Asteatotic eczema is a form of eczema that most commonly affects the elderly though it can affect people of all ages. It is also called Xerotic eczema and eczema craquelé. In French, “craquelé” means “covered with cracks.” Asteatotic eczema presents as areas of dry, cracked skin usually on the shins. The rash may also appear on the trunk or hands. An asteatotic rash can be localized to a small spot or generalized over a larger area of the body.

The dry skin rash may appear scaly. The cracks of a rash of asteatitic eczema have been described as resembling cracked porcelain or a dried up riverbed. The cracks of the dry skin rash can cause some minor bleeding, but this is usually not the case. The cracks in the skin are usually superficial. The rash can cause itching or burning sensations.

Some contributing factors of asteatotic eczema are malnutrition, aging, dehydration, and dehydrated skin. Friction from clothing can further irritate the affected skin. It is especially common in the winter months since people’s skin tends to be drier during the winter due to low humidity of building heating systems. This skin condition is more prevalent in men than women.

Treatment of asteatotic eczema may include the use of emollients that contain urea or lactic acid. Emollients are used to soften and add moisture to the skin. Some emollients can also reduce itching. People with asteatotic eczema or other forms of eczema are often encouraged to use bath oil or moisturizer on a regular basis.

Diagnosing asteatotic eczema involves ruling out other forms of eczema. Asteatotic eczema often clears up with lifestyle changes such as using moisturizer. If medical intervention is necessary, the doctor may prescribe a medicated ointment. A medicated ointment for asteatotic eczema often contains corticosteroids.

To help prevent outbreaks of asteatotic eczema, the individual should try to remain well hydrated. Drinking plenty of water and using moisturizer may help. An air conditioned or heated room should have a humidifier. If the skin is known to become irritated due to exposure to a particular fabric, soap, laundry detergent, or other substance, the person should avoid these irritants.

The person should avoid hot baths and excessive bathing. Avoiding harsh soaps may help prevent flair-ups. After bathing, a person with asteatotic eczema should avoid excessively rubbing the body with a towel. It would be better to pat dry instead of rubbing the skin. Moisturizer should be applied after bathing.