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Constitutional Eczema

Constitutional eczema (CE) is a common form of eczema, also known as atopic eczema or deworm. Here are questions and answers about CE:

What is constitutional eczema (CE)?
Constitutional eczema is a form of eczema that is common and usually begins before the first year of life. It is characterized by itching and often accompanies predisposition to hay fever, asthma and food allergy, which is hereditary. Although it disappears on its own in many children, the predisposition persists and may recur later.

What does CE look like and what symptoms does it cause?
CE causes redness, bumps, scaling and sometimes blisters on the skin. The skin often feels dry and rough. Itching is a common symptom, leading to scratch marks. It can begin at any age and occur on different parts of the body. In babies, it is also known as deworming.

Is CE contagious?
No, CE is not contagious. It is important to tell others to avoid unnecessary avoidance.

How is CE diagnosed?
The diagnosis is made based on how the skin looks, itchiness and varying severity. Hereditary predisposition (atopy) plays a role, and allergy testing is usually not necessary.

What treatments are available for CE?
- External treatment: Use of oily base ointment/cream for dry skin and medicated ointment/cream for eczema spots.
- Light therapy: UV light can reduce inflammatory reactions.
- Internal treatment: If insufficient control with ointment or light therapy, medications may be prescribed in tablet form.

Is CE curable?
Symptoms are treatable, but the predisposition remains. CE can recur, but is not curable.

What can you do yourself?
- Limit factors that aggravate itching and CE, such as dry skin, scratching, choice of clothing, protection from irritants, avoiding stress, swimming with proper aftercare, etc.

Outlook:
The course of CE varies widely. In many children it disappears, while in others it may persist into adulthood. Asthma and hay fever may develop. Early reporting of symptoms to the doctor is important.