alternative/holistic medicine, eczema

review: prime physique nutrition’s conquerer eczema academy

abandoned antique architecture building
Photo by Pixabay on Pexels.com

I have been following Abby Lai, a registered holistic nutritionist, and the creator of Prime Physique Nutrition for a few years now. I remember first coming across her blog and being flabbergast that there were others who had this annoying condition to similar severities as myself; it made me feel less alone. She also is the creator of the first eczema podcasts.

Since then, her and Jen, the blogger behind Eczema Holistic Healing, have created the Conquerer Eczema Academy, which is an 8-week program they do that offers a wealth of options to the sufferers of eczema.

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For those new to the whole eczema issue, they have lots of information about what causes it, common treatments and ways to manage flares, how diet can impact your skin and flares, coping mechanisms, etc in the form of videos. The program includes a private Facebook group so the participants can find community with one another and get questions answered by Abby and Jen. There are weekly group video sessions where everyone can get online and feel the immediate impact of being part of a group and supported, as well as discuss various topics together.

All in all it’s a useful program. As Abby says, you get out of it what you put into it. She also says that the participants who have had the most success are the ones that attend the weekly video sessions.

I have to admit I’ve missed a few since the baby came (they are at 8:30pm for my time zone) but I think they are fine. I tend to not have the ability to sit still through a video chat, which is a personal problem, so I tend to prefer posting on the Facebook group more.

Overall I think it’s a useful program, especially if you are someone who feels you don’t have support or that no one understands what you are going through. The program has people who are at all stages of either TSW or eczema flares and so it is comforting to be able to talk through things with others, and compare where we are while rooting for one another.

Abby also offers individual coaching, though I didn’t try it so I’ve got no info about it.

If you’re interested, the link to the program is here.

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eczema, my journey, NEA, relationships

love is more than skin deep

close up of tree against sky
Photo by Pixabay on Pexels.com

One aspect that sucks about eczema is how detrimental it can be for finding love. A large part of our society, for better or worse, may notice visual aspects of a person such as our skin first, and having rashes and redness that many people perceive to be contagious doesn’t help much when you’re on the market. Also, even if people aren’t noticing our skin, we may think they are and be more self conscious or less confident because of our own insecurities and perceptions.

Though it can see hopeless at times, there are many people out there who do suffer from eczema (or other visible skin conditions) that find love and prove that most people do see more than skin-deep.

The National Eczema Association had a post a while back that featured a few individuals sharing their stories about their experience with having eczema and dating, marriage, and intimacy, and how they manage to live happily ever after. The post also mentioned the character traits that the interviewees found most desirable in their partners: “openness, honesty, and authenticity”.

My own experience with eczema and romance has been fairly tame. I didn’t date until I was about 20, and when I first had the global skin flare my junior year of college I just retreated into my room for the most part and focused on how to deal with school rather than focusing on romance. I think at the time I was stressed enough by school in general that dating wasn’t really on my mind, and if it was I assumed my weird personality would be more of a deterrent than my skin. Though, when I was on oral steroids and antibiotics I remember going out a lot more and being a lot more flirty in general because my skin felt better. I think personally I just shifted wildly between hiding when I was flaring badly, to going out and being extremely social when my skin was under control. My skin was a bit bad after I graduated when I was working as a physical therapy aide back in Maryland, but I think I combatted that era of life by eating better and being freakishly active. I went out dancing a lot, but also ran every day and enjoyed hours in the sun. I also generally have an easier time with the visible skin issues in the warmer months, so even though I still slept poorly, I felt more comfortable in public with my skin because I knew it wasn’t as noticeable to others. When I started dating Jake, I remember the first night I stayed over his place I asked him why he kept his socks on all the time (even when the apartment was heated), and he said he had bad eczema that looked really gross. I told him I had eczema too and that he shouldn’t have to hide his feet and made him take off his socks. When my flares inevitably came back and plagued my entire body I did have moments where I felt really insecure I’d flood him with a whole host of questions. Do you want to be with me if I never heal? If I’m always flaky? If I’m always stressed by my skin? If I never want to go out anywhere? If some days I can’t cuddle with you? I’d ask him: why do want to be with someone who’s face was also dry, swollen and puffy? I am not pretty- I don’t even have skin! He always answered that I was beautiful and that my skin wasn’t want made me beautiful, and that yes, he wanted to be with me even if I never healed, we’d just learn to cuddle with sheets between us, and that he believed I would heal and it would just take a while and there would be good days and bad. Eventually I stopped having the insecurities around my skin and our relationship, and generally I don’t worry about that even if my flares are bad, which I think has helped us get much better at handling them. So in my experience, it just takes finding the right person, and eczema doesn’t impact that.

