Introduction: Welcome to My Life With Eczema

The Beginning of a Diary (of a sort)
Chronicling My Battle With a Debilitating Disease

First, let me say that I hate blogs. I don’t even like the word ‘blog’. And, I’m not usually the type of person that is compelled to push my personal nonsense on strangers. But, these things are not what I’m here to talk about, and maybe there’s even a small chance that my ramblings here will either be found helpful to someone, or may give someone experiencing a life with eczema a sense of camaraderie in our daily torment.

I am here to talk about eczema. Actually, I think I’m here to vent about it, as I have been suffering with this condition for almost 30 years and it has recently grown to become the bane of my existence.

When I was 11 or 12 years old I was diagnosed atopic eczema, which is synonymous with atopic dermatitis. It is a chronic disease that is estimated to affect 30 million Americans to some degree or another. I, now, happen to fall into the acute category. At age 11 or 12, however, my eczema was rather light: I had patches of dry, irritated and itchy skin just above the folds of my elbows and behind my knees. I was prescribed a mild corticosteroid ointment and told to use only mild, hypo-allergenic soaps when washing and bathing. Life was peachy, my skin was easily controlled, and my visits to the dermatologist were infrequent.

Throughout my teens, all I really needed to know was that I had a rash that came and went, and while I had my mixture of triamcinolone in Lubriderm lotion, I was prepared for the rash when it did show up. Yes, it bothered me, but with all things in perspective, it didn’t bother me much.

In 1996 I learned (the hard way) that eczema-prone individuals also inherit a risk for asthma. In my case an allergic-only asthma that was triggered by a number of airborne chemicals used in the semiconductor plant where I worked. It had taken me two and a half years of suffering with severe bronchial inflammation, and an ever-increasing repertoire of inhalers and pills prescribed by a multitude of general medical practitioners better at guesswork than at healing, before I sought help from a pulmonary specialist who immediately recognised the symptoms, took me off all the medications I had except one, and said “get a different job”.

There was no ‘cure’ for my asthma apart from removing myself from the allergens that caused it. There was no medication capable of mitigating the inflammation that made breathing extremely difficult. As soon as I informed my pulmonologist that I worked in the semiconductor industry, he said, “Get a new job. I would tell you the same thing if you worked in the air conditioning field, or construction, or anything similar. Get out. Get a different job.” He kept me on an emergency bronchodialator, a common steroid called albuterol, and sent me on my way.

The following day I asked my manager to be reassigned in the company due to my now correctly diagnosed medical infirmity, and I was given a new but related position in the department, working at desk situated well away from the chemical laden manufacturing area. It took another two years before my health was fully restored and I was able to breathe normally again.

I was in good shape until in 2004, when I took a temp job that put me in the basement of an aircraft manufacturing plant. This was the first position where I noticed a distinct and overwhelmingly odd propensity for workers to bathe and souse themselves in perfume, cologne, body spray, and anything else that wreaked and formed clouds of acrid, burning, and wholly oppressive stink, just to sit a desk for eight hours.

Within a couple of months my asthma had returned, with full-on vigour, and shortly afterwards, my eczema had spread to cover almost eighty percent of my body. My desk was moved from cubical to cubical in a meagre attempt to “move me away from the perfume”, but there was no escaping it. The air systems carried the chemical clouds throughout the building, and the sheer quantity of perfume and body spray that these people had worn so thoroughly infused the walls, carpets, and furniture that the place had taken on a foul smell of its own–that was present even before anyone arrived in the morning.

I went to work, braced for the pain, and spent the days breathing through wet paper towels in order to filter out a small portion of the perfumes that permeated the air. My face, neck, and arms had developed welts of cracked redness that made me appear as though I had been beaten. Yet, despite my suffering, a work-from-home option was denied me.

In 2006 I was released from that prison, and found a new job with a company whose management and employees were amenable to stopping the use of perfume, and where I was placed at desk in a separate computer room with its own air conditioning system. And once again, two years later, my body had finally recovered from the damage of the previous two years.

In 2009 I found myself unemployed, but I was happily no longer plagued with the daily pain associated with the symptoms of my eczema. My asthma had disappeared, except for those times when I found myself in places filled with perfumes and body sprays. I spent all of 2009 job hunting, with the perpetual fear that I would never find another job where I could safely do my work in the office, without a relapse of eczema and asthma thrusting me into the enveloping pain and chronic discomfort that I had previously experienced.

