Diagnosing & Treating Eczema Online

Eczema affects about 10% to 20% of infants and about 3% of adults. Most infants will outgrow the condition, but some will continue to have symptoms throughout their life. With proper treatment, eczema can usually be controlled.

Eczema is a usually a very itchy condition that can actually start before the rash appears. Typically, the rash will appear on the face, back of the knees, wrists, hands or feet, but can affect other areas as well. The affected areas will appear very dry, thick and scaly. In fair-skinned people, these areas may appear reddish and then eventually turn brown. In darker-skinned people, eczema can affect pigmentation, which can make the effected skin lighter or darker.

During a video consult on TelaCare your doctor will ask you a series of targeted questions to determine if your symptoms point to eczema. Then your provider will proceed to determine the best treatment plan for you. Your provider may recommend in-person examination by a specialist if this is needed. Your treatment plan is based on the duration and severity of your symptoms and your medical history.

Our platform has an image upload feature that is extremely helpful for both providers and patients. With this feature, our physicians can get a precise, detailed look at your rash before the visit even begins. This feature is also very useful to see how your rash has progressed. If your rash has been present for a while and you have a picture from early on, it is helpful for our providers to see the comparison. If your outbreak is on your face, this feature is specifically useful for those that wear makeup – you can take a picture when you have a clean face, save it and upload before your visit! For best results we recommend pictures be taken in bright, natural light, close to the rash and from a few different angles. If you can give a size perspective, like laying a dime near the rash, this can be extremely helpful, as well.

Once a diagnosis has been made, your doctor will go over the risks and benefits of the various treatment plans. Treatment for atopic eczema is different depending on the severity. However, a consistent skin care routine is imperative for successful treatment. This is sometimes difficult for adolescent patients, so follow up visits, especially in the beginning of treatment, will be important.

Options for treatment of dermatitis may include:

  • Coal tar extract
  • Moisturizers
  • Barrier creams
  • A prescription for steroids, antihistamines or topical antiseptics

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Got Questions? We've got answers.

See below for answers to some of our most common questions. You can also call us anytime 24 hours a day at 1-800-317-0280 to speak to a medical professional about your symptoms or conditions.



 What are some home remedies for painful, cystic acne?

When someone experiences cystic acne, it’s important they stick to a regular skin care routine that includes specialized soaps, moisturizers, and toners. Other remedies include icing the acne so that the blood vessels will contract, avoiding popping the pimples, and regularly washing all items that may touch your face including your towels and pillowcases.

 Can an online dermatologist determine if a skin growth is cancerous?

If you have skin lesions that fit the ABCDE criteria, in that they are Asymmetric with jagged Borders, multiple Colors, a Diameter larger than a pencil, and have been Evolving (you have observed them change over time) -- then you will likely need a biopsy to test for melanoma.

The ABCDE algorithm is just one of many tests a trained dermatologist uses in assessing risk of skin lesions, if you are unsure about whether your lesion merits a biopsy an online dermatologist can quickly examine your skin and either exclude the possibility of it being malignant or tell you that you have sufficient risk factors to merit going in person for testing.

 Is my online doctor visit private and secure?

Yes, we feel it is of utmost importance to maintain patient privacy and keep information secure. TelaCare is designed to be a private, secure, HIPAA-compliant tool that allows you to safely and confidentially consult with a doctor online.


 Can I get a prescription online?

Yes, in general you can get a prescription online. There is support for this nationwide, however there are several exceptions. 


 Why would I see a doctor online?

Illness or injury can strike at any time. TelaCare helps you get back on your feet, no matter where you are or the time of day. You can see a doctor online for a range of issues, from minor illnesses and injuries, symptoms from a chronic condition, or to address general health concerns. Here are a few reasons people go online to see a doctor:

    • I feel like I should probably see a doctor, but can’t really fit it into my over-booked schedule.
    • It’s difficult for me to get a doctor’s appointment.
    • I’m not sure if I should go to the ER or not.
    • My doctor’s office is closed and I don’t want to go to an urgent care clinic or hospital
    • I just moved and don’t know any doctors in my area.
    • I just need a second opinion.
    • I’m between jobs and have no coverage.
    • I have a question about a loved-one’s health and would like some advice.

     Can a doctor on TelaCare order a prescription refill?

    Doctors on TelaCare will discuss your health history and assess whether a refill is safe at this time or whether it would be necessary to see your primary care physician in person. The decision to provide a refill and the quantity is at the sole discretion of the doctor. Be sure to share any information you have about your health history and condition that may help facilitate your refill, such as recent lab tests or blood pressure readings.

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