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Atopic Dermatitis Symptoms To Discuss Beyond Skin Changes

by Ruth Jessen Hickman, MD
May 10, 2025
in Health
Reading Time: 5 mins read
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Atopic dermatitis could also be more difficult for healthcare suppliers to determine as a result of its shade differs in folks with darker pores and skin than in folks with lighter pores and skin.

Atopic dermatitis, the most typical kind of eczema, results in continual (long-term) irritation in areas of the pores and skin. With darker pores and skin, this pores and skin irritation doesn’t often look purple like in folks with lighter pores and skin. As a substitute, the affected pores and skin might have a darker brown or purplish shade. You may additionally see grayish flakes the place the pores and skin is scaling off. 

It is essential to speak with a healthcare supplier about your signs, apart from the pores and skin shade adjustments from irritation, particularly you probably have darker pores and skin.

Atopic dermatitis causes dry, itchy pores and skin, a typical symptom. In some folks with a darker pores and skin tone, dry pores and skin and itchiness could also be particularly extreme. This is a vital clue that an space of pores and skin wants remedy, even when the colour adjustments aren’t as apparent.

If in case you have a darker pores and skin tone, you would possibly see small, hardened, very itchy bumps, often known as prurigo nodularis, on areas of your pores and skin affected by atopic dermatitis.

You may additionally be prone to get perifollicular accentuation, small bumps that seem round your pores and skin’s hair follicles. These bumps look much like goosebumps. Many individuals with darker pores and skin tones received’t have any bump-like adjustments to their pores and skin, and the rash seems in patches.

Individuals with darker pores and skin shade can also develop signs associated to long-term injury to the pores and skin from scratching or rubbing an excessive amount of. Over time, the affected pores and skin might develop a symptom known as lichenification, which is when the pores and skin turns into additional thick, agency, and leathery.

Lengthy-term irritation from atopic dermatitis can also trigger lasting pores and skin pigment adjustments, even after the irritation has healed and the pores and skin has cleared.

After the irritation has gone away, an affected space would possibly keep a darker shade or turn out to be lighter than the encircling pores and skin. Healthcare suppliers might discuss with this as hyperpigmentation (pores and skin darkening) or hypopigmentation (pores and skin lightening).

Atopic dermatitis can have an effect on any space of your pores and skin. You might be extra prone to get atopic dermatitis rashes in your trunk and areas of pores and skin masking the alternative sides of the joint, known as extensor surfaces, such because the again of your elbow and the entrance of your knee. Atopic dermatitis can even make the strains in your palms look extra apparent.

In case you assume you might need atopic dermatitis, share your ideas, signs, and experiences with a healthcare supplier. That data may help them deal with your considerations and focus their examination and analysis.

Necessary clues which will assist your healthcare supplier make an correct analysis or create an applicable remedy plan embody:

  • Allergy symptoms and bronchial asthma: Point out in case you’ve beforehand had signs from circumstances associated to atopic dermatitis, even in case you’ve by no means formally been recognized with them. These embody meals allergy symptoms, allergic rhinitis or seasonal allergy symptoms, and allergic bronchial asthma. These circumstances might enhance your threat.
  • Household historical past: Share if anybody in your loved ones has atopic dermatitis, allergy symptoms, or bronchial asthma.
  • Emotional impression: Residing with atopic dermatitis, particularly with out the appropriate administration methods, could be hectic. You’ll want to point out in case your pores and skin situation impacts you mentally or emotionally.

In case you assume you could have atopic dermatitis or are involved that present remedies aren’t working nicely sufficient, go to a healthcare supplier. It is essential to go to a healthcare supplier in case your signs are extreme or present indicators of an infection, resembling itchy, heat, and swollen areas with oozing, bleeding, and painful pores and skin.

Being ready with the appropriate data, questions, and confidence might show you how to take advantage of your appointment. Here is how one can put together:

  • Decide who to see: In lots of instances, a major care supplier (PCP) can diagnose and deal with atopic dermatitis. You too can request a referral to a dermatologist, a pores and skin specialist, with expertise evaluating and treating pores and skin circumstances in folks together with your pores and skin kind.
  • Be able to ask questions: Your appointment is an applicable time to ask any questions on your well being, symptom triggers, remedies, and extra. Earlier than your appointment, take into consideration or jot down what you need to talk about.
  • Know how one can advocate for your self: In case you do not assume you are getting the care you want, it is essential to talk up and discover a healthcare supplier who will take your considerations critically.

Atopic dermatitis could also be a little bit more durable to acknowledge in folks with darker pores and skin tones who do not expertise redness, because it seems on lighter pores and skin tones. You may additionally produce other rash options, together with a bump-like look, leathery patches, and areas of completely darkened or lightened pores and skin.

In case you aren’t positive whether or not your pores and skin situation is being correctly recognized and handled, it might assist to go to a dermatologist who has expertise treating folks with darker pores and skin.



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