To my unfortunate dismay, I found another job in early 2010, and quickly realised that I may never be free of this misery.

As I write this, my entire torso, neck, face, scalp and arms are covered in an unsightly patchwork of raised, bright red inflammation. Two weeks ago, my legs had been covered, as well, but my dermatologist granted me a prednisone taper that greatly reduced the inflammation–albeit, temporarily.

My body simply has no idea what it’s doing any longer. I have been working primarily from home for the past few months, and keeping myself shut-in as much as possible. I have a daily regimen of moisturising every hour, drinking almost two gallons of water, and snuggling with an ice pack to ease the intense burning that never seems to go away.

If there is nothing else this ‘blog’ project I have undertaken will do, maybe it will at least be viewed by one person without eczema, who might find compassion and understanding in themselves to mention it to others that a simple, small, selfless act such as limiting the amount of fragrance one wears can contribute to drastically improving the life of someone else.

Maybe I will be able to provide some level of support to those who do suffer every day with this disease.

I plan to add the results of what research I do, and review products and medications that I try, or have used over my history with eczema. Hopefully what resources I post and link to will be useful to others, and possibly someone will find relief due to something I provide here.

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Cetaphil Gentle Skin Cleanser

Effectiveness: Very Good
Fragrance-Free: YES
Greasy: No
Irritation: None

Cetaphil Gentle Skin Cleanser is a non-lathering liquid cleanser that does exactly what the name implies: cleans skin gently; with no irritation and minimal drying.

It is completely fragrance-free.

If you are not accustomed to bathing with a soap that does not lather, it may take some getting used to. It can feel a bit like a lotion at first, but it does work. Although, for more oily skin or attempting to clean off a fresh application of petroleum jelly, it may require more than one go at it.

It was apparently designed for dermatologists, with the aim to cleans sensitive skin without stripping off the natural emollients that help keep the skin moist and protected.

I found this cleanser about six years ago, and it has become one of the extremely few skin cleansers that I can use regularly, as most soaps will actually aggravate my skin, and dry it out.

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Boudreaux’s Butt Paste (All Natural)


Effectiveness: Very Good
Fragrance-Free: YES
Greasy: Very
Irritation: None
Moisturising: Good

Not just for a baby’s bottom.

Boudreaux’s Butt Paste is essentially a Zinc Oxide paste, usually sold in both the pharmaceuticals and infant sections. It contains a list of ingredients similar to that of Desitin, but without the distinctly Desitin aroma that screams an alert to everyone of a nearby diaper rash. It is a messy thing to apply and–contrary to what it says on the package–it is far from easy to clean off. However, it has become an invaluable part of my repertoire of calming creams for eczema.

It works wonders for me on the areas of atopic and contact dermatitis that plague me. Unfortunately, I cannot say the same for the nummular patches that I occasionally get on my hands and feet–which in my case seem only to respond to topical steroids. I will usually apply the Boudreaux’s Paste on top of a layer of petroleum jelly, or over a more mild (more typical) moisturiser. I have only used the (“new”) Natural version.

The listed “active” ingredient in Boudreaux’s Butt Paste is zinc oxide, which has been used for quite a long time as a topical anti-inflammatory and anti-bacterial agent. But, it also contains cod liver oil, aloe vera, and beeswax which all help to keep the skin moist in a non-irritating way.

A plus to this is that zinc oxide has also been found to have deodorant properties, possibly due to the anti-bacterial nature of zinc (or zinc & oxygen?), and can replace fragrant antiperspirant/deodorants if you’re inclined to have greasy armpits. I wouldn’t suggest using it while wearing an expensive dress shirt. I don’t find it to really reduce perspiration by much, though.

Zinc Oxide is non-toxic, and closely regulated by the U.S. Food & Drug Administration

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Petroleum Jelly Is My Friend…

Okay, heads out of the gutter, please. This is not that kind of discussion.

Honestly, I have found that petroleum jelly–and, I mean PURE petroleum jelly–has proven to be the only reliable product to effectively seal in moisture and seal out irritants when my eczema flare-ups are very bad. And, if you’ve seen the photo of me in my introduction post, that’s not quite as bad as they can get.

