Wie die Jahreszeiten Ihren Ekzem beeinflussen

Dr Anton Alexandroff, a Consultant Dermatologist, explains that eczema usually improves in summer with some natural sunlight and gets worse in winter when it is cold and damp.

While every person with eczema has their own triggers, in many cases flare-ups can follow a seasonal pattern. So much so, in fact, that asteatotic eczema is often known as 'winter itch'. It's not uncommon to find that your eczema lies dormant most of the year, only to reignite in response to cold or heat.

So why is this the case? And other than waiting stoically till summer, is there anything people can do?

Was ist Ekzem?

Eczema, also known as dermatitis, is a common itchy inflammatory skin condition, often associated with an abnormal skin barrier. It looks different for every person, but you may experience patches of dry scaly skin, small raised bumps, and severe itching. This might occur in just a few small patches or may be more widely spread across your body.

There are several variants - for instance, allergic Kontaktdermatitis - in which your skin flares up in response to external agents, for example, fragrances or preservatives - or irritant contact dermatitis - caused by a persistent irritation of the skin.

However, the most common type is atopic (allergic) dermatitis, which usually begins in infancy or childhood and affects up to 1 in 3 children, and 1 in 10 adults, in the UK. Although many children find the condition clears up naturally as they get older, many people continue to experience flare-ups throughout their lives.

This condition is associated with Asthma und Heuschnupfen, meaning that if you or a family member have one of the three, you're more likely to have the others. Research studies have shed some light on why, pinpointing a cluster of genetic risk factors that predispose you to all three allergic conditions.

Despite learning more about the causes, researchers haven't yet developed a cure. This means, if you or your child have eczema, it's important to work out the individual triggers and adopt strategies for managing the symptoms.

If your flare-ups happen predominantly in winter, this is likely due to switching between cold and hot environments. Harsh, windy conditions outside - followed by dry, centrally heated environments inside - can wreak havoc on your skin.

As if that were not enough, some people find their eczema triggered by dust mites - which thrive in warm indoor environments. On top of this, many people experience a Vitamin-D-Mangels during winter, which some studies have linked to higher rates of eczema, although the evidence is not conclusive on this front.

Perhaps paradoxically, many winter eczema management strategies come down to avoiding extremes of heat. First up, make sure your home isn't overheated, and invest in a humidifier if dry air inside is a concern. When you bathe or shower, lukewarm - not hot - temperatures are best for your skin. And, since heavy winter clothing can cause sweating, the National Eczema Society advises layering up - clothing made from cotton or silk is best.

Above all, it's critical to maintain a rigorous moisturising routine. According to Allergy UK, you should continue this routine all year round, not just during flare ups.

Although eczema generally improves in the spring, for some people the opposite holds true. Seasonal pollen can be a trigger, causing eczema flare-ups alongside hay fever. You may wish to take an Antihistaminikum if this applies to you. Some people also find their symptoms exacerbated by temperature changes, and get flare-ups during the transitional seasons - for example, spring and autumn.

Others find that their symptoms worsen in the summer months. Typically, this is due to the heat itself, which may cause sweating, coupled with the drying effects of air conditioning once you get inside. There may also be further triggers at this time of year, such as swimming in a chlorinated pool or sitting on grass.

In each of these cases, the usual advice applies - try to pinpoint any environmental triggers and minimise your exposure to them wherever possible. Try to stay cool, rinse off chlorine straightaway, and always make sure to moisturise.