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Condition guide · Dermatology

Eczema

Dry, itchy, inflamed skin that comes and goes — what eczema is, why it flares, and how our consultant dermatologist can help.

Eczema assessment at Bridge House Clinic
What is eczema?

Eczema is a common inflammatory skin condition that leaves the skin dry, itchy, red or sore — flaring up at times and settling at others.

It happens because the skin's natural barrier doesn't hold moisture or keep out irritants as well as it should, so the skin becomes dry and easily inflamed. Eczema isn't contagious, and while it tends to be a long-term condition, most people can keep it well controlled with the right routine and treatment — especially when the triggers are identified and a clear plan is in place.

01Symptoms

Symptoms of eczema.

Eczema tends to come and go in flares, and it can look different on different skin tones.

01ItchingOften the most troubling symptom — the urge to scratch can disturb sleep, and scratching tends to make the skin worse.
02Dry, scaly or cracked skinPatches of rough, flaky or cracked skin, commonly in the creases of the elbows and knees, on the hands, face or neck.
03Redness and inflammationInflamed areas that look red on lighter skin and can appear darker brown, purple or grey on deeper skin tones.
04Weeping, crusting or thickened skinFlares can ooze or crust over, and skin that's been scratched over a long time can become thickened and leathery.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

Eczema usually comes from a combination of a sensitive skin barrier and triggers in your environment. It often runs in families and can flare for no obvious reason — but knowing your triggers helps you stay in control.

Family history of eczema, asthma or hay fever
A naturally dry or sensitive skin barrier
Soaps, detergents and other irritants
Allergens such as pollen, dust mites or pet dander
Heat, sweating or changes in weather
Stress
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.It isn't settling with moisturisers and over-the-counter creamsIf the usual self-care measures aren't keeping your skin comfortable, a dermatologist can review your routine and prescribe more effective treatment.
II.It's affecting your sleep or daily lifeItching that keeps you awake, or skin that's getting in the way of work and everyday activities, is worth a proper assessment.
III.The skin looks infected, or flares keep returningWeeping, crusting, increasing pain or repeated flares should be looked at promptly so the right treatment can be started.
Book an assessment
Eczema examination by a consultant
Diagnosing eczema at Bridge House Clinic
04How it's diagnosed

Diagnosed by a careful skin examination.

Eczema is usually diagnosed by a consultant dermatologist examining your skin and talking through your history, triggers and how the condition affects you — scans and blood tests aren't normally needed. Where a contact allergy may be driving or worsening the eczema, Dr Dalia Alsaadi can arrange patch testing to identify the substances your skin reacts to. Dr Alsaadi is Clinical Lead for North Wales Dermatology and previously led the regional cutaneous allergy and patch-testing service.

05Treatment

How eczema is treated.

There's no single cure for eczema, but it can be controlled well — and we start with the gentlest approach that keeps your skin comfortable.

01Skincare routine & emollients

The foundation of eczema care: the right moisturisers and a daily routine to repair and protect the skin barrier, plus advice on avoiding the triggers that set off flares.

02Topical treatments for flares

Prescription creams and ointments to calm inflammation during a flare, with clear guidance on how and when to use them safely.

03Patch testing for contact allergy

Where a contact allergy may be driving the eczema, Dr Alsaadi can arrange patch testing to pinpoint the substances to avoid — drawing on her experience leading the regional patch-testing service.

04Ongoing review & a long-term plan

A personalised plan to keep eczema under control between flares, with follow-up to adjust treatment as your skin changes.

Book a dermatology assessment with Dr AlsaadiA consultant dermatology assessment is £200 (£250 for children). The cost of any further investigations, such as patch testing, is confirmed individually after your consultation, so you always know where you stand.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Can eczema be cured? +

There's no cure, but eczema can usually be kept well controlled. With the right skincare routine, treatment for flares and an understanding of your triggers, most people are able to keep their skin comfortable and reduce how often flares happen.

Is eczema contagious? +

No. Eczema is an inflammatory skin condition, not an infection, so you can't catch it from someone else or pass it on. Skin that's been scratched can occasionally become infected, which is worth getting treated promptly.

Do I need allergy testing for eczema? +

Not always. Many people manage eczema without it. But where a contact allergy may be triggering or worsening your eczema, Dr Alsaadi can arrange patch testing to identify the substances to avoid — she previously led the regional cutaneous allergy and patch-testing service.

How much does a dermatology appointment cost? +

An initial consultation with the consultant dermatologist is £200, or £250 for a child. If any further investigations such as patch testing are needed, the cost is confirmed individually after your assessment.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.