Dermatitis (Eczema) 

Specialist Assessment and Evidence-Based Care

Dermatitis, commonly referred to as eczema, is a group of inflammatory skin conditions that cause itch, redness, scaling and discomfort. Dermatitis can affect people of all ages and may be acute, recurrent, or chronic.

At Your Dermatologist, dermatitis and eczema are managed with a focus on accurate diagnosis, identification of contributing factors, and individualised treatment plans aimed at controlling symptoms and maintaining healthy skin over time.

What is dermatitis (eczema)?

Dermatitis is a term used to describe inflammation of the skin. Common features include:

  • Itch (often significant)

  • Redness and scaling

  • Dry, cracked or oozing skin

  • Thickening of the skin with chronic disease (lichenification)

Dermatitis is not a single condition but a spectrum of disorders with overlapping features and different triggers.

Common types of dermatitis

Atopic dermatitis

Often begins in childhood but may persist into adulthood.  Has genetic causes. It is associated with a disrupted skin barrier and immune dysregulation, and may be linked with asthma or allergic rhinitis.

Contact dermatitis

Caused by contact with substances that irritate the skin or trigger an allergic reaction. Patch testing may be used to identify relevant allergens.

Seborrhoeic dermatitis

Affects areas rich in oil glands, such as the scalp, face and chest, and may cause flaking and redness.

Other forms of dermatitis

Including nummular dermatitis (discoid eczema), hand eczema, and occupational dermatitis, each with specific contributing factors.

Why accurate diagnosis matters

Different types of dermatitis can look similar but require different management strategies. Accurate diagnosis helps:

  • Identify triggers and aggravating factors

  • Avoid unnecessary or ineffective treatments

  • Reduce flares and long-term skin damage

  • Improve quality of life

Specialist assessment is particularly important for persistent, severe or treatment-resistant eczema.

Dermatitis treatment at Your Dermatologist

Treatment is tailored to the type and severity of dermatitis, skin location, age, and individual circumstances. Management may include:

Skin care and barrier repair

  • Education on gentle skin care routines

  • Regular use of appropriate moisturisers

  • Avoidance of known irritants and triggers 

Topical treatments

  • Anti-inflammatory treatments used appropriately and safely

  • Treatments selected to minimise side effects and long-term skin damage

Phototherapy

Use of narrowband UVB light to control eczema

Systemic treatments (when required)

For severe or widespread dermatitis, oral or injectable treatments may be considered after careful assessment.

Identification of triggers

  • Review of environmental, occupational and product-related exposures

  • Patch testing when allergic contact dermatitis is suspected

  • Often atopic dermatitis ‘eczema’ is not caused by any external factors, but is due to a genetic predisposition that leads to skin barrier dysfunction and dysregulation of the immune system

Living with dermatitis

Dermatitis is often a chronic condition with periods of flare and remission. Long-term management focuses on:

  • Reducing flare frequency and severity

  • Prompt treatment of flares

  • Maintaining skin barrier health

  • Ongoing review and adjustment of treatment as needed

Education and realistic expectations are a key part of care.

What to expect at your consultation

Your consultation will include:

  • Detailed history of symptoms and triggers

  • Examination of affected skin

  • Review of current and previous treatments

  • Discussion of diagnosis and management options

  • A clear, stepwise treatment plan

Your Dermatologist Your derm Dr Zachary Boyce East Brisbane Dermatology

Specialist eczema care in Brisbane

If dermatitis or eczema is persistent, worsening, or impacting your quality of life, specialist dermatology assessment can help clarify the diagnosis and guide effective management.

At Your Dermatologist, dermatitis care is evidence-based, measured and focused on long-term skin health - not quick fixes.