In regards to the experience of others, Abby Lai (of Prime Physique Nutrition) had a post and video a while back about dating when you have eczema that covered a lot of her own personal experience as well as advice to both the person with eczema as well as the partner.

I also came across a post by Shelly Marie, a blogger of eczema who did interviews with her parents and her boyfriend about how her eczema affects them. I thought it was a really cool idea, and so for this post, I asked my husband some of the questions.

 

Interview with Jake:

How long have you known me?

  • 6 years

What were your first impressions of me?

  •  Funny and incredibly genuine. A very caring and intelligent person. Also, hot.

Could you see that I had a visible skin condition? If so, what were your opinions on it?

  • No but I became aware of your skin history early on.

Did do you know what eczema was?

  • Yes, I have it.

Do you understand more about eczema now since we’ve been together?

  • Yes absolutely. We even do research together now.

Has my eczema ever affected me more than physically?

  • Yes, it is a stressful disorder that has at various times lead to compulsions, fear, chronic sadness, and stress.

What are your opinions on eczema and mental health?

  • The former can lead to problems with the latter.

Has my eczema ever come in-between our relationship?

  • Not exactly, though at times it has made some common/everyday things difficult, like prolonged physical contact, temperature control, going out and socializing, and eating.

How does my skin affect you?

  • It worries me when you aren’t feeling well. I internalize your stress and just want you to feel better. It hurts me to see you in pain.

Have you ever had a bad experience with my skin? If so, what was that and how did you help resolve it?

  • Yes. During dry out periods the flaking can be extreme and requires diligent house/car cleaning routines. During really bad flares, we need to almost entirely avoid physical contact. Hoodies and blankets help with that!

When I have a bad flare up eczema how does that affect me from your point of view?

  • It stresses you out and is deeply frustrating to you. It restricts common activity, and makes you worry about causality, especially dietary causes.

Do you think there is enough help out their for sufferers with a skin condition? If not, how do you think this can be changed?

  • No, there isn’t. The biggest thing that needs to change right now is overprescription of corticosteroids. Doctors almost universally address symptoms and not causes of this disorder. There needs to be an increase in education on the relationship between lifestyle and systemic inflammation. Such a relationship is known to exist and doctors should address the root causes of inflammation long before risking potentially permanent damage via misuse and overuse of prescriptions.

What would your advice be to others who are in a relationship with someone who has eczema (or any other condition)?

  • It’s important to keep in mind that this is a manageable condition and to be incredibly observant of any behaviors and habits that correlate to flares.

 

So there’s a taste of what it can feel like for the person on the other side of the eczema curtain.

I’ll leave you with the immortal ever-applicable words of India Arie, “I am not my hair, I am not my skin, I am the voice that lives within”.

 

REFERENCES

Crane, Margaret. “Happily ever after (with eczema).” National Eczema Association, https://nationaleczema.org/happily-ever-eczema/. Accessed 21 May 2018.

alternative/holistic medicine, eczema, food and nutrition, my journey, sugar, women's health

the magic of medicinal ideologies

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Something that has always fascinated me has been the underlying ideologies behind medicine of different regions/cultures, be it modern western science, naturopathic medicine (which can blend a lot of the holistic and western medicine practices), traditional Chinese medicine, Ayurveda, or yoga.

As western medicine is the most familiar, I will talk about that briefly at the end.

The other day I went to a Qi Gong and Tai Chi school where I talked with one of the instructors about the concepts behind medical Qi Gong. We talked a little bit about my skin and the instructor mentioned how the skin and the liver are connected in the Chinese ideology and so if the skin is showing lots of signs of disease, there may be an issue with the liver’s digestion. She also mentioned that I would be a person expected to have an imbalance of yang over yin. Yin and yang are seen as complimentary energies that keep the body in balance, with yin being the cooler, more feminine energy, and yang being a hotter, more masculine one.

