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The eczema hub at The Skin Doctor covers atopic dermatitis and related eczematous conditions across the lifespan. We provide doctor-led diagnosis, structured daily care, flare treatment, infection prevention and escalation pathways. Child-specific and adult-specific routes are signposted from this hub.

Eczema hub

Eczema

Eczema is a chronic inflammatory skin condition characterised by an impaired skin barrier, intense itch, and recurrent flares. The most common form is atopic dermatitis. At The Skin Doctor we treat eczema across the lifespan — from infant cradle-overlap and childhood atopic dermatitis through adult hand, facial and dyshidrotic eczema. Care begins with accurate diagnosis (eczema vs contact dermatitis vs another mimic) and a clear plan for daily barrier support, flare treatment and long-term control.

Portrait of Dr Christopher Irwin

By Dr Christopher Irwin, MBChB, FRACGP, MMed (Skin Cancer), FACAM, MSCCA

Last reviewed 2026-06-06 · Editorial policy


Eczema (most often atopic dermatitis) is a chronic inflammatory skin condition characterised by an impaired skin barrier, intense itch and flares that come and go. It affects all ages — from infants and toddlers through to adults with hand, facial or dyshidrotic eczema.

A helpful analogy is dry mud cracking: when skin dries, it forms tiny cracks. Those cracks allow irritants to penetrate, drive inflammation and trigger the itch–scratch cycle.

Most patients improve significantly once they have the correct diagnosis and a clear plan for daily barrier care, flare treatment and relapse prevention.

Which Eczema Page Is Right for You?

  • Childhood Eczema — Atopic dermatitis in children under 12. Daily routine, flare control, bleach baths, wet wraps, infected eczema and diet/allergy guidance.
  • Adult Eczema — Atopic, hand, facial, dyshidrotic and contact dermatitis in adults. Patch testing, hand eczema management and escalation pathways.

Moisturisers and emollients for eczema

Daily moisturising is the foundation of eczema control at every age. Emollients work by trapping water in the skin and supporting the damaged barrier, which reduces the cracking that lets irritants in and drives the itch–scratch cycle. A Cochrane review of emollients for eczema found that regular moisturising improves eczema, and that using an emollient alongside a topical steroid works better than the steroid alone.

Is Vaseline (petroleum jelly) good for eczema?

For many people, yes. Plain petroleum jelly is a simple, fragrance-free occlusive — it seals moisture in and has nothing added that commonly irritates sensitive skin, which makes it a reasonable and inexpensive option for many people, including young children. Its main limitations are that it feels greasy and does not add water on its own, so it works best applied to slightly damp skin (the soak and seal approach) or over a lighter moisturiser.

Ointment, cream or lotion?

As a rule, greasier products seal better: ointments (such as petroleum jelly or Dermeze ointment) are the most occlusive, creams sit in the middle, and lotions are the lightest. Thicker ointments tend to suit dry, flaring skin; lighter creams can be more comfortable day to day. Whatever the base, fragrance-free is preferred to reduce irritation.

What about calamine lotion?

Calamine can briefly soothe itch, but it is drying and is not a moisturiser, so it does not replace a regular emollient in eczema.

The best moisturiser is largely the one you will use often and tolerate well. If your skin stings, worsens or isn’t improving despite consistent moisturising, that is a good time to have the diagnosis and routine reviewed — the rash may not be eczema, or it may also need anti-inflammatory treatment alongside barrier care. Rough, bumpy skin on the upper arms and thighs that persists despite good barrier care is often keratosis pilaris, which commonly overlaps with eczema and very dry skin but needs a slightly different routine.

Book an eczema consultation

For an accurate diagnosis and a clear plan — daily barrier care, the right moisturiser, flare treatment and, where needed, steroid-sparing options or escalation — book a short skin review with Dr Chris at Ivanhoe or Diamond Creek.

Eczema often overlaps with other inflammatory facial dermatoses. If your main features are flaking in eyebrows, eyelids or nasal creases, see Seborrheic Dermatitis. If bumpy rash clusters around the mouth, nose or eyes (especially if steroids have made it worse), see Peri-oral Dermatitis.

Symptoms


Causes & contributors


Diagnosis

Eczema is diagnosed clinically by a doctor. Accurate diagnosis is important because eczema overlaps with — and is often mistaken for — contact dermatitis, seborrheic dermatitis, psoriasis and fungal infection, and these have different treatment pathways. Patch testing is considered in adults with persistent, localised or treatment-resistant eczema where contact allergy may contribute.


