The effectiveness of medical treatment fundamentally depends, among
other things, on the most accurate diagnosis. However, in some forms of eczema,
the diagnosis can be very difficult, for example, due to the presence of other concomitant
infectious skin diseases accompanied by severe inflammation, often not much
different from eczema. Even if an effective treatment is found, there will
always be the possibility of new exacerbations. So, for example, in atopic
dermatitis, hereditary predisposition is of paramount importance; while in
allergic contact eczema, a new aggravation may be caused by contact with an
allergen, which cannot always be avoided.
In addition, areas of the skin affected by eczema lack effective protection
against microbial contamination . Due to the loss of the acid mantle of the
skin, the washing out of the protein-containing fluid, and the weakening of the
body’s own defenses, an ideal breeding ground for harmful microorganisms such
as bacteria or fungi is created. This complicates both the healing process and
the treatment itself.
With eczema, accompanied by severe itching, skin lesions, such as scratching
, can become the gates of infection . Depending on the form of eczema and
the duration of the disease, infections of a very different nature can occur.
There are special skin microorganisms that can cause infection even on healthy
skin if a certain amount of pathogens have accumulated on it. If the skin is
injured, then even a relatively small number of pathogens is sufficient for the
development of an inflammatory reaction.