In regards to nutrition, when I was seeing an acupuncturist a few years ago, she also talked about the dietary components that might be causing my skin issues. She also believed that I had an imbalance of yin and yang, (in that again I had more yang), hence the inflammation. Her advice to me was to eat less spicy food, avoid sugars, and have more bitter herbs in my diet, as well as continuing the treatments I was getting from her in acupuncture, cupping, and massage.

The National Eczema Associate interviewed Dr. Xiu-Min Li (a Professor of Pediatrics in the Division of Pediatric Allergy and Immunology at the Icahn School of Medicine at Mount Sinai) who studies asthma and allergies (including AD) and went on to explain about traditional Chinese medicine and how it fits into the treatment of eczema. The article provides more insight into how TCM is starting to be incorporating into mainstream western medicine, with the goal of having an alternative to use before topical steroids. It would seem that many people currently turn to try traditional Chinese medicine when standard western medicine practices of topical/oral steroids and other topical medications don’t do the trick.

When I was doing my yoga teacher training a while back they talked about chakras. Chakras are energetic points of the subtle body and there are 7 of them that line the spinal column, and they each are meant to represent a basic level of human consciousness. According to what I learned during the training, when the third chakra (Manipura) is unbalanced, one can expect to see eczema and other stress-related skin conditions. This may be because the third chakra is connected to the detox related organs (like the liver) as well as the abdominals, obliques, etc.

Nutrition based in the Ayurvedic ideology talks about balancing the Pitta dosa (doshas are energies that control how we act, think, move, etc), and to do that they advise avoiding eggs, wheat, milk, nightshades, spicy foods, corn, shellfish, and overly sugary foods. Eczema is seen to be more of an excess of Pitta dosha, or more fire, hence trying to eliminate inflammatory foods.

Here’s an anecdotal story published by the National Eczema Association a while back about a family that turned to Ayurveda when the western medicine wasn’t helping their daughter’s eczema.

In regards to modern western medicine practices, a few comparison points are developing that reflect the more holistic ideals in the ideologies mentioned above. For example, added sugar is more or less nationally seen as being inflammatory, and many doctors will caution against having a diet that includes too much of it. There are also more practices such as taking bleach baths to help reduce infection risk and other treatments that can be done at home without a prescription that a western doctor will recommend now. And the recommendations around lotions and moisturizers (over the counter) are more prevalent, though the brands which are suggested still vary. Light therapy/phototherapy is also recommended to help increase vitamin D exposure, and more and more doctors are also advising getting moving more to help with healing, as well as different solutions to try at night to help with sleep- from stress relieving techniques like meditation or taking a bath at night, to antihistamines.

I personally however, have not yet had a doctor who engaged me in a conversation that got more specifically into nutrition (minus not eating a lot of sugar or junk food). I am not sure if it is out of their scope of practice, but it has not come up in 26 years of seeing doctors, which surprises me. Many doctors, as far as I can tell, still think eczema is not really related to food, but as I do have food allergies I was born with, I would probably be a prime candidate to test for new allergies. The rub there is that generally doctors will prescribe getting a patch test done- but you have to have cleared up skin for the test results to be more or less accurate, and you can’t be on steroids at the time (and I haven’t had clear enough skin in about 3 years).

There is also the holistic medicine movement we see that is not specifically tied to any of the above ideologies. It includes more of western herbalism, often crossed with different nutrition changes and protocols, like the autoimmune protocol, or the elimination diet, or other variations to help with what is called the “leaky gut” syndrome. There are tons of resources from bloggers, nutritionists, doctors, etc about how to go about a nutritional change to heal whatever ailments you are undergoing with food, and I’ve also noticed a lot of sufferers of eczema have gone into nutrition after having success controlling their conditions with their dietary changes (one example being Prime Physique Nutrition). There are also movements to changing the whole lifestyle to be more holistic (like making your own cleaning products as well as skin creams, moisturizers, body wash products. A lot of this new movement is grounded in taking control of your health, often after having tried working with doctors in modern western practices for long periods of time unsuccessfully.

A health resurgence in America has been in herbalism. Some famous members of the community include Rosemary Gladstar (author of Herbal Healing for Women), Susan Weed (author of Wise Woman Herbal for the Childbearing Year), Aviva Romm, Mark Blumenthal (founder of the American Botanical Council), Christopher Hobbs, and many, many others. [Of note, I am usually deep into researching about women’s health, hence the references above. Gladstar does have a book on men’s health called Herbal Healing for Men].

