Understanding Eczema: Is It Contagious?

Dr. Parvin Shafa | November 17, 2025

Eczema is one of the most common skin conditions we see here at OC MedDerm in Irvine, Orange County. It affects both children and adults throughout Southern California, where dry weather, seasonal winds, allergens, and sun exposure can easily trigger flare-ups.

Even though eczema is common, many patients who visit our Irvine clinic ask the same question:

“Is eczema contagious?”

In this complete, locally focused guide, we explain what eczema really is, what causes it, whether it can spread, what triggers flare-ups in Orange County, and the most effective treatment options available.


What Is Eczema?

Eczema refers to a group of inflammatory skin conditions that can lead to:

  • Dryness
  • Itching
  • Redness
  • Irritation
  • Flaky or cracked skin

The most common type Dr. Parvin Shafa treats at OC MedDerm is atopic dermatitis.

Eczema is especially common among:

  • Babies and young children in Irvine
  • Individuals with allergies or asthma (very common in OC)
  • Patients with a family history of eczema

Because Irvine’s weather changes between dry heat and coastal humidity, flare-ups often appear in cycles.


Types of Eczema

1. Atopic Eczema (Atopic Dermatitis)

The most common type. Often linked to asthma and allergies — both widespread in Orange County due to high pollen counts.

2. Contact Eczema

Triggered by irritants such as:

  • Perfumes
  • Detergents
  • Hand sanitizers
  • Hair products
  • Cleaning chemicals

Many Orange County patients develop hand eczema due to frequent handwashing or workplace exposure.


Symptoms of Eczema

Symptoms vary based on climate and triggers. Common signs include:

  • Dry, cracked skin
  • Redness or inflammation
  • Severe itching
  • Rough or thickened patches
  • Small bumps that may ooze

In Irvine, eczema often appears on:

  • The face
  • Neck
  • Hands
  • Inner elbows
  • Behind the knees

These areas are more sensitive to sweat, friction, and temperature changes.


Is Eczema Contagious?

Short Answer: No — Eczema Cannot Be Spread From Person to Person.

Eczema cannot be transmitted through:

  • Touch
  • Sharing towels
  • Personal contact
  • Being near someone with a flare-up

It is not caused by any infectious agent — meaning it does not spread like an infection.


Why Eczema Isn’t Contagious

Eczema develops due to:

  • Genetic factors
  • A sensitive immune system
  • Environmental triggers
  • A weakened skin barrier

None of these can be “passed” to another person.


Common Misconceptions about Eczema

“Eczema is contagious.”
✔ False — it is not an infection.

“It spreads on your body because it’s contagious.”
✔ False — flare-ups worsen due to triggers or inflammation.

“Poor hygiene causes eczema.”
✔ False — over-washing can actually worsen symptoms.


The Science Behind Eczema

Dr. Parvin Shafa explains eczema as a skin-barrier disorder.

People with eczema often have reduced levels of filaggrin, a protein that strengthens the skin barrier. Without enough filaggrin:

  • Skin becomes dry
  • Irritants enter easily
  • Inflammation increases

This is why Sudden weather changes, Santa Ana winds, and dry heat in Orange County frequently cause flare-ups.


What Causes Eczema?

1. Genetic Factors

Eczema often runs in families, especially where asthma or allergies are present.

2. Environmental Triggers (Common in Irvine/OC)

Local triggers include:

  • Santa Ana winds
  • High pollen levels
  • Dust mites
  • Pet dander
  • Chlorine from swimming pools
  • Stress
  • Harsh soaps
  • Fragrances
  • Sweat during hot OC summers

Common Eczema Triggers in Orange County

We often see flare-ups due to:

  • Heat + sweating
  • Dry air
  • Stress
  • Local seasonal allergies
  • Cleaning chemicals
  • Hot showers
  • Rough fabrics

Identifying personal triggers is key to managing eczema.


How to Treat Eczema (OC MedDerm Approach)

While eczema cannot be permanently cured, it can be managed effectively.

Common Treatment Options Include:

  • Moisturizers to repair the skin barrier
  • Topical steroids for flare-ups
  • Non-steroidal creams for delicate areas
  • Antihistamines for itching
  • Avoiding triggers
  • Climate-based skincare adjustments

Baby Eczema Treatment in Irvine

Baby skin is fragile, so Dr. Parvin Shafa recommends:

  • Fragrance-free moisturizers
  • Short lukewarm baths
  • Gentle detergents
  • Soft cotton clothing
  • Avoiding scented baby products

Many infants in Orange County develop eczema due to dry air or allergens.


Eczema Flare-Up Treatment

During flare-ups:

  • Apply prescribed topical creams
  • Moisturize frequently
  • Avoid scratching
  • Keep skin cool
  • Use fragrance-free products
  • Avoid hot water

Early treatment helps prevent worsening.


Eczema on the Face (Common in Irvine)

For facial eczema:

  • Use mild, fragrance-free cleansers
  • Avoid scrubs
  • Moisturize regularly
  • Use non-steroidal creams when advised

Facial skin is sensitive, so proper care is essential.


Eczema on the Neck

The neck is easily irritated by:

  • Sweat
  • Hair products
  • Perfumes
  • Clothing friction

Gentle moisturizers and appropriate topical treatments are key.


Atopic Dermatitis Treatment in Irvine

Treatment options include:

  • Prescription creams
  • Wet-wrap therapy
  • Phototherapy
  • Biologic medications like Dupixent
  • Trigger management

Dr. Parvin Shafa creates customized treatment plans based on each patient’s symptoms and lifestyle.


Living With Eczema in Orange County

Adult-Onset Eczema

Many adults in Irvine develop eczema later in life due to stress, new allergies, or environmental exposures.

Coping Tips

  • Maintain a consistent skincare routine
  • Use a humidifier during dry months
  • Wear soft, breathable fabrics
  • Moisturize frequently
  • Manage stress

Eczema in Difficult Areas

Itchy Back of Knees

Very common due to sweat and friction.

Rash Behind Knees

Crease areas trap heat and moisture, increasing flare-ups.

Both respond well to moisturizers and prescription topical care.


Conclusion

Eczema is extremely common in Irvine and Orange County — and it is not contagious.
It develops due to genetics, triggers, and a weakened skin barrier.

With the right skincare routine and a personalized treatment plan, eczema flare-ups can be minimized and controlled.


Need Eczema Treatment in Irvine, CA?

If you or your child is struggling with eczema, Dr. Parvin Shafa, with over 25 years of dermatology experience, can help create a customized treatment plan that reduces flare-ups and brings relief.

📍 OC MedDerm – Irvine, Orange County, California
📞 Call us today to schedule your consultation.

FAQs

1. Is eczema contagious?
No. Eczema is not an infection and cannot spread through touch or contact.

2. What causes eczema flare-ups in Orange County?
Common triggers include dry weather, Santa Ana winds, sweat, chlorine, pollen, stress, and harsh soaps.

3. Can eczema be cured permanently?
Eczema cannot be cured, but symptoms can be managed with moisturizers, topical treatments, lifestyle changes, and medical care.

4. What type of doctor treats eczema in Irvine?
Eczema is treated by skin specialists. At OC MedDerm, Dr. Parvin Shafa has 25+ years of experience treating eczema in Irvine.

5. Is baby eczema common in Irvine, CA?
Yes. Babies often develop eczema due to dry air, allergens, and sensitive skin. Gentle skincare is essential.

6. How is atopic dermatitis treated in Irvine?
Treatment may include topical creams, non-steroidal medications, phototherapy, and biologics like Dupixent.

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