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[Sticky] Eczema


Michael Gray MD JD
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Yes — eczema (atopic dermatitis) is commonly evaluated and treated through telemedicine, especially for mild-to-moderate flares or ongoing management.

👍 Telemedicine is usually appropriate for

  • Itchy, dry, or scaly patches

  • Recurrent or seasonal flares

  • Mild redness or inflammation

  • Medication follow-ups or treatment adjustments

  • Guidance on moisturizers and skin-care routines

During a virtual visit, a clinician can:

  • Review when and where flares occur

  • Look at photos or video of affected skin

  • Identify triggers (soaps, weather, allergens, clothing, stress)

  • Recommend skin-care routines and avoidance strategies

  • Prescribe or adjust:

    • topical steroids

    • non-steroid anti-inflammatory creams

    • antihistamines (for itch)

    • moisturizers / barrier creams

  • Plan follow-up to monitor response

Clear, well-lit photos from multiple angles are very helpful.


🟡 Telemedicine may be appropriate but could need in-person follow-up if you have

  • Possible skin infection (oozing, yellow crusts, warmth, worsening pain)

  • Severe or widespread eczema

  • Eczema on the face, hands, or genitals

  • Symptoms not improving with treatment

  • Suspected contact allergy or occupational trigger

  • Infant or very young child with a new rash

A clinician may recommend an in-person exam, cultures, or dermatology referral.


🔴 Seek urgent in-person or emergency care if you notice

  • Fever, chills, or feeling ill with a rash

  • Rapidly spreading redness or severe pain

  • Extensive blistering or peeling skin

  • Signs of severe drug reaction

  • Concern for eczema herpeticum (painful clustered blisters, fever)

These are not appropriate for telemedicine.


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