🎄📦 Due to Xmas & New Year, the next dispatch dates are: 23rd Dec, 27th Dec, 30th Dec, and 2nd Jan.
🎄📦 Due to Xmas & New Year, the next dispatch dates are: 23rd Dec, 27th Dec, 30th Dec, and 2nd Jan.
Eczema, also known as atopic dermatitis, is one of the most common skin diseases in the UK. It is estimated that 1 in 5 children and 1 in 10 adults in the UK suffer from eczema, making it one of the most prevalent skin conditions experienced across all age groups.
What’s more, eczema is considered the leading contributor to skin-related disability, imposing the highest disease burden as measured by disability-adjusted life-years (DALYs). People with severe eczema are more likely than the general population to develop depression.
At Click2Pharmacy, open and informed discussions about health issues are a priority, so we conducted an analysis of the latest United Kingdom prevalence statistics and prescribing trends for eczema. Our findings are from multiple authoritative sources like OpenPrescribing and studies by the British Society for Allergy & Clinical Immunology.
We detail all our eczema statistics findings in detail below, but if you’re looking for a summary, here’s what we learned:
Source: Patterns and trends in eczema management in UK primary care
The burden of atopic dermatitis increased rapidly between 2010 and 2014 when it levelled and has slowly decreased since 2015.
Over the study period (2009-2018), yearly visits to primary care for eczema went up. They increased from about 88 visits per 100 person-years in 2009 to about 112 visits per 100 person-years in 2018. This means more people saw their GP or pharmacist for eczema each year from 2009 to 2018.
This increase could be due to:
British children suffering from eczema have trebled in the last 30 years.
Eczema is most prevalent in childhood, with it being most common in male infants under one year old. From age 2, girls are more likely to get eczema than boys. This trend decreases until age 7, and from 7 to 18, eczema rates remain steady.
Atopic Eczema often occurs in infants and toddlers, and about 40% of them have food allergies, with eggs, cow’s milk, soy, and wheat accounting for about 90% of allergenic foods.
In adults, eczema levels stay consistent from ages 18 to 49. After 49, there’s an increase in eczema cases for both men and women. Starting at age 70, eczema becomes more common in men than women.
In children, eczema affects males slightly more, but in adults, active eczema is more prevalent in females.
Active atopic dermatitis affected 2.4% of the adult UK population between 2015 and 2019, with females (58.2%) and those 82 years and older (4.4%-4.9%) more likely to be diagnosed, according to a study published in Skin Health and Disease.
Source: The epidemiology of eczema in children and adults in England
In this study from 2020, it can be seen that age trends follow the same patterns between the sexes, but that eczema is more prevalent at different ages.
Eczema rates in men exceed women considerably at 2-7 years old and 70+ years old.
However, 10-70-year-old women are much more likely to suffer with eczema.
This could be due to hormonal imbalances in women from puberty to the menopause. The prevalence of eczema has been linked to hormonal changes, as about 47% of women who have eczema report their symptoms getting worse during the week before they have their periods.
Source: The epidemiology of eczema in children and adults in England
In all age groups, there are more cases of eczema in urban areas than in rural areas. The highest prevalence rates for active eczema are in London, the North-West, and the West Midlands.
Environmental factors that raise the risk of eczema are still not completely clear. However, exposure to ultraviolet rays, colder air, and more use of indoor heating have been connected to triggering eczema.
In children and adults, active eczema is more prevalent in those of Asian, black, and mixed ethnicity than in those of white ethnic background.
People of Asian background have more eczema cases than white people during their entire lives. Those who are black and people with mixed ethnic backgrounds also have more eczema than white people, especially until age 50.
In 2023, OpenPrescribing reported the cost of preparations for eczema and psoriasis for NHS England was over £64,000,000.
In the UK, managing eczema mostly happens in primary care. 96% of children with eczema saw their GP or pharmacist in the preceding year.
Standard eczema care usually involves using moisturisers or ’emollients’, the most popular treatment in the UK.
In 2023, 8,689,094 emollients were prescribed for skin conditions by the NHS. If needed, doctors often prescribe topical corticosteroids (TCS) like Elocon Scalp Lotion or Betamethasone 0.1 Cream, which is the second most used prescription eczema medication in the UK. Other creams like topical calcineurin inhibitors (TCI) for ongoing care and flare-ups are used for skin infection treatments.
Source: Patterns and trends in eczema management in UK primary care
Emollients are more likely to be prescribed in childhood eczema flare-ups, with those 17 and under more likely to be prescribed emollients.
Topical corticosteroids (TCS) are more likely to be prescribed for those aged 18 and over. This could be due to young children and the elderly being more susceptible to side effects, which have been found to decrease growth in children.
We wanted to find out which eczema treatment is the most popular in the UK: to do this, we used Open Prescribing to analyse the prescription rates.
We analysed three of the most popular treatments for eczema in the UK in 2023:
Betamethasone valerate is one of the most popular eczema treatments in the UK, amassing 2,835,584 prescriptions in 2023. Betamethasone is a common ingredient in eczema treatment products like creams, lotions, ointments and scalp solutions.
Fusidic acid is the second most common (924,270 prescriptions in 2023). Fusidic acid primarily treats eczema and dermatitis, but it also treats other skin conditions where there is inflammation or infection.
Diphenhydramine hydrochloride is the third most popular option in this list. Antihistamines are a popular treatment for inflammation. However, they are used to treat multiple allergies.
When considering these treatments for eczema, prescribing data is not distinguished between providing treatment for eczema or other skin conditions, so this must be considered when looking at this data.
This data, however, does not consider over-the-counter (OTC) eczema treatments, which do not require a prescription. Low-dose eczema treatments are available OTC in most pharmacies and are accessible for treating low-intensity eczema.
