How can you differentiate between eczema and cellulitis?

### Understanding Eczema and Cellulitis Eczema and cellulitis are two different skin conditions that can sometimes look similar. Knowing the difference is important for proper treatment. #### Eczema Eczema is a chronic inflammatory skin condition caused by an overreaction of the immune system to allergens or irritants. It can be influenced by genetics and environmental factors. Common symptoms include dry, itchy skin, which can lead to scratching, bleeding, blisters, and sometimes skin infections like cellulitis. Eczema can vary in severity and may have flare-ups. Treatments include moisturizers, ointments, special baths, wet-wrap therapy, topical steroid creams, and corticosteroids. #### Cellulitis Cellulitis is a bacterial infection of the skin and soft tissues, often entering through cracks or breaks in the skin, including those caused by eczema. It is deeper than eczema and can be painful, with symptoms like red, swollen, and warm skin. It can spread quickly and become serious if untreated. Antibiotics are commonly used for treatment, and severe cases may require hospitalization. #### Key Differences - **Crusting or Scaling:** Common in eczema, not in cellulitis. - **Blisters:** Small in eczema, large in cellulitis if present. - **Fever:** Common in cellulitis, rare in eczema. - **Tenderness:** Common in cellulitis, rare in eczema. - **Location:** Cellulitis often appears on the lower legs, while eczema can appear anywhere. #### Varicose Eczema Varicose eczema affects the lower legs and can look similar to cellulitis. Symptoms include itchy, swollen, dry, flaky, scaly, or crusty skin, and sometimes pain and tenderness. It can also cause swelling in the legs, especially after standing for long periods. #### Connection Between Eczema and Cellulitis People with eczema are more prone to cellulitis due to breaks in the skin. Some eczema treatments can worsen cellulitis. If you have eczema and notice symptoms of cellulitis, consult your doctor for appropriate treatment. #### Prevention To prevent cellulitis, keep your skin clean and protect wounds. Healthy lifestyle choices can also help prevent recurrence.