Guide to Living with Papular Eczema


Papular eczema also known as atopic dermatitis or papular eczema subacute prurigo pa, is one type of eczema that appears on the skin as itchy bumps that are red, dark brown, purple, or grey. Papules, or bumps, can be found anywhere on the body. 

It is frequently misdiagnosed and confused. Identifying the type of eczema can help with the diagnosis. It will also help dermatologists determine which treatments are most likely to be effective for the sufferer. Many Clinical Research Organizations in Michigan are conducting clinical trials to find potential treatment options for Eczema. 

Papular Eczema

It can strike anyone at any age. Approximately 11% of children and 7% of adults are reported to have eczema. It is one of several subtypes of Eczema. Itchy papules (also known as papules) appear on the limbs, neck, torso, and buttocks as a result of this type of eczema. The term “itchy red bump disease” is sometimes used to describe the condition due to its symptoms.

Not all cases of atopic dermatitis include eczema with papules. It instead describes the shape that the rash takes. What you already know about atopic dermatitis applies to this condition if you have that diagnosis. 

There are seven different types of eczema, and you may have more than one type at the same time. You may also change forms throughout your life.

Eczema with Papules Symptoms

The symptom that differentiates eczema with papules from other forms of eczema is the presence of small, itchy bumps or papules on the skin, rather than the flaky patches characteristic of other types of eczema.

Papular eczema, like other types of eczema, can be chronic or it can flare up and then disappear during periods of remission.

Apart from papules, the symptoms are similar to those of other types of eczema. During a flare-up, the following symptoms may appear:

  • Itchy skin
  • Scaly, dry patches
  • Tiny bumps
  • Sensitive, swollen skin
  • Irritated or crusted skin
  • Bruises on the body
  • Red rashes


This type of eczema can be brought on by a variety of factors:


Eczema is characterized by skin inflammation brought on by an unknown trigger. When the body is inflamed, eczema symptoms can manifest. This is valid in particular for eczema with papules, which is distinguished by the presence of various inflammatory cell types.

Exposure to Specific Materials:

There are several typical triggers for eczema, including:

  • Consuming specific foods
  • Using a specific soap
  • Observing specific weather changes
  • Experiencing higher-than-usual stress
  • Utilizing a different detergent for the laundry

Asthma and Allergies:

Different types of eczema are triggered by seasonal allergies and asthma. People with seasonal allergies (hay fever) or asthma, or those whose close relatives have these conditions, are more likely to develop this skin condition. The “atopic triad,” which includes eczema, seasonal allergies, and asthma, frequently occurs together.

People Affected by Eczema

Eczema is most common in childhood, but it can persist into adulthood. Eczema is associated with several risk factors, including:

  • Being a woman,
  • Having had hay fever or asthma in the past, and
  • A family history of hay fever, allergic skin conditions such as dermatitis, or asthma.

Treatment for Eczema with Papules 

This type of eczema is typically resistant to conventional eczema treatments. However, treatments can help reduce itching, keep the condition from worsening, and even induce periods of remission.

Although many treatments for eczema with papules overlap with those for general eczema, some medicines, such as immunosuppressant medications and phototherapy, have been studied specifically for use in this type of eczema.

Some people with eczema with papules discover that one treatment works better than all others. Others discover that combining treatments yield the best results. Before making any changes to your treatment plan, consult with your dermatologist.


Nonsteroidal treatments, such as immunosuppressants, have been used for the treatment of eczema. These medications reduce skin inflammation by suppressing various immune system components. If you’re taking immunosuppressants, your doctor must keep track of your bloodwork and side effects.


If your eczema persists despite other treatments, your dermatologist may advise you to try phototherapy. The affected skin is exposed to either natural sunlight, ultraviolet A, or ultraviolet B light.

Phototherapy is a popular alternative to drug treatment for papular dermatitis because it is more effective and produces longer-lasting results. However, long-term phototherapy use can prematurely age your skin and increase your risk of skin cancer. You and your dermatologist can weigh the benefits and drawbacks of this treatment to determine if it is appropriate for you.


Corticosteroid creams or ointments are frequently used as first-line treatments for eczema. Stronger steroid creams will be more effective, but they may cause skin thinning over time.

Oral corticosteroids, such as prednisone, are also effective in the short term for treating papules and other eczema symptoms, such as during a flare-up. It’s important to note that oral corticosteroids are typically reserved for short-term use because long-term use can result in serious side effects such as increased blood sugar and blood pressure.

Immune System inhibitors

A calcineurin inhibitor cream may be prescribed by your dermatologist. These medications affect how the immune system works, reducing atopic eczema outbreaks. Pimecrolimus (Elidel) and tacrolimus are two examples (Protopic).

These creams are typically only intended for short-term use. They are also restricted to those over the age of two. When using these products, you should avoid direct sunlight.

Antibacterial cream

People with eczema may develop bacterial skin infections after scratching open wounds on their skin in some cases. If your dermatologist believes you have an infection or are at risk of getting one, he or she may prescribe a topical antibacterial cream in addition to your standard treatments.

Antibody injections

The Food and Drug Administration recently approved dupilumab, an injectable biologic monoclonal antibody (Dupixent). It is appropriate for all types of eczema, including eczema with papules. It is, however, limited to people with severe atopic dermatitis who have not responded to other treatments.


Hydrotherapy involves applying wet dressings to the affected areas or your skin, which may contain topical corticosteroid cream. It can be difficult to perform this therapy on yourself or use it at home, but your dermatologist can help.


Eczema has no cure, but the right treatments can effectively manage symptoms. Treatment includes a combination of lifestyle changes and medications. If you’re having any trouble managing eczema or if the symptoms are worsening, consult with a doctor. They can help you figure out a treatment plan that will work for you and reduces your flare-ups. 

Despite advances in medicine, there is still a long way to go before finding a permanent treatment solution for this condition. Nonetheless, research organizations in the United States are working to identify potential treatment options by conducting Eczema Paid Clinical Trials in Michigan and testing the efficacy of those investigational drugs on humans.

ALSO READ: The Connection Between Sleep and Energy Levels