From Gladstar’s book Herbal Recipes for Vibrant Health (which I own) she briefly talks about her general advice as an herbalist for how women can keep balance in the bodies by doing “good living practices”, which she notes as having proper nutrition, ample enough rest, joyful exercise, self connection, and tonic herbs. Delving deeper into nutrition she says to eat foods close to their natural states (which also means eat what grows seasonally), pay attention to how you feel while eating and afterwards, eat organic when you can, and eat  alkalizing foods. She notes about the latter that a lot of the disorders women have thrive in acidic conditions (aka when we eat too many sweets and carbs).

Personally, I have found relief from the most extreme symptoms by modifying my diet (I usually avoid eating wheat products and sugar because I tend to over consume foods containing them), and by using products approved by the NEA that avoid parabens, alcohol, and other chemicals that can be irritants for people with eczema. Acupuncture did seem to help- though I can’t say it was in isolation, since I did get massaged each time (which is also known for helping eczema). I tend to only bathe in a diluted bleach bath when I feel like my skin is getting close to infection (not sure how to explain how I know when that point is), otherwise this winter I did take a lot of baths with either apple cider vinegar (works similarly to bleach) or epsom salt (tends to calm me down and works well for helping me get through the dry out phase of TSW faster). I generally avoid using topical steroids when I can because I have gone through withdrawals before, and because I don’t like the reliance on something that doesn’t fix my issue (usually starting on steroids means I have to stay on them because I flare back up as soon as I start a taper).

All in all it does feel like there are more overlaps occurring over time in these differing ideologies, and we are seeing them sort of blend together in effort to figure out how to deal with chronic non-fatal diseases such as eczema. Whether or not they work still mostly seems to comes down to a person-by-person basis.

 

REFERENCES

“Ayurvedic Medicine and Eczema.” National Eczema Association, https://nationaleczema.org/ayurvedic-medicine-eczema/. Accessed 14 May 2018.

Berzin, Robin. “The Simple Elimination Diet that Could Change Your Life Forever.” Mind Body Green, https://www.mindbodygreen.com/0-12540/the-simple-elimination-diet-that-could-change-your-life-forever.html. Accessed 14 May 2018.

“The Effects of Traditional Chinese Medicine on Eczema.” Pacific College of Oriental Medicine, https://www.pacificcollege.edu/news/blog/2016/08/19/effects-traditional-chinese-medicine-eczema. Accessed 14 May 2018.

Ehrlich, Henry. “Traditional Chinese Medicine and Eczema: An Interview with Xiu-Min Li, M.D.” National Eczema Association, https://nationaleczema.org/traditional-chinese-medicine-and-eczema/. Accessed 14 May 2018.

Gottfried, Sara “Is the Autoimmune Protocol Necessary?” Sara Gottfried MD, https://www.saragottfriedmd.com/is-the-autoimmune-protocol-necessary/. Accessed 14 May 2018.

“The Three Doshas: The Keys to Your Individual Nature.” Eat Taste Heal, http://www.eattasteheal.com/ayurveda101/eth_bodytypes.htm. Accessed 14 May 2018.

“Yoga for Skin Diseases”, Yoga India, http://yoga-india.net/wp-content/uploads/2014/04/Yoga-for-Skin-Diseases-Anna-Mayer.pdf. Accessed 14 May 2018.

 

Note: Some of the above links are affiliate links. This means that if you click on one and purchase an item, I will receive a small affiliate commission (at no cost to you).

books, eczema, media/arts, topical steroid withdrawal, topical steroids, travel/traveling

eczema representation

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Though eczema isn’t the most glamorous of conditions, there is a growing body of representation of people with eczema in various social mediums, which is amazing because the more people that talk about our lives with eczema, the more information, studies, and community are built around it. As I come across more examples, I’ll update this post with the caption NEW.

 

TV SHOWS/MOVIES/DOCUMENTARIES/THEATER

  • One of the most notable now is Peter Moffat’s HBO series, The Night Of, which features the character John Stone, who suffers from aggressive eczema on his feet. Throughout the show we see him try various techniques to manage his eczema including bleach baths, Chinese medicines, airing his feet out, slathering Crisco and wrapping his feet in plastic wrap, UV light, etc.

phzntkc1kw2qbwe(photo source here)

  • (NEW) There is also a theater production called ECZEMA! created by Maria Fusco that embodies eczema in a creative way through writing, plays, music (including a musical backtrack of the sounds of Fusco scratching). There’s an interesting article written about it here.
  • (NEW) Briana Banos, a former performer and aerialist has created a documentary called Preventable: Protecting Our Largest Organ, to educate the medical field all about the horror of life with topical steroid withdrawal, and why topical steroids shouldn’t be so freely prescribed.

