Eczema Treatment in Miami, FL
Eczema Treatment in Miami, FL
Eczema, known clinically as atopic dermatitis, is a chronic, itchy skin condition that can flare without warning — and finding lasting relief starts with understanding what’s driving each patient’s specific pattern of flares. In Miami, humidity is one of the most common triggers behind flare-ups, and it’s something Chloe Goldman, MD, FAAD, manages regularly in her practice. Rather than a single default regimen, she builds each eczema management plan around a patient’s specific triggers and flare pattern.
How Eczema Flares Happen
Atopic dermatitis stems from a combination of genetics, an impaired skin barrier, and immune system overactivity, leading to inflammation, dryness, and itching. Miami’s humidity can aggravate symptoms for some patients, particularly during warmer months when trapped sweat and moisture irritate an already compromised skin barrier. On the other hand, many patients are triggered by the cold, freezing winters and chilly air-conditioning. Identifying a patient’s specific triggers, whether climate, fabric, stress, or certain skincare ingredients, is part of building an effective care plan.
How We Approach Eczema Treatment
Topical treatments
Corticosteroids and non-steroidal options calm inflammation and reduce itching during flares, and are also often incorporated into a longer-term maintenance plan to help prevent recurrence between flares.
Oral medication (including a class of medications called JAK inhibitors)
Treat more widespread or stubborn eczema from within, particularly when topical options alone aren't providing enough relief.
Injectable medications
Biologic therapies (ie Dupixent) targeting the underlying inflammatory and immune response driving chronic flares at a deeper, systemic level.
Lifestyle factors
Identifying and managing triggers like stress, heat, or specific fabrics that worsen symptoms over time.
Skincare
A supportive daily routine that protects the skin barrier between flares and helps maintain long-term results.
Dr. Goldman prescribes specific medications by name when appropriate, including Dupixent, Opzelura, Zoryve, Nemluvio, Rinvoq, and Ebglyss, selecting among them based on a patient’s severity, age, and treatment history.
How Is a Severe Case Treated Differently From a Mild One?
Mild cases often respond to topical treatment and skincare alone. Moderate-to-severe cases may need oral medication or an injectable biologic for broader, more consistent control. Dr. Chloe Goldman also discusses each patient's preference for type of medication at length, along with the symptoms they're experiencing — not just how the skin looks — to arrive at the most appropriate mode of therapy.
When to See a Dermatologist for Eczema
Over-the-counter moisturizers manage mild, occasional dryness, but eczema that disrupts sleep, covers large areas, or doesn't improve with basic skincare needs an evaluation. Patients on topical steroids long-term without improvement also benefit from reassessment.
Eczema in Children vs. Adults
Eczema often starts in infancy or early childhood and improves by the teen years for many patients, though it can persist, recur, or even appear for the first time in adulthood. In children, it tends to favor the face, scalp, and skin folds; in adults, it more often appears on the hands, neck, and around the eyes.
Struggling with eczema that isn't improving?
Schedule a consultation for eczema treatment in Miami, FL with our providers at Goldman Dermatology of Miami.