That quick eczema fix could be making things worse

2026-03-12 - 00:04

Eczema is an inflammatory skin condition marked by intense itching, dryness, redness and scaly patches. (Envato Elements pic) KUALA LUMPUR: What looks like a simple rash may not be so simple after all. Dermatologists in Malaysia are seeing more severe eczema cases, and one common thread keeps popping up: weeks or even months of self-treatment with over-the-counter steroid creams or traditional remedies before seeking proper medical care. According to consultant dermatologist Dr Ng Lim Chui, atopic eczema is increasingly common here, especially among children. Most develop the condition before they turn five. “We are seeing more patients who have been using over-the-counter steroid creams or traditional remedies for weeks or months without proper guidance. These products may temporarily relieve symptoms, but they often worsen the condition over time,” he cautioned. He said prolonged misuse could lead to thinning skin, stretch marks, and skin that bruises easily. Data from the International Study of Asthma and Allergies in Childhood show the 12-month prevalence of atopic eczema among Malaysian children grew from 9.5% in 1994-1995 to 12.6% in 2002-2003 – a rise of about 0.49% each year. More than just a rash Eczema is a chronic inflammatory skin condition marked by intense itching, dryness, redness and scaly patches. Flare-ups can come and go, but the itch often lingers. In children, it can disrupt sleep, affect school performance and take a toll on emotional wellbeing – for both child and caregiver. Persistent itching, dry or scaly patches, rashes in the elbow or knee creases, or eczema on a baby’s cheeks should not be brushed off. Parents should seek medical attention promptly, especially if there are signs of infection such as pus, swelling, redness, weepy skin, or fever. Early treatment helps prevent complications such as skin infections and thickened skin from chronic scratching. It can also reduce the emotional strain that often comes with long-term flare-ups. Daily skincare – including regular moisturising – remains the foundation of eczema control. (Envato Elements pic) Clearing up myths Despite being very common, eczema is still widely misunderstood. Some think it is caused by poor hygiene; others believe it is contagious or can be cured quickly with a “strong” cream. These misconceptions often delay proper treatment and lead to inappropriate self-care. In reality, eczema is complex, involving a mix of genetic, environmental and immune factors. Malaysia’s hot and humid climate does not help, and flare-ups can be triggered by sweat, dust mites, certain foods, and harsh personal-care products. Urban lifestyles, indoor allergens, and frequent use of irritating soaps or skincare products can also make symptoms worse. While treatment options in Malaysia now include phototherapy and systemic immunosuppressants, daily skincare remains the foundation of control. This means regular moisturising, using gentle cleansers, managing sweat, taking short lukewarm baths, and avoiding wool or tight, occlusive clothing. Many patients find cotton and silk more skin-friendly. “Eczema is a chronic condition that requires consistent care, not quick fixes,” Ng emphasised. “Early detection, proper first-line management, and timely referral to dermatologists can significantly improve outcomes.” Better awareness, he concluded, could spare many children and families from unnecessary complications – and a lot of sleepless, itchy nights.