What distinguishes chronic eczema from acute eczema?

Chronic eczema persists over time with frequent recurrences.

Are the hands often affected?

Yes, especially in a work setting.

Is dyshidrosis a form of eczema?

Yes, it is a particular form of chronic eczema.

Yes, when dryness and inflammation persist.

Does stress affect the course of the condition?

Yes, it is a major aggravating factor.

Is treatment lifelong?

Not necessarily, but long-term follow-up is often needed.

Can I work with chronic eczema?

Yes, with adjustments if needed.

Are allergies always the cause?

No, but they should be looked for.

Is UV light effective?

Yes, phototherapy is useful in some forms.

Are moisturisers enough?

No, they complement medical treatment but do not replace it.

Can it be cured for good?

The goal is lasting control rather than complete cure.

Does cold weather make eczema worse?

Yes, dry winter air is an aggravating factor.

Can children develop chronic eczema?

Yes, especially if they have an atopic background.

Are natural treatments enough?

They can help, but they do not replace medical treatment.

Can the feet be affected?

Yes, particularly in certain chronic forms.

Yes, without a preventive strategy.

When should I see a dermatologist?

As soon as the eczema becomes persistent or disabling.

Dermatology · Inflammatory skin conditions

Chronic eczema

Chronic eczema is an inflammatory skin condition that progresses in flare-ups and is linked to a lasting impairment of the skin barrier. It includes several clinical forms (atopic, contact, dyshidrotic, nummular), and identifying the exact form allows personalised treatment at Turcarelli Clinic.

Written by Dr A. Turcarelli, dermatologist and allergist Updated 4 January 2026 6 min read

Book an appointment Frequently asked questions

Introduction

Chronic eczema is an inflammatory skin condition characterised by long-term damage to the skin barrier and recurrent inflammation, and includes several clinical forms.

Symptoms

Thickened, dry patches
Intense itching
Painful cracks in the skin
Small blisters (dyshidrosis)
Persistent redness
Lichenification

Causes

Atopic background
Repeated exposure to irritants
Contact allergies
Occupational factors
Chronic stress
Severely dry skin

Diagnosis

Thorough clinical examination
Assessment of how long it has lasted
Patch tests if an allergy is suspected
Assessment of the impact on daily life

Treatments

Suitable topical corticosteroids
Calcineurin inhibitors
Intensive emollients
Systemic treatments for severe forms
UVB phototherapy
Anti-inflammatory medical LED therapy
Skin barrier restoration protocols

Management

Treatment of flare-ups

Prevention of recurrences

Workplace adjustments if needed

Regular dermatological follow-up

Frequently asked questions

Consultation for chronic eczema

Consultation with a confirmed diagnosis and a written treatment plan.

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