Treatment options


When to see a doctor

See a doctor if eczema is affecting sleep, school, work or confidence, is recurrently infected, isn't responding to a consistent over-the-counter routine, or if you suspect contact dermatitis (eczema mainly on hands, face, eyelids or neck; product-linked flares). Seek urgent review for rapidly worsening redness, warmth, swelling, pain, yellow crusting, fever, or clusters of painful blisters.

Frequently asked questions

  • Is eczema curable?
    Eczema is a chronic inflammatory condition with flares that come and go, so it is managed rather than permanently cured. The good news is that most patients improve significantly once they have the correct diagnosis and a clear plan for daily barrier care, flare treatment and relapse prevention. The aim is long-term control — calmer skin, fewer flares and a faster way back when a flare does happen.
  • Could my rash actually be something else and not eczema?
    Yes, and this is one of the main reasons eczema should be diagnosed by a doctor. Eczema overlaps with — and is often mistaken for — contact dermatitis, seborrheic dermatitis, psoriasis and fungal infection, and these have different treatment pathways. Getting the diagnosis right first means the treatment actually targets the problem you have.
  • What is the single most important thing I can do for my eczema?
    Daily barrier care is the foundation of long-term control across all ages. We recommend fragrance-free moisturising at least twice daily, and within minutes of bathing — an approach often called soak and seal. Keeping the skin barrier intact reduces the cracking that lets irritants in and drives the itch–scratch cycle.
  • Are steroid creams safe to use on my face and eyelids?
    Topical steroids are used in the correct strength for the site and severity, but sensitive areas such as the face and eyelids need particular care. For these areas we often prefer steroid-sparing options such as pimecrolimus, tacrolimus or crisaborole. Your doctor will match the treatment to where the eczema is and how severe it is.
  • When should I see a doctor about my eczema?
    See a doctor if eczema is affecting sleep, school, work or confidence, is recurrently infected, or isn't responding to a consistent over-the-counter routine. It is also worth reviewing if you suspect contact dermatitis — for example eczema mainly on the hands, face, eyelids or neck, or flares linked to particular products.
  • When is eczema an emergency?
    Seek urgent review for rapidly worsening redness, warmth, swelling, pain, yellow crusting or fever, which can signal a bacterial infection. Clusters of painful blisters also need urgent assessment, as these can indicate a herpes simplex complication (eczema herpeticum). These situations should not wait for a routine appointment.
  • Is childhood eczema treated differently from adult eczema?
    Yes. Childhood and adult eczema have different patterns, triggers and treatment pathways, which is why we provide separate hubs for each. Childhood care focuses on daily routine, flare control, infection prevention and family-friendly strategies, while adult care covers atopic, contact, hand and facial eczema — including patch-testing assessment and stepwise escalation.
  • Is Vaseline (petroleum jelly) good for eczema?
    For many people, yes. Plain petroleum jelly is a fragrance-free occlusive — it seals moisture into the skin and has nothing added that commonly irritates sensitive skin, which makes it a reasonable, low-cost emollient, including for young children. Because it is greasy and does not add water on its own, it works best applied to slightly damp skin (the soak and seal approach) or over a lighter moisturiser. If your eczema keeps flaring despite regular moisturising, it is worth having the diagnosis and routine reviewed.
  • What is the best moisturiser for eczema?
    Largely the one you will use often and tolerate well. As a rule, greasier products seal moisture in more effectively: ointments (such as petroleum jelly or Dermeze ointment) are the most occlusive and suit dry, flaring skin; creams sit in the middle; and lotions are the lightest. Whatever the base, fragrance-free is preferred. Moisturise at least twice daily and within minutes of bathing.

References

  1. Atopic dermatitis. Lancet. 2025. (Guttman-Yassky E, Renert-Yuval Y, Brunner PM.)DOI: 10.1016/S0140-6736(24)02519-4
  2. Guidelines of care for the management of atopic dermatitis in adults with topical therapies. J Am Acad Dermatol. 2023. (American Academy of Dermatology.)DOI: 10.1016/j.jaad.2022.12.029
  3. Guidelines of care for the management of atopic dermatitis in adults with phototherapy and systemic therapies. J Am Acad Dermatol. 2024.DOI: 10.1016/j.jaad.2023.08.102
  4. Emollients and moisturisers for eczema. Cochrane Database Syst Rev. 2017. (van Zuuren EJ, Fedorowicz Z, Christensen R, Lavrijsen A, Arents BWM.)DOI: 10.1002/14651858.CD012119.pub2

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Medically reviewed by Dr Christopher Irwin, MBChB, FRACGP, MMed (Skin Cancer), FACAM, MSCCA · Last reviewed 2026-06-06 · Editorial policy