Started in winter but worsened in spring? We’ve been seeing more of this recently in clinic.
Over the past few weeks, we’ve noticed a clear increase in patients presenting with eczema.
A common pattern stands out:
Many people are confused:
“The weather isn’t even that damp — why is my eczema still getting worse?”
In reality, eczema isn’t just about external humidity.
A lot of patients describe similar experiences:
During the day, symptoms are manageable.
But at night, the itching becomes much worse.
As soon as the body warms up — under a duvet or after a hot shower — the itch intensifies.
Eventually, scratching becomes unavoidable, sometimes leading to broken skin or oozing.
This cycle can go on for months.
His eczema first appeared in December.
Initially mild and localised, but it never fully resolved.
Over the past month, the affected area gradually expanded.
The itching becomes significantly worse at night or when his body warms up, now affecting his sleep.
This pattern — worsening with heat, recurrent flare-ups, and occasional oozing — is rarely just “sensitive skin”.
From a clinical perspective, we look beyond the surface.
In this case, the presentation suggests:
When the body’s ability to process fluids declines, dampness can build up internally.
Over time, it may generate heat and manifest on the skin as persistent redness, itching, and discharge.
We also observed dryness and cracking around the nose and philtrum area, indicating an additional imbalance in circulation and overall body regulation.
Management is not focused on itch suppression alone.
Instead, we aim to:
Alongside appropriate topical care, treatment is approached both internally and externally to help reduce recurrence over time.
At 1-week follow-up:
Eczema tends to flare more easily in spring.
Relying solely on anti-itch creams may offer short-term relief, but often does not prevent recurrence.
If your symptoms are recurrent, worse with heat, and more severe at night, it may indicate an underlying internal imbalance rather than just a surface skin issue.
Early assessment is recommended to avoid prolonged flare cycles.
HK Clinic 
UK Clinic 
