Eczema Treatment and Management

Evidence-based care for lasting relief from eczema symptoms in children and adults

We provide expert diagnosis and personalised eczema treatment for patients of all ages. Our specialist team, led by Professor Gideon Lack, combines cutting-edge research with compassionate care to help you manage symptoms and improve quality of life.

Comprehensive assessments to identify triggers
Advanced treatment plans tailored to your needs
Expert guidance to prevent and manage flare-ups
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What is Eczema?

Eczema (also known as atopic dermatitis) is a chronic skin condition that causes dry, red, itchy, and inflamed skin. It is often linked to allergies and commonly runs in families with a history of asthma, hay fever, or food allergies. Affecting up to 15% of children by age 7 and 5% of the UK population, eczema prevalence appears to be increasing.

How eczema develops

Eczema occurs when the skin's protective barrier is weakened, making it more sensitive to irritants and allergens. The immune system overreacts to triggers, causing inflammation, dryness, and intense itching.

Research shows that eczema is primarily an inherited condition that may be exacerbated by external factors (dust, foods, pet fur, climate) and/or internal factors (stress, hormonal changes, exercise). A family history of "atopy" is present in 70% of cases, and an important gene mutation (Filaggrin) has been found in about 40-50% of Caucasian children with atopic eczema.

Eczema is often part of the "atopic march" - the progression of allergic diseases throughout life, where children with eczema may develop food allergies, allergic rhinitis, or asthma as they grow older.
Common symptoms

Eczema symptoms can range from mild irritation to severe flare-ups that significantly impact daily life. Symptoms include:

  • Dry, itchy, red skin
  • Small patches of irritation with crusting
  • Intense itching leading to broken or bleeding skin
  • Weeping, crusting, and skin infections
  • Vesicle formation (small fluid-filled blisters)
  • Fissuring (cracking) of the skin

For many, eczema can be distressing—especially for children, where itching disrupts sleep, affects concentration, and impacts confidence.

Common triggers

Eczema is often worsened by environmental and internal factors, including:

  • Allergens – Dust mites, pollen, pet dander
  • Food sensitivities – Eggs, dairy, nuts (common in infants)
  • Skin irritants – Soaps, fragrances, wool
  • Weather changes – Cold, dry air or heat and sweat
  • Stress and hormones – Triggers for flare-ups

Understanding your triggers is key to managing and preventing symptoms. Our specialists can help identify what's causing your eczema and develop a tailored plan for relief.

Impact on daily life

Allergic asthma affects people of all ages and can interfere with many aspects of daily life:

For adults
  • Persistent itching that interferes with work concentration and professional performance
  • Sleep disturbances causing fatigue, mood changes, and reduced quality of life
  • Limitations in clothing choices due to fabric sensitivities or concerns about visible symptoms
  • Impact on intimate relationships due to skin sensitivity or self-consciousness
  • Time-consuming skincare routines and treatment regimens that affect daily schedules
For children
  • Disrupted sleep from intense itching, leading to fatigue, irritability and difficulty concentrating at school
  • Discomfort with certain clothing fabrics, leading to limited wardrobe options and potential distress
  • Restrictions on activities like swimming or sports due to chlorine sensitivity or concerns about sweating
  • Self-consciousness about visible skin symptoms, potentially affecting social interactions and confidence
  • Challenges with routine activities like bathing, which can cause stinging or discomfort

When to seek specialist care

Professor Lack's recent research has shown a clear link between early eczema and the development of food allergies. For infants and young children displaying any signs of eczema, early intervention by a specialist is crucial, not only to effectively manage the condition but also to help reduce the risk of future food allergies through timely oral immunotherapy.

You should consider seeing our team if over-the-counter treatments are no longer effective, if eczema is disrupting sleep, school, work, or daily routines, or if you or your child are experiencing recurring skin infections caused by scratching.
For children
  • Your infant or child shows any signs of eczema, even if mild
  • They're missing school or unable to participate in normal activities
  • The condition is causing significant distress or affecting their confidence
For adults
  • Your eczema is impacting your work or professional life
  • You've tried multiple treatments without success
  • Your condition is causing emotional distress or affecting relationships
Speak to Our Team

Our expert approach to diagnosis and treatment

We provide a comprehensive approach to managing eczema through advanced diagnostics and personalised treatment plans.