 

BOOKS

There are also a handful of personal storytelling books about people’s own experiences with eczema, with the authors all having very diverse backgrounds. For example:

And we’re also seeing a growing movement of children’s books about eczema such as:

 

COMICS

These prove a lot harder to find (which is unfortunate because I love webcomics!) but here are the two I stumbled across by Ms. Yoshimi Numajiri, (found on Tommy’s Skin of Rose blog).

 

ECZEMA ENTREPRENEURS

You also see a lot of entrepreneurs, whether they are doing eczema coaching of some sort, or have created a specific product/ product line. A few include:

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INSTAGRAM

Naturally instagram has become an amazing platform for expression. There you can find awesome people including most of the entrepreneurs mentioned above.:

 

YOUTUBERS

Of course with youtube we have vloggers too- some that focus all on eczema and others that talk about eczema and its effects around the other aspects of their lives.

  • Zainab Danjuma
  • Brookie Beauty
  • Josh Wright – a pianist and piano teacher that made a video talking about his experience with eczema and TSW and what he used/did to get through it. He also made a post about it here.
  • Dr. Nina Ellis-Hervey – she gives advice about her general body care routines, and this particular video shows how she manages her eczema. She also includes how to make a homemade body butter.

 

BLOGGERS

And of course, there are tons of blogs out there made by dedicated individuals who are spreading the word about what living with eczema is like:

 

MODELING

More and more people are also trying to spearhead showcasing diverse bodies, especially in modeling.

  • Missguided – though not eczema-specific, a new part of their #KeepOnBeingYou movement has models showing off their bodies regards of having “imperfect” skin with the #inyourownskin campaign.
  • (NEW) Dove DermaSeries – creating a movement to help women “make peace with dry skin”, Dove specifically selected to have models with all sorts of skin conditions to show better representation of skin conditions and subsequently to help women feel comfortable in their skins

 

So if you are out there feeling like you suffer from a condition that no one gets, or that isn’t really seen in the media, don’t feel alone! There are lots of us out here each expressing ourselves and living with this condition in our own ways, just waiting for you to find us. And many of us are open to people reaching out as well. 🙂

 

Note: Some of the above links are affiliate links. This means that if you click on one and purchase an item, I will receive a small affiliate commission (at no cost to you).

eczema, exercise and activity, food and nutrition, my journey, pregnancy, women's health

where’s my glow? (pregnancy with eczema)

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Today I decided to dig a bit more into the world of eczema for us pregnant folk.

I started by watching a podcast done by Abby Lai (of Prime Physique Nutrition) in which she talked with Dr. Peter Lio (he’s done a few National Eczema Association webinars). Link to Abby’s podcast is here.

The major points were:

  • It’s not really understood why but about 1/2 of pregnant women have worsened symptoms and 1/2 have bettered symptoms. Dr. Lio likened it to how some women get nausea during pregnancy.
  • You can have a flare in one pregnancy, but not in the next. Also you can have changes in skin between trimesters.
  • Dr. Lio mentioned a few itching conditions that can occur during pregnancy such as cholestasis (when liver and gall bladder slow down their bile flow which causes a terrible itch), atopic eruption of pregnancy, PUPPP (or pruritic urticarial papules and plaques of pregnancy which usually occurs during the 3rd trimester).

He and Abby then talked about treatments used during pregnancy including such as:

  • how topical steroids are okay but not most potent ones. The goal is to keep body surface area that you apply the topical steroids to relatively low (so not WHOLE body), because topical steroids go in blood if they are used long enough or over large surface areas.
  • light/phototherapy
  • Benadryl and other anti-histamines
  • wet wraps, icing, moisturizers (see my post on products I’ve tried here)
  • anti-itch creams in small amounts (such as camphor and menthol)
  • natural oils like coconut and sunflower seed oil (if not allergic)
  • dilute bleach baths (he also mentioned a recent paper shows it’s anti-inflammatory and anti-itch directly, as well as being antibacterial)
  • topical vitamin B 12 (water soluble) – pink magic

The takeaway advice he gave was don’t be afraid to use medicine so long as you have a doctor helping you.

