Eczema on the face - causes and treatment of all types of diseases

Some dermatological diseases are difficult to treat because of the many factors that provoke their occurrence. Eczema refers to intractable pathologies, especially if rashes are common not only on the body, but also on the face. To cope with it, a thoughtful, individually developed integrated approach is needed.

Eczema on the face – causes

Dermatologists classify this disease as polyetiological. Too many external and internal conditions contribute to the appearance of rashes, so it is impossible to accurately determine the factors that provoke the problem. Presumably, eczema on the face often occurs against the background of immune shifts. They also include various allergic reactions, which are an inadequate response of the body’s defense system.

Eczema on the face – causes that play an additional role in the appearance of a rash:

  • endocrine disorders;
  • genetics;
  • transferred severe infections;
  • pregnancy;
  • chronic pathologies of internal organs;
  • neurological diseases;
  • helminthic invasions;
  • changes in metabolic processes;
  • bacterial skin lesions;
  • insect bites;
  • systemic fungal infections;
  • mechanical injuries of the epidermis and others.

Eczema – types

There are several forms of the described disease, which are differentiated according to the cause of its occurrence, the type of rash, the nature of the course. What types of eczema are (main):

  • weeping;
  • dry;
  • bacterial;
  • seborrheic;
  • fungal.

Weeping eczema on the face

This type of pathology is the most common, it is characterized by a persistent chronic course, frequent relapses. Due to the impossibility of finding out the exact causes of the disease, it is diagnosed as idiopathic or true eczema. The considered form of the disease is difficult to treat, its occurrence is facilitated by many disparate factors interacting with each other.

Such eczema on the face has specific features:

  • symmetrical edematous rashes of red color;
  • the formation of papules;
  • gradual changes in the rash, turning into vesicles (blisters);
  • opening of vesicles, outflow of exudate;
  • the appearance of weeping erosions at the site of the vesicles;
  • overgrowing of foci with a serous crust.

Weeping eczema on the face

The main difference between the presented type of pathology is the release of fluid on the surface of ulcers in the form of small drops, similar to dew or tears. For this reason, in English, this form of the disease is called weeping eczema. Another characteristic symptom is very severe itching. Its intensity often leads to sleep disturbances in humans and even mental disorders.

Dry eczema on the face

The exact cause of this type of disease has not yet been established. Asteatotic or dry eczema is severe dehydration of the skin on the face. It is accompanied by peeling and cracking, damage can bleed. Pathology slowly progresses and almost immediately passes into a chronic form with exacerbations, mainly in winter. Specific symptoms:

  • severe dryness of the epidermis (xerosis);
  • obvious skin pattern;
  • redness;
  • the appearance of large red plaques on the face;
  • a network of small, but deep and painful cracks, as in old porcelain;
  • inflammation of the epidermis.

Microbial eczema on the face

The described type of disease affects the hair follicles, first the inflammatory process is localized above the upper lip and on the chin, later spreading to other areas of the skin. There are different bacterial types of eczema, depending on the causative agent of the pathology (staphylococci, streptococci, and others). All forms of the disease have a similar clinical picture. How does infectious eczema appear on the face:

  • hyperemia and swelling of the skin;
  • the formation of round or oval inflamed foci;
  • the appearance of purulent blisters;
  • opening of vesicles, outflow of contents;
  • the formation of large weeping erosions;
  • overgrowing of ulcers with dense brownish-yellow crusts.

Seborrheic eczema on the face

The presented type of problem affects the hair growth zones and their surrounding areas. Often seborrheic eczema is localized along the eyebrows, on the forehead, around the mouth and nasolabial triangle. A bright red, wide inflamed border forms in the upper part of the face. Dermatologists call it the seborrheic crown. Without effective treatment, the pathology captures vast areas, spreading to the entire scalp, ear folds and neck, forming an “eczematous helmet”.

Symptoms of the described disease:

  • small pinkish or yellow nodules on the face;
  • confluence of the rash, the formation of large plaques covered with oily skin scales;
  • exfoliation of the epidermis;
  • sebaceous surface of rashes;
  • weeping ulcers after removing the scales;
  • no itching.

Mycotic eczema

Mycotic eczema

This form of the disease is provoked by fungi of various kinds. For therapy, it does not matter what specific microorganism causes eczema, the classification includes candidiasis, mycoses, lichen, and other types of lesions. This type of pathology is considered one of the most difficult in terms of treatment. Fungi penetrate into small skin lesions and multiply rapidly, populating a healthy epidermis with their colonies. They release toxins that trigger an allergic reaction. As a result, new microtraumas appear, and eczema on the face progresses even faster.

Clinical picture:

  • the formation of round and oval inflamed plaques;
  • rash in the form of blisters with grayish or yellow contents;
  • opening of the bubbles;
  • formation of weeping surfaces;
  • covering erosion with dry scales and crusts;
  • severe itching.

Symptoms of eczema

Features of the course of pathology depend on its alleged causes, pathogens and type. Specific signs of eczema according to the form of the disease are presented in the previous paragraphs. Their severity and duration differ at different stages of the progression of the disease. At the very beginning of development, the disease weakly makes itself felt and is associated with a simple allergic rash.