Comprehensive diagnosis

In-depth consultation and detailed skin evaluation
Allergy testing to identify potential triggers, including food and environmental allergens
Assessment of overall health, family history, and lifestyle factors
Evaluation of previous treatments and their effectiveness

Your path to relief

We create a personalised, evidence-based plan to manage your eczema, committed to helping you achieve healthier skin and greater comfort by addressing both symptoms and underlying causes.
Effective eczema treatments
Prescription creams, emollients, and anti-inflammatory therapies
Specialist immunotherapy for allergy-related eczema
Advanced skin barrier protection strategies
Early intervention approaches guided by Professor Lack's researchion strategies
Practical management strategies
Guidance on skincare routines and lifestyle adjustments
Advice on avoiding triggers and preventing flare-ups
Support for parents managing childhood eczema
Environmental modification recommendations
Strategies for managing eczema at school or work triggers and preventing flare-ups childhood eczema

Why choose LACK Clinic for eczema care?

World-leading expertise in allergy-related eczema
Evidence-based treatments grounded in cutting-edge research
Personalised care tailored to children and adults
Compassionate, patient-centred approach
Convenient London location with flexible appointment options
Our goal is to help you move towards healthier skin and a better quality of life.
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Eczema
“As far as our family is concerned, Professor Lack is a miracle worker. We trust his advice implicitly and are very lucky to have him as our daughter’s specialist.”
Eczema
28th Sept 2024
Eczema
verified patient

Pioneering research, personalised care

Our approach combines our team's groundbreaking research into the causes and treatment of allergies with deeply personalised care. As global leaders in allergy prevention and treatment, we're dedicated to transforming lives through early intervention and innovative therapies. From food allergies and asthma to eczema and anaphylaxis, we provide evidence-based treatments tailored to each patient's needs.
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Frequently asked questions

Is eczema curable?
Eczema is a chronic condition without a permanent cure, but with the right treatment and management, symptoms can be significantly reduced. Our approach focuses on identifying triggers, strengthening the skin barrier, and developing personalised management plans that can lead to long periods of clear skin and significantly improved quality of life. Research shows that about 90% of children are free from dermatitis by the age of 12 years, although predicting which child will outgrow their eczema may be difficult.cialists use advanced testing methods to identify your specific triggers and develop an effective treatment plan. This process is adapted to be comfortable for both adults and children.
Does eczema run in families?
Yes. Eczema often occurs in families with a history of allergies, asthma, or hay fever. This genetic predisposition, known as atopy, can make individuals more susceptible to developing eczema. If your family has a history of allergic conditions, early intervention and preventive strategies may be particularly beneficial.
Can food allergies cause eczema?
For some infants and young children, food allergies can worsen eczema. Professor Lack's research has shown important connections between food allergies and eczema, particularly in young children. In 30-50% of cases of eczema, especially in infants and young children, there is an association with food allergy. Eggs, fish, nuts and dairy products may be relevant triggers. Our specialists can help identify whether specific foods are triggering symptoms and develop appropriate management strategies, which may include elimination diets, reintroduction protocols, or other interventions.
What treatments are available for severe eczema?
In addition to standard treatments, immunotherapy and advanced biologic medications may be recommended for severe cases. These newer treatments target specific pathways in the immune system responsible for inflammation and have shown promising results for patients with severe, treatment-resistant eczema. Our team stays at the forefront of these advances to offer patients the most effective options available.
Can children grow out of eczema?
Many children experience significant improvement by age 12, but some may continue to have eczema into adulthood. Research suggests that approximately 90% of children are free from dermatitis by the age of 12 years, although predicting which child will outgrow their eczema may be difficult. Early, effective treatment and proper skin care can help manage symptoms during childhood and potentially improve long-term outcomes.
What role does early intervention play in eczema management?
Early intervention is crucial in managing eczema, particularly in children. Professor Lack's research highlights the importance of addressing eczema promptly to prevent the "atopic march" - the progression from eczema to other allergic conditions like asthma and hay fever. By strengthening the skin barrier early and identifying triggers promptly, we can help reduce inflammation, prevent complications, and potentially improve the natural course of the condition.

Ready to find relief from eczema?

Our specialist team is here to help you take control of your eczema. We'll identify your unique triggers and develop an effective treatment plan for lasting relief.
Speak to our Team
London Medical 

49 Marylebone High St.
The Portland Hospital 

215 Great Portland Street 

07493 280048 
/ 07765 977819
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