Specialising in problematic skin conditions. 


Also known as atopic dermatitis, is a chronic skin condition characterised by inflammation, itching, and a variety of skin symptoms. Here’s a brief explanation of what eczema is and why it occurs:

What is Eczema (Atopic Dermatitis)? Eczema, or atopic dermatitis, is a common skin condition that typically begins in infancy or childhood but can affect people of all ages. It is characterised by several key features:

    • Inflammation: Eczema results from an overactive immune response in the skin, leading to inflammation.
    • Itching: It is often intensely itchy, and scratching can exacerbate the condition, leading to a cycle of itching and scratching.
    • Rash: Eczema typically presents as a red, dry, scaly rash, and it may involve the development of small, fluid-filled blisters.
    • Affected Areas: The rash can appear on various parts of the body but is most found on the face, hands, feet, and the creases of the elbows and knees.

    Why Eczema Occurs: The exact cause of eczema is not fully understood, but it is believed to result from a combination of genetic, environmental, and immune system factors. Here are some key factors contributing to the development of eczema:

    • Genetics: Eczema tends to run in families, suggesting a genetic predisposition. Individuals with a family history of eczema, asthma, or allergic rhinitis may be at a higher risk.
    • Immune System Dysfunction: Eczema is associated with immune system dysregulation, specifically an abnormal response in the skin’s immune system. This leads to inflammation and skin barrier dysfunction.
    • Skin Barrier Impairment: People with eczema often have a compromised skin barrier. This makes the skin more susceptible to irritants and allergens, allowing them to penetrate more easily and trigger an immune response.
    • Environmental Triggers: Various environmental factors can exacerbate eczema symptoms, including exposure to allergens (such as pollen, dust mites, or pet dander), irritants (like harsh soaps or detergents), changes in temperature and humidity, and stress.
    • Food Allergies: In some cases, certain food allergies may contribute to eczema symptoms, particularly in young children. However, food allergies are not a primary cause of eczema in most cases.
    • Microbial Factors: Bacterial, viral, or fungal infections can worsen eczema symptoms or trigger flare-ups.
    • Hormonal Changes: Hormonal changes, such as those occurring during pregnancy or puberty, can affect the severity of eczema symptoms in some individuals.

    Treatment And Prevention. 

    Eczema is a chronic condition, and while there is no cure, it can often be managed effectively with proper skincare, avoidance of triggers, and, in some cases, medical treatments such as topical corticosteroids, moisturisers, and in severe cases, systemic medications or biologics. It’s important for individuals with eczema to work closely with healthcare providers, typically dermatologists, to develop a personalised treatment plan and learn how to manage their condition effectively.

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      Patricia Ashley

      "Paula is always open to any concerns/issues that I raise with her. She generally asks a few clarifying questions and is then able to provide insight into why the issue/concern is occurring, and how it can be resolved. Paula outlines each stage of her treatments, including why she is using a particular product, how it will make me feel, and the long-term benefits. I always leave my appointments feeling relaxed and with a bit more knowledge about my skin and/or the products I use. My skin care regime is personalised by Paula to suit my individual requirements, and it is easy for me to manage and maintain. As a result, my skin always feels healthy and presentable in its natural state, which gives me the confidence to go out and about without having to hide my face behind make up. "

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      "I have been seeing Paula for about five years now. Paula is unlike other therapists I have seen before in that her knowledge and passion for skin health is second to none. Paula not only understood my concerns about my skin, but proactively searched and implemented new cutting-edge equipment and products to aid my concerns. I have found Paula's treatments to be amazing, and I feel completely looked after and safe in Paula’s hands. Not only are Paula’s treatment successful in keeping my skin youthful looking, but they also keep my skin healthy. Thanks Paula!"

      Mariah Goode

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