Now, again, I’m talking about pure petroleum jelly, which is simply a mixture of hydrocarbons, and nothing else. To my great dismay, the Vaseline brand seems to have flooded the retail shelves with Vaseline Cocoa Butter and Vaseline Baby both of which have added fragrance. Fragrance is a very bad thing for eczema sufferers. And, it appears that many of the stores in my local area are reducing the shelf space occupied by fragrance-free petroleum jelly. I’ve ended up shopping in the infants isle at a major discount store to find what I want as stock–during this bad economy–is not refilled as often as it may be needed (all stock, not just personal jelly products).

Despite that petroleum jelly is horribly inconvenient, greasy, occlusive, and a complete mess to apply, I have found that it does the best job of keeping what little moisture is already in my skin, in there, and helping to soften and protect the inflammation without causing complications. Well, the only complications it does seem to cause is with clothing and furniture and, well, anything I may come in contact with after I’ve coated my entire body with it.

I have tried many, many moisturisers, both over-the-counter and prescription, and I have not yet found one that can alleviate the tight, dry, tearing and burning sensations my skin has when the inflammation gets bad. Additionally, many of the moisturisers labelled “ultra-calming”, “calming cream”, and “intense repair”, basically do nothing of the sort. Not for me, at least. In fact, they tend to aggravate and exacerbate the inflammation making it necessary for me wash the stuff off, and call petroleum jelly to the rescue.

I’m sure that the manufacturers of these products have tested the calming and repairing effects on someone, or at least something, and it is certainly possible that they had never intended the products to be used to treat a medical disease like acute dermatitis. But, maybe, marketing should have been told something about leading desparate people to a false hope.

At least, there’s good ole petroleum jelly, still around when it’s needed.

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Polyester: The Devil’s Textile

Okay, I know the Devil’s not got anything to do with polyester; I don’t even believe in the existence of a devil. But, had I titled the entry ‘Polyester: Whinefield & Dickson’s Evil Textile’, the impact would not have been as immediate.

Polyester was invented in England in 1941 by John Whinefield and James Dickson. Not that they had any intention of inventing something evil, it’s simply the nature of the ester group fibres and of the finishing process that creates a horrible nuisance for sufferers of any type of dermatitis aggravated by coming in contact with allergens.

The finishing process of many textiles (including nylon, cotton-blends, and even some pure-cotton fabrics) involves infusing the cloth with Formaldehyde resin as a protective measure to add durability to the fibre. With nylon products, it also adds a fire-retardant property to the fibres. The inclusion of formaldehyde in the product is rarely stated on the fabric or garment label, and it is unfortunate that law does not require it to be stated.

Over the life of textile products that have been treated with formaldehyde, the resin does slowly out-gas into the environment. This should be at least somewhat concerning to everyone as the International Agency for Research on Cancer (IARC) has classified formaldehyde as a human carcinogen. But, that has not prevented its use in a variety of manufacturing processes.

For sufferers of Eczema, however, there is a real and immediate reason to avoid using any garments–or other products, such as bedsheets and pillowcases, towels, etc.–that potentially contain formaldehyde in the finishing process. Formaldehyde is an irritant, especially to skin that is already inflamed, and can exacerbate the inflammation.

New garments and other textile products that contain formaldehyde resin may be washed thoroughly to potentially reduce the amounts of the resin from approximately 800 to 1,000 parts per million (ppm), down to a possible 100ppm. For some, this may be enough prevent irritation. For others, however, it may not be sufficient.

I do recommend thoroughly washing any new garment or other fabric product before use, not simply due to formaldehyde content, but to wash out any excess dyes, dust, or other contaminants that could have accumulated on the product during its journey from manufacture to your home. I never wear clothing, or use any fabric product before it has been washed at least once. Dyes are another possible source of irritation from fabrics, but it’s next to impossible to always wear only white and not look like a freak. Thoroughly washing all clothing and other fabric products before use is always good practise.

Living with eczema is a daily trial and error process. We all need to be especially aware of the common causes of our condition, and to be on constant guard against the things with which we come in contact that can make our existence unbearable. It is unfortunate for us that something as integral to our daily living–such as our clothing–could make our eczema worse, but our skin doesn’t always have the ability scream at us the moment something is causing our eczema to flare. Some irritants act slowly and silently to make our skin flare up, so we must adopt preventive practices to ensure that our skin is protected. Avoiding known irritants, like formaldehyde-treated fabrics, only one step in the process of living with eczema.

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