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Conditions › Atopic Dermatitis

Consultant dermatologist-led eczema care

Atopic Dermatitis Treatment in London

Atopic dermatitis, also known as atopic eczema, is a chronic inflammatory skin condition that causes dry skin, persistent itch and recurrent flares. At Skinhorizon Clinic in Maida Vale, treatment is led by a consultant dermatologist and focused on calming inflammation, repairing the skin barrier and reducing future flare-ups safely.

Consultant-led
Reviewed by Dr Mohammad Ghazavi, Consultant Dermatologist.
CQC-registered clinic
Private dermatology care in Maida Vale, London.
Personalised plans
For infants, children, teenagers and adults.
Central London access
Convenient for Maida Vale, St John’s Wood, Paddington and West London.

At a glance

What is Atopic Dermatitis? A chronic inflammatory form of eczema driven by skin barrier dysfunction and immune over-reactivity.
Main symptoms of Atopic Dermatitis Persistent itch, dry or cracked skin, red inflamed patches, oozing during flares and thickened skin in long-standing disease.
Who gets Atopic Dermatitis? Infants, children and adults. It is often associated with asthma, hay fever and allergic tendencies.
Why treat Atopic Dermatitis? Uncontrolled eczema can affect sleep, confidence, concentration and quality of life, and may increase the risk of skin infection.
Appointments 7 days a week (subject to availability).
Location Skinhorizon Clinic, Maida Vale, London W9 — convenient for St John’s Wood, Paddington, West London and Central London.
Editorial overview

Understanding atopic dermatitis

Atopic dermatitis is a long-term inflammatory condition of the skin. It arises from a combination of impaired skin barrier function and immune dysregulation, making the skin more vulnerable to irritation, allergens and infection.

The condition often begins in childhood but may persist into adulthood or develop later in life. Symptoms can fluctuate, with quieter periods interrupted by flares caused by environmental, infectious, skincare or lifestyle factors.

Common symptoms and patterns

Infants

Cheeks, scalp and outer limbs

Eczema in babies commonly affects the cheeks, scalp and extensor surfaces, often with marked dryness and irritation.

Children

Flexures and wrists

Children often develop eczema in the elbow creases, behind the knees, wrists and ankles, with itch disrupting sleep.

Adults

Hands, eyelids, neck and widespread dryness

Adult eczema may involve the hands, eyelids, neck, flexures or more widespread dry, inflamed skin.

The itch–scratch cycle

Intense itch is a hallmark symptom. Scratching damages the skin barrier further, which can lead to more inflammation, skin thickening, pigment change and recurrent infection. Breaking this cycle is central to long-term control.

Struggling with recurrent eczema flares?

Consultant-led assessment can help identify triggers, rule out overlapping conditions and build a long-term plan to keep atopic dermatitis under better control.

Why does atopic dermatitis occur?

Barrier weakness

Atopic dermatitis develops when the skin barrier is less effective at retaining moisture and keeping irritants out. This allows dryness, sensitivity and repeated inflammation.

Immune over-reactivity

The immune system may respond too strongly to irritants, allergens or microbes on the skin, resulting in redness, swelling and itch.

Common flare triggers

Triggers vary between patients, but commonly include cold or dry weather, soaps, detergents, fragranced products, stress, sleep disruption, skin infections, dust mites, pollen and other allergens.

Assessment

How we assess eczema at Skinhorizon Clinic

Assessment focuses on severity, distribution, triggers, sleep disturbance, infection risk, daily impact and response to previous treatment. We also assess for overlapping or mimicking conditions, including contact dermatitis, seborrhoeic dermatitis and recurrent skin infection.

Where clinically relevant, investigations such as patch testing, blood tests or skin swabs may be used to clarify contributing factors.

Treatment approach

Step 1

Barrier repair

Regular emollient use and skincare optimisation help reduce dryness and improve skin resilience.

Step 2

Flare control

Topical anti-inflammatory treatment may be used during flares to calm redness, itching and inflammation.

Step 3

Trigger strategy

Personalised advice helps reduce exposure to irritants, allergens and skincare products that may worsen eczema.

Escalation for moderate to severe disease

If standard topical care is insufficient, your consultant dermatologist may discuss further treatment options depending on eczema severity, medical history and safety considerations. Treatment aligns with our eczema treatment pathway.

Safety

Infection and complications

Broken or inflamed skin is more vulnerable to bacterial and viral infection. Recurrent infection can worsen eczema control and may require prompt recognition and treatment.

Long-standing uncontrolled eczema can also cause skin thickening, pigmentation change, sleep disruption and significant impact on confidence and daily life. Early, consistent management is important.

Why choose Skinhorizon Clinic?

Consultant dermatologist-led care

Your care is reviewed by Dr Mohammad Ghazavi, Consultant Dermatologist, with treatment planning focused on diagnosis, safety and long-term control.

Private dermatology in Maida Vale

Skinhorizon Clinic provides CQC-registered private dermatology care in Maida Vale, London, with convenient access from St John’s Wood, Paddington, West London and Central London.

Personalised treatment plans

Eczema is not treated as a one-size-fits-all condition. Your plan may include skincare changes, flare treatment, trigger management, investigation where needed and follow-up review.

Your visit — what to expect

Assessment

We review symptoms, severity, distribution, triggers, sleep impact and previous treatment.

Diagnosis

We confirm whether this is atopic dermatitis and check for contact dermatitis, infection or other mimics.

Plan

You receive a personalised stepwise plan for flare control and long-term skin barrier support.

Follow-up

Treatment response can be reviewed and adjusted depending on progress and tolerance.

Reviewed by

Dr Mohammad Ghazavi

Consultant Dermatologist

Skinhorizon Clinic, 4 Clarendon Terrace, Maida Vale, London W9 1BZ.

Last reviewed:

Frequently asked questions

Is atopic dermatitis the same as eczema?
Atopic dermatitis is the most common form of eczema, but eczema is a broader term that includes several inflammatory skin conditions.
Can atopic dermatitis be cured?
There is no permanent cure, but effective long-term control is often achievable with a personalised treatment plan, consistent skincare and early flare management.
Does diet affect eczema?
Dietary factors can play a role in some patients, particularly children, but broad dietary restriction is not recommended without medical assessment.
Is atopic dermatitis contagious?
No. Atopic dermatitis is not infectious and cannot be passed from one person to another.
When should I see a dermatologist?
Specialist assessment is advised if eczema is persistent, recurrent, affecting sleep, becoming infected, spreading, or not responding to standard treatment.
Can adults develop atopic dermatitis?
Yes. Although it commonly starts in childhood, atopic dermatitis can continue into adulthood or appear later in life.

Start with a consultant-led eczema assessment

Effective eczema control starts with understanding your triggers, restoring the skin barrier and choosing treatment that is safe for your age, severity and medical history.

Disclaimer: This information is for general education only and does not replace personalised medical advice. A consultation with a qualified healthcare professional is required for diagnosis and treatment.
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