Since your eczema has been present for almost 15 years, this is considered a chronic recurrent dermatological condition and it is important to evaluate possible internal maintaining factors, not only the skin lesions.
Eczema (chronic dermatitis) is often influenced by systemic triggers such as allergy tendency, digestive disturbance, metabolic imbalance, and in some patients impaired detoxification function of the
liver. The liver plays a major role in metabolism of toxins, inflammatory mediators, and histamine clearance. When liver function is suboptimal, hypersensitivity reactions in the skin may persist or relapse frequently.
Therefore I would advise a few baseline investigations before starting long-term treatment, so that therapy can be planned more accurately and relapses can be prevented.
Next Steps
Recommended investigations: •
Complete Blood Count (CBC) – to check eosinophilia and chronic inflammation
• Absolute Eosinophil Count (AEC) – indicates allergic tendency
•
Liver Function Test (
LFT) – including SGOT (AST), SGPT (ALT), bilirubin, and
alkaline phosphatase
•
Fasting Blood Sugar – chronic eczema can worsen with impaired glucose metabolism
• Serum IgE (if possible) – helps assess allergic predisposition
Health Tips
These tests are not because eczema is only a skin disease, but because long-standing eczema is usually a systemic condition with internal maintaining causes. Treating only the surface lesions often gives temporary relief, while addressing internal factors improves long-term control.
After reviewing the reports, a constitutional treatment plan can be selected appropriately.