Inside Out Medicine — we treat skin from the inside out Health in Türkiye
Eczema

Contact Eczema

Contact eczema is inflammation triggered when a substance touching the skin acts as an allergen or irritant; it appears as sharply bordered redness and itch at the site of contact.

Cortisone-free protocol Same-day callback Consultation in five languages

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Cortisone-free protocol Same-day callback Consultation in five languages Written treatment plan
Signs and symptoms

Do you recognise these signs?

If one or more of these applies to you, we recommend a dermatological assessment.

  • Sharply bordered redness, itch and swelling limited to the area of contact
  • In the allergic type, delayed fluid-filled blisters and weeping surfaces
  • In the irritant type, burning and stinging with cracking and dryness of the skin
  • Thickening and colour change of the skin as repeated contact makes it chronic
Assess my condition

Causes and triggers

  • Delayed-type sensitivity to allergens such as nickel, cosmetics, fragrance and rubber
  • Direct irritants including detergents, solvents, acids and frequent hand washing
  • Occupational exposure, common in hairdressing, cleaning, healthcare and building work
  • A weak skin barrier and damp settings that ease the passage of allergens inward
Cortisone-free protocol

How we treat it

01

Patch testing with 40-plus allergens to name the culprit substance precisely

02

A tailored avoidance list and workplace protection to interrupt the contact

03

Cortisone-free control: calcineurin and PDE-4 inhibitors with ceramide repair

04

NB-UVB phototherapy for stubborn widespread disease and a systemic review if needed

The Inside Out Approach

Why Clinovia?

Psoriasis and eczema are not only a surface problem. We assess the skin barrier, inflammation, nutrition and lifestyle, comorbidities and dermatological treatment together. Evidence-based dermatology remains the backbone; nutrition and lifestyle support that plan.

01

The Gut–Skin Relationship

We review digestive symptoms, dietary pattern and food-sensitivity history. The link between gut microbiome and inflammatory skin disease is still being researched, so it is addressed alongside — never instead of — dermatological treatment.

02

Cortisone-Free Protocol

First-line calcineurin and PDE-4 inhibitors, ceramide-based barrier repair and phototherapy instead of steroids; systemic and biologic steps when needed.

03

Systemic Repair

Vitamin D, zinc, omega-3 and iron levels plus thyroid and insulin resistance are screened, and any deficits found are built into the plan.

04

Measurable Follow-up

PASI/EASI and DLQI scores are tracked alongside laboratory values; steps that do not deliver a response are removed from the plan.

In patch testing, over 40 common allergens are applied to your back on small strips and read after two to three days. This names the substance driving your eczema. Because avoidance is impossible without knowing the culprit, testing is the key to lasting relief in contact eczema.

In the allergic type the immune system becomes sensitised to a specific substance and reacts a day or two after contact. In the irritant type the substance directly damages the skin, the reaction is faster and it can affect anyone. We clarify the two with patch testing and history, then plan care accordingly.

Yes. For infant eczema and paediatric psoriasis we use age-appropriate topical stepping, a moisturising routine and, when indicated, paediatric phototherapy dosing.

Our standard protocols are cortisone-free. We work with topical calcineurin inhibitors, PDE-4 inhibitors, ceramide-based barrier repair, NB-UVB phototherapy and biologic agents when needed. Cortisone is considered only for very short, unavoidable situations and with the patient's consent.

Appointment

Let's build the right plan for your skin today

Fill in the form and our coordinator will call you the same day to arrange the right doctor and time slot.

  • Same-day callback
  • Consultation in five languages
  • Written treatment plan
  • Defterdar, Fethi Çelebi Cd. No:15, 34050 Eyüpsultan/İstanbul, Türkiye
  • Mon–Sat: 09:00 – 19:00

Request a same-day callback

Leave your details and our coordinator will call you to arrange the right doctor and time.

This form does not replace a medical diagnosis.

Request received. We will call you shortly.
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Cortisone-free protocol Cortisone-free treatment protocolsGut–skin axis approach12 years of psoriasis & eczema expertiseNB-UVB phototherapy unitConsultation in five languagesSame-day appointment callback