Flexural Eczema (Elbows and Knees)

Flexural eczema is a common type of eczema that affects skin folds such as the elbows, knees, neck, wrists, and behind the ears. It often causes red, itchy, and inflamed patches that can flare repeatedly, especially in children but also in adults. Treatment focuses on calming inflammation, repairing the skin barrier, and avoiding triggers that worsen flare-ups.

For a broader overview of eczema types, causes, and care principles, see the Eczema Hub: https://braganskincare.com/eczema/

Symptoms of Flexural Eczema

• Red or inflamed patches in skin folds
• Persistent itching, often worse at night
• Dry, cracked, or scaly skin
• Weeping or oozing during flare-ups
• Skin thickening or darkening over time from scratching

Flexural eczema is particularly common in children, and early signs can look different in babies and toddlers.

Causes and Triggers of Flexural Eczema

• Genetic predisposition to atopic eczema
• Heat and sweating in skin folds
• Friction from movement or tight clothing
• Irritants such as soaps, detergents, and fragrances
• Allergens including dust mites, pollen, or pet dander
• Stress and illness triggering flare-ups

Flexural eczema is closely linked to atopic dermatitis, which affects the skin’s ability to retain moisture and resist irritation.

Treatment for Flexural Eczema

Treatment for flexural eczema focuses on reducing inflammation, relieving itching, and repairing the skin barrier. This usually involves regular use of emollients to keep the skin hydrated, avoidance of known triggers, and short courses of topical treatments prescribed by a healthcare professional during flare-ups. Gentle skincare routines and consistent daily management are key to preventing recurrence.

According to the NHS, regular emollient use and avoiding triggers are key parts of managing eczema.

When to See a GP

You should see a GP if flexural eczema becomes painful, shows signs of infection (such as oozing, crusting, or increased redness), interferes with sleep or daily activities, or does not improve with regular emollient use. Medical advice is especially important for young children or if flare-ups are frequent or severe.

Alongside medical advice, many people find that using a gentle, fragrance-free moisturiser daily helps support the skin barrier during flexural eczema flare-ups. Products designed for eczema-prone skin can be useful as part of an overall skincare routine, especially when used consistently between flare-ups.

Bragan Skincare’s Atopic Cream is formulated for sensitive, eczema-prone skin and can be used as part of a gentle daily moisturising routine.

The National Eczema Society also offers practical guidance on managing flare-ups and knowing when to seek medical advice.