Photo Credit: Shutterstock
Winter brings crisp air and festive energy, but for people prone to eczema, also known as atopic dermatitis, the season’s cold and dry conditions can lead to itchy, red, flaky skin. Eczema is more than just dry skin; it is a chronic inflammatory condition that worsens when the skin barrier loses moisture and becomes vulnerable to irritants. While eczema is often triggered by allergens such as dust mites, pollen, pet dander, and mold, winter weather creates the perfect environment for flare-ups. Lower humidity, cold temperatures, and indoor heating all work together to strip moisture from the skin, making symptoms harder to manage during this time of year.
Why Winter Worsens Eczema
Cold outdoor air holds less moisture, and once you move indoors, forced heating further dries the environment. This lack of humidity weakens the skin’s protective barrier, allowing moisture to escape and irritants to penetrate more easily. The result is increased dryness, inflammation, and itching. Rapid shifts between cold outdoor temperatures and warm indoor heat can also stress the skin, making flare-ups more frequent and more severe for those with eczema.
Moisturize Consistently and Strategically
Moisturizing is the most important step in preventing winter eczema flare-ups. Thick, fragrance-free creams or ointments are more effective than lightweight lotions because they better seal moisture into the skin. Apply moisturizer immediately after bathing, ideally within a few minutes while the skin is still slightly damp, to help lock in hydration. Reapply at least twice daily, paying special attention to hands, elbows, and other areas prone to dryness.
Bathing habits matter just as much as moisturizing. Use lukewarm water instead of hot water, which can strip the skin of its natural oils and worsen irritation. Keep showers or baths short, around 10 to 15 minutes, and consider adding soothing ingredients like colloidal oatmeal or bath oils to support the skin barrier.
Reduce Triggers and Protect the Skin
In addition to cold weather and dry heat, everyday irritants can contribute to winter eczema flare-ups. Applying a thick layer of moisturizer to exposed areas like the face and hands before going outside can help protect the skin from wind and cold air. Using a humidifier at home, especially in bedrooms, can restore moisture to the air and prevent excessive skin dryness overnight.
Clothing choices also play a role. Soft, breathable fabrics such as cotton are gentler on sensitive skin than wool or synthetic materials, which can cause irritation. It is also important to avoid harsh soaps, fragranced products, and skincare items containing alcohol, as these can further dry out and inflame the skin.
Supporting Your Skin All Winter Long
If eczema symptoms are severe, persistent, or interfering with daily life despite consistent at-home care, it is important to seek professional treatment. A board-certified allergist, immunologist, or dermatologist can help identify triggers and recommend prescription treatments when needed. Early intervention can reduce flare-ups, improve comfort, and prevent complications such as skin infections.
Managing eczema during the winter months requires a proactive and consistent approach. By prioritizing hydration, protecting the skin from environmental stressors, and avoiding common triggers, it is possible to reduce flare-ups and keep skin calmer throughout the season.
If winter eczema continues to flare despite lifestyle adjustments, consult a board-certified specialist to develop a personalized treatment plan and protect your skin long-term.
For more information, visit Purvi Parikh, MD, FACP, FACAAI's social media:
