From the Research
Eczema peels after a couple of days due to the skin's inflammatory response, which causes accelerated cell turnover and damage to the skin barrier, leading to visible peeling or flaking as the outer layer sheds. When eczema flares up, the body releases inflammatory chemicals that trigger rapid skin cell production. These new cells push older, damaged cells to the surface more quickly than normal, resulting in visible peeling or flaking. Additionally, the inflammation damages the skin's protective barrier, causing moisture loss and further contributing to dryness and peeling.
To manage this, consider the following:
- Apply moisturizers like CeraVe, Eucerin, or Vanicream at least twice daily, especially after bathing while skin is still damp, as suggested by general dermatological guidelines 1.
- For active flares, topical corticosteroids such as hydrocortisone 1% cream can be applied thinly to affected areas twice daily for up to two weeks.
- Avoid hot showers, harsh soaps, and known triggers like certain fabrics or allergens.
- If peeling is severe or doesn't improve with these measures, consult a healthcare provider as you may need prescription-strength treatments or evaluation for infection or other skin conditions.
It's also important to note that the use of oral H1 antihistamines as 'add-on' therapy to topical treatment for eczema may have some benefits, such as reducing pruritus, but the evidence is not consistent and the quality of the evidence is limited 2. However, this does not directly address the peeling associated with eczema.
In terms of specific treatments, there is limited direct evidence from the provided studies that addresses the peeling of eczema. However, managing the underlying eczema through moisturizers, topical corticosteroids, and avoiding triggers can help reduce the severity of peeling. For severe cases, consulting a healthcare provider for further evaluation and treatment is recommended.