lavender that I haven't tried but I know lavender is good for fighting inflammation on the skin.

    1. Thanks for sharing Rosecloudheaven - many of us are fighting with the same issues so it's quite common. Really glad you are finding treatments that help to alleviate your symptoms. Everyone reacts to things so differently don't they?! Many member have talked about coconut oil being pretty effective. Pete (AtopicDermatitis - Site Moderator)

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