Stages of eczema

The progression of pathology goes through 6 stages. They can have any duration and occur at different periods of time, therefore, in the same lesion, the first signs of eczema and its late symptoms are sometimes observed. In the chronic course of the disease, remission is often immediately replaced by relapse. Stages of development of the disease:

  1. Erythematous eczema on the face – the initial stage. Redness, spots, swelling, foci merge with each other.
  2. papular period. The formation of bright red nodules with clear boundaries.
  3. vesicular stage. The appearance of bubbles with cloudy exudate inside.
  4. Moist stage of eczema on the face. Opening of blisters, formation of wet erosions.
  5. Cortical period. Drying of the serous fluid. Formation of yellowish-brown crusts.
  6. Peeling. Scales falling off, skin healing.

Eczema on the face – treatment

Therapy should be developed only by a dermatologist after a thorough examination and the necessary tests. It is important to find out what provoked the pathology, and what progresses eczema on the face – home treatment without clarifying the diagnosis will be ineffective and may aggravate the problem. This is especially true of infectious forms of the disease, which are caused by bacteria and fungi.

eczema on face treatment

There are several conservative ways to cure eczema on the face:

  • application of ointments, creams;
  • taking pills;
  • use of alternative medicine;
  • diet compliance.

Ointment for eczema on the face

Local hormonal preparations are used to stop inflammation and suppress an inadequate immune response. Means that affect the cause of the pathology (fungi, bacteria) are individually prescribed. Ointment for eczema is selected by a doctor from the following list:

When the inflammatory processes subside, it is better to switch to ointments without glucocorticosteroids:

  • salicylic;
  • boron-naphthalan;
  • zinc;
  • with silver nitrate;
  • boron-tar (Meshchersky ointment) and others.

Cream for eczema on the face

With increased greasiness of the affected surfaces, drugs with a less greasy consistency are recommended. Eczema on the face – how to treat from creams (hormonal):

  • Advantan;
  • Elidel;
  • Sinalar;
  • Afloderm;
  • Soderm;
  • Akriderm;
  • Fucicort;
  • Triderm and analogues.

Non-hormonal creams:

  • Gistan;
  • Losterin;
  • Aisida;
  • Eplan;
  • Naftaderm and synonyms.

eczema pills

Sometimes local therapy is not effective enough, and the dermatologist prescribes a short course of systemic treatment. Before getting rid of eczema on the face, it is desirable to establish its origin. When inflammation is caused by fungi or bacteria, appropriate (antimycotic and antimicrobial) drugs are used. If eczema is observed on the entire face, and the pathology is rapidly progressing, hormonal medications are required:

To relieve symptoms and normalize metabolic processes, the following groups of drugs are prescribed:

  • antihistamines (Fenistil, Eden);
  • desensitizing (thiosulfate, calcium gluconate);
  • vitamin and mineral complexes (Neurovit, Supradin);
  • sedatives (Sedavit, Persen);
  • hepatoprotectors (Essentiale, Gepabene);
  • sorbents (activated, white carbon).

Eczema on the face – treatment with folk remedies

Phytotherapy and alternative methods are suitable as ancillary measures and only with the consent of a dermatologist. Folk remedies for eczema on the face often contain concentrated allergens, which can worsen the course of the pathology and provoke dangerous complications. Before using them, you must make sure that there are no hypersensitivity reactions to the components of the recipes.

Eczema on the face treatment with folk remedies

Natural ointment for eczema


  • garlic – 3 cloves;
  • honey – 1-2 teaspoons.

Preparation, application

  1. Crush the garlic to a pulp.
  2. Mix pulp and juice with honey.
  3. Rub the resulting product into the affected skin on the face 2-4 times a day.
  4. Continue until permanent improvement.

Washing solution for eczema


  • viburnum berries – 50 g;
  • red currant fruits – 50 g;
  • viburnum leaves – 100 g;
  • leaves of black and red currant – 100 g;
  • water – 1.5 l.

Preparation, application

  1. Mix fruits and leaves.
  2. Pour boiling water over them.
  3. Boil the raw materials for 10-15 minutes over low heat under the lid.
  4. Leave the medicine for 30 minutes.
  5. Strain the liquid.
  6. Wash your face with the resulting solution 3 times a day, without rinsing with clean water.

Anti-inflammatory compress for itchy eczema


  • white cabbage leaves – 4 pcs.
  • raw egg white – 2 pcs.;
  • fine sea salt – 0.5 tsp.

Preparation, application

  1. Lightly beat egg whites with a fork.
  2. Mix them with salt.
  3. Grind the cabbage leaves into a paste.
  4. Connect components.
  5. Put the resulting mass on a gauze napkin.
  6. Place a compress on the affected areas.
  7. Hold it for 20 minutes.
  8. Repeat 2 times a day.

eczema diet

The diet is an important point in the treatment regimen for the disease under consideration.

Diet for eczema on the face excludes:

  • salt;
  • spices;
  • all berries;
  • desserts;
  • sugar;
  • alcohol;
  • coffee;
  • black, green tea;
  • potato;
  • tomatoes;
  • corn;
  • apricots;
  • any citrus;
  • peaches;
  • kiwi;
  • semi-finished products;
  • canned food;
  • ice cream;
  • products with dyes and synthetic components;
  • milk;
  • eggs;
  • soy;
  • flour products of the highest grade;
  • seafood;
  • red meat;
  • fatty, fried foods;
  • peanut;
  • sauces;
  • marinades;
  • jam;
  • honey and other potentially allergenic foods.


  • vegetable broths and soups;
  • dietary meat, poultry;
  • river fish (boiled);
  • cereals;
  • low-fat dairy products;
  • light fruit juices;
  • vegetable stews;
  • mineral water;
  • melon cultures.