What is eczema?
Eczema, also known as atopic dermatitis, is a chronic skin condition characterised by dry, itchy, and inflamed skin. It affects around one in three Australians at some point in their lives and is particularly common in children, though many adults continue to experience flare- ups throughout their lives.
Symptoms include dry and sensitive skin, intense itching, red or inflamed patches, rough or scaly areas, and in some cases, oozing or crusting. Eczema commonly affects the face, hands, inner elbows, and behind the knees, but can appear anywhere on the body.
Eczema is linked to an overactive immune response and a compromised skin barrier. It often runs in families and is associated with other atopic conditions such as asthma and hay fever. Triggers can include irritants, allergens, stress, temperature changes, and certain fabrics.
When to see a doctor about eczema
You should see a GP if your eczema is not controlled with over-the-counter moisturisers, if the itch is disrupting your sleep or daily activities, or if the affected skin shows signs of infection such as increased redness, warmth, swelling, or pus.
Regular GP reviews are important for ongoing eczema management. Your doctor can adjust your treatment plan as needed and ensure you are using the most effective and appropriate therapies for your skin.
How a telehealth GP can help with eczema
A NewDoc telehealth GP can assess your eczema via video consultation, review your current treatment, and prescribe appropriate medications. Telehealth is well suited for eczema management, as the condition is visually identifiable and ongoing care often involves medication reviews and prescription renewals.
Your GP may prescribe appropriate topical treatments, emollients, and other medications depending on your circumstances. They can also create a chronic disease management plan, provide a referral to a dermatologist for severe cases, and help you identify and manage triggers.
Treatment options for eczema
The foundation of eczema management is a good moisturising routine. Regular application of emollients helps repair the skin barrier and reduce flare-ups. Your GP can recommend suitable products and prescribe soap-free washes and intensive moisturisers.
For active flare-ups, your GP may prescribe topical treatments of varying strengths depending on the affected area and severity. Many options are available on the PBS with a prescription.
Severe eczema that does not respond to topical treatments may require referral to a dermatologist for systemic therapies or newer biologic medications. Your GP can also help with identifying triggers, managing secondary infections with antibiotics, and addressing the impact of eczema on sleep and quality of life.