 

I was having trouble finding full access studies but I did stumble across a PDF from the National Eczema Association about getting pregnancy, skin tips during pregnancy, and after pregnancy advice. It also talked about the likelihood of the baby getting eczema and things to hopefully prevent it.

The same study also mentioned that avoiding soap can also help decrease the disruption to the skin barrier.

In regards to when the mothers are postpartum, there can be challenges with breastfeeding if the mother develops eczema around the area. In that case, the study said low to moderate potency topical steroids can be used so long as they are washed off before the next breastfeeding.

 

(NEW) The National Eczema Association posted a new article May 2018 called Oh baby! Eczema from pregnancy to menopause that goes into more detail about why women may experience more incidences of eczema during pregnancy. It mentions how a researcher at the University of California-San Francisco (Dr. Jenny Murase) found that when a woman is pregnant, her body shifts from Th1-dominant to Th2-dominant immunity in order to protect the fetus (because Th1 attacks foreign material that get into our cells, aka it would attack the fetus since they have half of the father’s cells). Th2-dominant immunity means the mom’s body attacks allergens and whatnot that are flowing around outside her cells, protecting the fetus, but not helping when it comes to eczema. The blog post said that the shift from Th1 to Th2 is driven by the surge of estrogen. Perhaps that is also why women generally have higher rates of eczema than men? Unfortunately I couldn’t find the study that the NEA article cited so I can’t follow up with more, though I did find an abstract from Dr. Murase et al, that mentioned how psoriasis tends to improve during pregnancy correlating with those higher estrogen levels… so maybe one of the immunity-linked causes of eczema and psoriasis are opposite in origin?

My personal experience with being pregnant while having eczema has been that I have to be more mindful about how I treat my eczema relative to general lifestyle changes too. For example, no longer can I go and drink tons of kombucha (due to varying alcohol content and the light risk of bacteria), enjoy whatever random herbs I feel will help me heal, go jump into a hot yoga class unprepared (because getting dizzy affects another being besides myself), eat whatever fish I want whenever (I am a tuna fan and enjoy sushi when not pregnant), run and jump into a hot springs all willy nilly, etc. I have to be more mindful about sharing my body and not just jumping into whatever new protocol or thing I want to try out to help my skin. I can’t decide to just go on a particularly aggressive dietary change that involves caloric restrictions or drastic nutritional adjustments.

That being said, being pregnant has also had a lot of changes that might be helping my skin. In my first trimester I was very sugar and meat adverse, so I ended up eating a lot more veggies. Now in my third trimester I tend to crave veggies as a way to keep my guts feeling good, and to keep indigestion at bay. I also eat smaller meals more frequently, and don’t really accidentally binge eat big meals mindlessly, which is great because it means my body isn’t overtaxed in digestion (more time to heal the skin!). Pregnancy has me feeling a bit more tired (and much like with a flare, also avoiding high intensity activities), so I tend to stick to lower impact, longer duration activities like going for walks for miles or remembering to get in 100 modified push-ups a day.

Anyway, I’ll stop there and leave you with a current photo of me. I’m about 31 weeks pregnant now and you can see my arms and hands in particular are especially topically-challenged.

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REFERENCES

Crane, Margaret W. Oh, baby! Eczema from pregnancy to menopause. National Eczema Association, https://nationaleczema.org/oh-baby-eczema/. Accessed 30 Apr 2018.

Lawton, Sandra. “Pregnancy and eczema”. Exchange, https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=20&ved=0ahUKEwj3hO2D-9jaAhWmc98KHRNhAusQFgjGATAT&url=http%3A%2F%2Fwww.eczema.org%2Fdocuments%2F711&usg=AOvVaw2fS6lrX7fvyosOV1imHE4p. Accessed 30 Apr 2018.

Murase JE, Chan KK, Garite TJ, Cooper DM, Weinstein GD. Hormonal effect on psoriasis in pregnancy and post partum. Arch Dermatol. 2015 May;141(5):601-606.

Silverberg JI, Hanifin JM. Adult eczema prevalence and associations with asthma and other health demographic factors: a US population-based study. J Allergy Clin Immunol. 2013 Nov;132(5):1132-1138.

 

Note: Some of the above links are affiliate links. This means that if you click on one and purchase an item, I will receive a small affiliate commission (at no cost to you).