Do you have large patches of dry, itchy skin that tend to flare up and subside over time? If so, you may be dealing with atopic dermatitis, commonly known as eczema.
Eczema can be extremely frustrating and embarrassing. Unfortunately, there is no known cure for it, but board-certified dermatologist Dr. Vivian Bucay and her team can still help you. Dr. Bucay brings decades of experience, Baylor College of Medicine training, and national recognition in dermatology to the diagnosis and management of chronic skin conditions like eczema.
What is Eczema?
Eczema is a common skin condition that results in patches of skin turning red. When this occurs, the skin will become extremely inflamed and itchy.
Eczema is extremely common in children, but it can impact anyone. Adults who suffer from this skin condition often have what is considered a chronic case.
Eczema frequently occurs in cycles, known as flare-ups. You will experience several weeks of red, itchy skin, which is then followed by several weeks, or even months, of no symptoms at all. Eczema flare-ups are often unpredictable, making it hard for people to determine when they may experience the itchy redness associated with this skin condition.
How is Eczema Diagnosed?
Diagnosing eczema is extremely easy and often does not require you to undergo any lab tests. We can diagnose this skin condition with a physical examination and by looking at your medical history.
In some cases, your rash could be caused by something other than eczema. If that is a concern, a skin biopsy may be performed. This will help us rule out any other skin conditions.
What are Treatment Options for Eczema?
Long-term treatment is needed for eczema as it is often chronic and persistent. You may need to treat this condition for several weeks or even years.
We will help you explore various treatment options for eczema. We may recommend treatment options that include everything from the use of over-the-counter moisturizers to topical corticosteroids, skin repair lotions/gels, oral anti-itch medications, or injections to help control inflammation.
In addition to lotions and medications, we can help you discover lifestyle changes that can help your condition. Lifestyle changes such as regular use of a moisturizer, using mild soaps/shampoos, and placing a humidifier in a room can help prevent eczema flare-ups.
Why Choose Our Dermatology Team for Eczema Care?
Eczema can be complex, chronic, and deeply personal, which is why experience matters. Our San Antonio and Stone Oak dermatology team is led by Dr. Vivian Bucay, a board-certified dermatologist with decades of clinical practice, national recognition, and a background in research and medical education. A graduate of Johns Hopkins University and Baylor College of Medicine, she has been in private practice since 1991 and serves as a Clinical Assistant Professor at the UT Health Science Center San Antonio. Her personal experience overcoming stage 4 melanoma also gives her a meaningful understanding of what it feels like to live with a serious skin condition.
Our team also includes board-certified dermatologist Rachna Bhandari, MD, PhD, a diplomate of the American Board of Dermatology, and Talia Noorily, MD, FAAD, who completed her dermatology residency at Baylor College of Medicine after graduating with Highest Honors from medical school. Together, we provide evidence-based care focused on identifying triggers, calming inflammation, and building practical long-term management plans. With three highly trained dermatologists working collaboratively, patients benefit from their depth of expertise and personalized eczema treatments.
Frequently Asked Questions
What Triggers Eczema Flare-Ups?
Flare-ups can be triggered by different factors depending on the individual. Common triggers include dry skin, harsh soaps or detergents, fragrances, hot showers, stress, seasonal weather changes, and certain fabrics such as wool. Illness and environmental allergens may also worsen symptoms. Identifying personal triggers plays an important role in long-term eczema control.
How Can I Tell the Difference Between Eczema and Psoriasis?
While both conditions cause red, inflamed skin, they present differently. Eczema often causes intense itching and may appear as dry, scaly, or cracked patches that can ooze or crust. Psoriasis typically forms thicker, well-defined plaques with a silvery scale and may be less itchy. A dermatology exam can help confirm the diagnosis and guide appropriate treatment.
Is Eczema Related to Allergies or Asthma?
Yes. Eczema is part of what is known as the “atopic triad,” which includes eczema, asthma, and seasonal allergies. Many people with eczema also have a history of allergic conditions. These conditions share an overactive immune response, which can contribute to skin inflammation and sensitivity.
Can Adults Develop Eczema Even if They Did Not Have It as a Child?
Yes. Although eczema is more common in children, adults can develop it for the first time later in life. Adult-onset eczema may look different and sometimes requires a closer evaluation to rule out other skin conditions. A dermatology visit can help determine the cause and create an appropriate treatment plan.
Find Relief From Eczema With Expert Dermatologic Care
Living with eczema can feel unpredictable and exhausting, especially when flare-ups interfere with your comfort, sleep, or confidence. Our dermatology team in San Antonio and Stone Oak is here to help you take control of your treatment.
Call La Casita at 210-692-3000 or Sonterra/Stone Oak at 210-370-9995 to schedule your appointment and start moving toward calmer skin.