Saturday 26 October 2013

Step one of the eczema journey - exploring the statistics



In trying to set up this blog, I wanted to gather some statistics about eczema – in particular I wanted to know about how many people were affected by eczema.

Amazingly, I could only find two main UK statistics:

1 in 5 children suffer from eczema
1 in 10 adults suffer from eczema

Other than this, the only interesting information I could find on the topic of eczema was a BBC article, last updated in 2009, which stated that between 2001 and 2005 there was a 42% increase in the number of people who were diagnosed with the condition in the UK.

I also found some information stating that 35 million Americans suffer from the condition, 1-3% of adults and 10-20% of children. Another statistic I found interesting was that 60% of infants continue to have one or more symptoms in adulthood in the USA.

But what about the affect the eczema has on these people? What about the treatments they use? The treatments they find most effective?

None of these issues were raised in any of the statistics I could find.

And so I took finding answers into my own hands by releasing a survey, which 60 (and still counting!) brilliant eczema sufferers have given their time to complete.  

So far, here are the most interesting results of the survey:

-      75% of people find that their eczema keeps them up at night.
-     95% of people say that eczema makes them conscious about their appearance.
-        Perhaps surprisingly to some people who do not suffer from eczema, 83% of people who complete the survey believe that eczema has, at some point, had a direct affect on their ability to work or go to school.

These results show that eczema has a huge psychological effect on people’s lives. According to WebMD, lack of sleep can have serious negative side effects including a reduced memory and ability to learn, increased likelihood of having an accident due to reduced alertness, a lower libido and even an increased risk of high blood pressure, diabetes and heart attacks. It can also make people more susceptible to depression, as can feeling insecure about appearances; these two factors together could potentially be a dangerous mix of the consequences of eczema.

The effect eczema has on work and school is very rarely discussed, but a study backed by the National Eczema Society, has come up with similar results showing that 1 in 7 adult sufferers of eczema feel that it has stunted their career progression at some point.

-       Of all the treatments, steroid creams had been tried the most to control eczema with over 98% of sufferers having tried it.
-       68% of people find steroid creams useful in controlling their eczema, with 45% finding them the MOST useful way to control their eczema, however, 83% would rather not use steroid creams at all.

Steroid creams are often considered a controversial way of treating eczema. Some people have been worried about the use of steroids thinning the skin, but with more cases emerging, steroid addiction seems to be a growing concern. Many sufferers have taken to blogging their experiences of going through Topical Steroid Withdrawal (TSW) or Red Skin Syndrome (RSS), a term coined by American dermatologist Dr Marvin Rapaport. According to ITSAN, some of the symptoms of TSW are intense itching, red burning skin, shedding or flaking of skin, loss of appetite, eczema spreading over the body and insomnia.

However, steroids are supposed to be used sparingly and for short periods of time ONLY. To know what is meant by the term ‘sparingly’, the NHS has provided a fingertip unit guide i.e. how many fingertips of steroid cream should be used on different parts of the body at different ages.

-       On average, the 32% of people that spent over £46 a year on prescriptions, paid £218 treating their eczema
-       More than a third (38.33%) of eczema sufferers spent more than 8 hours a week visiting doctors and applying creams during a flare up
-       53% believe that their eczema controls them, opposed to 47% who believe they control their eczema

A majority of people who spent over £46 a year had an NHS pre-paid prescription card (which costs £104 a year). Others were sufferers from America, Australia and Canada, some of which spent $600 (around £370) yearly on prescriptions. The majority also spent over 8 hours a week during a flare up treating their eczema. To put that into perspective, that’s enough time to bake 12 cakes, have a full day of work, have full night of sleep, have 8 hour-long gym sessions, watch 16 sitcom episodes or, according to averages, 48 love-making sessions! Perhaps then it’s not surprising that a majority of those who completed the survey believe that their eczema controls them.

If you’re interested in completing the survey or seeing the questions you can find it here:



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