The itch and scratch cycle of eczema

One of the prominent symptoms is intense itching (pruritus). Scratching or rubbing the affected skin causes further release of irritating chemicals in and under the skin.

These chemicals further irritate the skin and increase itchiness, which in turn increases scratching.

Ensure therefore that fingernails are clean and cut short and that medication is sufficient to abolish this symptom.

An increased dose or change of medication may be required.

Reviewed by Professor Sharon Kling, Clinical Unit Head, General Paediatrics, Intensivist at Tygerberg Hospital and Associate Professor, Department of Paediatrics and Child Health at Stellenbosch University. February 2015.

Original article by Dr Harris Steinman, May 2007.