Georgia

Georgia first had eczema as a child. Her eczema then cleared for several years before returning again when she was 14. She has tried many different creams, including steroids, and she now does a lot of research to learn about managing and treating eczema.

Georgia was first diagnosed with eczema when she was 3 years old. Her parents would wake up to find she was covered in blood from scratching so much in the night. She developed a skin infection and was hospitalised for several weeks as a young child. When she came home, her dad took over her care as her mum found it too upsetting to see Georgia in so much pain and confusion. Georgia remembers that she was not allowed to do many of the activities that the other young children could, such as play outside in the sun because she would become itchy and scratch when excited. The other children would sometimes stare and point at her, especially when her eczema was quite severe on her legs, arms and face.

Georgia’s eczema then cleared for about 4 years whilst she was in secondary school and during this time she mostly forgot what it had been like to live with eczema. However, aged 14, she began noticing that something was different about the skin above her upper lip. She thought it might be a cold sore at first but eventually went to see her GP who told her that it was eczema and gave her steroids and moisturisers to use. Since her early teenage years, Georgia’s eczema has returned all over her body quite severely. She does not feel that the doctors she saw then took her very seriously as they tended to prescribe her similar treatments with little success. By chance, a doctor she saw in a family planning clinic picked up on her eczema and promptly referred her to a dermatologist. This was the biggest turnaround poin for Georgia. The dermatologist reassured Georgia that she would help get her eczema under control and outline a list of options to explore over the next 18 months. She has since tried lots of different moisturisers, steroids and is currently on a course of UV light therapy.

Eczema has a huge impact on Georgia’s life; it is painful and time-consuming to treat and affects her confidence dramatically, with knock-on effects for her social life, romantic relationship and studies. She is also aware the eczema can affect employment. For example, Georgia had a part-time retail job whilst in college and preferred to be in the stock rooms as she found it hard physically and emotionally interacting with customers on the shop floor when her eczema flared up. Both her previous and current employers have been very understanding, allowing Georgia to go for dermatology appointments and light therapy treatment as well as providing things like hand soap at work which is suitable for her skin.

Having eczema and the impact of this on her confidence means that Georgia misses out of many of the things her female peers are doing such as using make-up, dyeing her hair, wearing jewellery and going out. This is made harder by the fact that stress is a key trigger for Georgia’s eczema. She describes it as a vicious cycl: her eczema makes her upset about the way she looks which triggers her eczema further. She says that she is prone to stress and sometimes finds that even an argument with someone can prompt her skin to become red and itchy. Travelling abroad has been a concern for Georgia in case her suitcase gets lost with all her creams inside or that she might not be allowed to take her medications into another country. She would like to travel around the world, especially to countries around the equator, but worries that the hot climate may aggravate her skin.

Georgia’s dad, boyfriend and friendship group have all had prominent roles in the practical and emotional support around eczema for her. As she got older, Georgia’s parents stepped back and gave her more independence with treating her eczema. Georgia says that her boyfriend has been very supportive and understanding of how upsetting eczema is for her. Her boyfriend tries to reassure her and encourages her to try new things and to go out and be the person who I should b. However, she finds it difficult to cope with the impact on her self-esteem and struggles with confidence and physical intimacy. Georgia worries about what other people might think about her eczema and scratching. She is very conscious about leaving dry skin if she touches/hugs someone. Georgia also has to plan ahead and make sure she has her creams with her everywhere she goes. She leaves creams in different coats, bags and throughout her own house and friends; houses so that she can access them easily at any point.

Researching treatment has been one key way that Georgia has tried to take some control over eczema as she’s become older. She recently found some blogs about topical steroid addiction and withdrawal. Georgia has used different steroids in the past when her eczema was severe and found that these helped calm her skin but she now would prefer to avoid them. She voiced her concerns about steroids to her dermatologist who was not very pleased that Georgia had been researching this as a possible route for her. Georgia thinks it would be good if dermatologists supported those patients who wanted to explore other treatment routes than steroids and to always be aware of the emotional impacts of eczema in their consultations.

Georgia decided against training to become a vet because she’s allergic to animals.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia and her friends support one another in practical and emotional ways.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia is careful to avoid triggers when she uses the bath and washing machine.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia’s dad was very involved in her eczema treatments as a child.

Age at interview 20

Gender Female

Age at diagnosis 4

As Georgia got older, her parents became less involved with her eczema.

Age at interview 20

Gender Female

Age at diagnosis 4

Sleep deprivation is a concern for Georgia. She has a number of strategies for winding down at the end of a day.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia talks about the worries she had when she went on holiday.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia was referred to see a counsellor to talk about her low self-esteem.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia has eczema above her top lip and finds it often becomes infected.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia felt positive and hopeful after her first dermatology appointment.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia was in hospital for infected eczema when she was little.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia talks about scratching itchy eczema as leading to infections.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia would like to manage her eczema in a more holistic way. She’s taking supplements to see if this helps.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia describes what it’s like having phototherapy at her hospital.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia has researched online about topical steroid withdrawal. She’d like to explore other treatment routes with her dermatologist.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia finds that baths help her relax and using bath oils keeps her skin moisturised.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia worries that other people will smell her emollients.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia has moisturiser stations’ in the several of the places where she spends her time.

Age at interview 20

Gender Female

Age at diagnosis 4

It wasn’t until a doctor at a sexual health clinic asked Georgia about the eczema on her face that she felt it was taken seriously.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia talks about how it can be difficult to cope with itchiness, especially in intimate areas like near the bum, and what other people think about her scratching.

Age at interview 20

Gender Female

Age at diagnosis 4

Georgia started to get eczema on her upper lip after several years without it. At first she thought was a cold sore.

Age at interview 20

Gender Female

Age at diagnosis 4