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Peeling Skin

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By Medicover Hospitals / 4 Jan 2021
Home | symptoms | peeling-skin
  • Unintended damage to and loss of the upper layer of skin. Skin peeling can have causes that aren't due to underlying disease. Examples include sunburn, grass burn, prolonged time in the water, or prolonged skin contact with noxious liquid.
  • Article Context:

    1. What are peeling skin?
    2. Types of peeling skin syndrome
    3. Causes
    4. Diagnosis
    5. Treatment and Home Remedies
    6. When to visit a Doctor?
    7. FAQ's

    What are peeling skin?

  • Peeling skin can occur as a reaction to a number of inflammatory processes of the skin or damage to the skin. Sunburn is a classic example, but other conditions that can cause peeling skin include various forms of dermatitis, eczema, and certain infections. Burns of any degree of severity can result in peeling skin. Some types of medications, such as topical retinoids used for acne, can cause peeling skin. Adverse reactions to medications such as cancer chemotherapeutic agents can also lead to peeling skin. Any condition that results in the formation of a blister can result in peeling skin at the area of the blister. Although peeling skin is not typically associated with a rash, some skin rashes may be associated with peeling skin. Treatment is dependent upon the underlying cause.
  • Types of peeling skin syndrome:

    Type of the PSS
    Differential diagnosis
    Generalized PSS type A Impetigo
    Subcorneal pustular dermatosis
    Staphylococcal scalded skin syndrome
    Generalized PSS type B Congenital ichthyosiform erythroderma
    Coffee can fix constipation Dried plums are powerful
    (Peeling skin diseases) Netherton syndrome
    Pemphigus foliaceus
    Acral PSS Erythrokeratolysis hiemalis (Oudtshoom disease)
    Epidermolysis bullosa simplex superficialis
    Keratolysis exfoliativa
    Dyshidrosis

    Causes:

  • Many different diseases, disorders, and conditions can lead to peeling skin. Peeling skin can be a sign of allergies, inflammation, infection, or skin damage. More serious causes include severe allergic reactions, drug reactions, and infections.
  • Allergic causes of peeling skin:

  • Drug, animal, food, and other environmental allergens can lead to peeling skin including:
    • Atopic dermatitis (eczema)
    • Contact dermatitis (contact with allergens, such as perfumes, poison ivy, and soaps)
    • Drug reactions

    Autoimmune or inflammatory causes of peeling skin:

  • Autoimmune and inflammatory causes of peeling skin include:
    • Kawasaki disease (inflammatory disease primarily affecting young children and infants)
    • Psoriasis

    Infectious causes of peeling skin:

  • Peeling skin may arise from infectious diseases, such as:
    • Scarlet fever
    • Staphylococcal scalded skin syndrome
    • Tinea infections (Athlete’s foot, jock itch, ringworm)
    • Toxic-shock syndrome (late)

    Serious or life-threatening causes of peeling skin:

  • In some cases, peeling skin may be a symptom of a serious or life-threatening condition that should be immediately evaluated in an emergency setting. These include:
    • Cutaneous T-cell lymphoma (a type of blood cancer that affects the skin)
    • Skin cancer
    • Stevens-Johnson syndrome (erythema multiforme major, a skin disorder caused by serious infection or an allergic reaction)
    • Toxic epidermal necrolysis (severe reaction likely caused by a drug reaction)
    • Toxic shock syndrome

    Other causes of peeling skin:

  • Various other causes of peeling skin include:
    • Certain acne treatments, such as those containing retinol or benzoyl peroxide
    • Chemical peels or use of facial creams containing retinol to reduce aging
    • Harsh soaps and detergents can cause drying of the skin
    • Peeling skin syndrome (a rare genetic disorder)
    • Side effects of some drugs and vitamins
    • Skin irritation or damage
    • Some types of cancer treatments
    • Sunburn
    • Vitamin deficiencies or toxicities

    Diagnosis:

    • When you initially recognize scaling skin, you may simply apply lotion and not give it much thought. After all, it’s very common for skin to sometimes scale during periods of cold, dry weather or after prolonged sun exposure. However, if your scaling skin doesn’t improve, spreads, or worsens, you may want to see your healthcare provider.
    • Your healthcare provider will ask about your medical history and your symptoms. If you can pinpoint when the symptoms first appeared, it may help your healthcare provider determine a cause. Whether or not your skin itches or if anything provides relief could also help in diagnosing the problem.
    • The diagnosis is made based on the appearance of your skin, your history of exposure to any irritating or allergenic substances, and any accompanying symptoms.

    Treatment and Home Remedies:

    Take a pain reliever:

  • Take an over-the-counter (OTC) pain reliever such as ibuprofen (Advil) or aspirin (Bayer). These medications work to reduce the inflammation and redness surrounding your sunburn. They can also reduce the pain associated with having a sunburn.
  • Use a soothing anti-inflammatory cream:

    • Apply a topical anti-inflammatory cream to your sunburn, such as aloe vera or cortisone cream.
    • Or — as long as you aren’t allergic to aspirin — crush up a few aspirin tablets into a fine powder and add just enough water until it forms a goopy paste. Apply this to the areas of your body affected by sunburn.
    • Avoid petroleum-based or other oil-based creams as these may trap heat and make your sunburn and peeling even worse.
    • Try to moisturize right after you bathe, when your skin is still damp, to help seal in moisture.

    Take a cool bath:

    • Take a cool (just below lukewarm) bath. This can help ease the pain of your sunburn and stop your skin from peeling further.
    • Avoid showering if your skin is blistered in addition to peeling, as showering may pop your blisters and trigger more peeling.
    • Do not use soaps or bath oils when you bathe. These can make your peeling worse.

    Be gentle with your skin:

  • Avoid rubbing your skin with a towel after you bathe. This can make peeling worse. Instead, pat your skin dry with a towel.
  • Make a cool compress:

    • Place a cool, wet compress on your skin for 20 to 30 minutes to soothe irritation and stop peeling.
    • Be sure not to apply ice directly to your skin as that may cause further irritation.

    Keep it covered:

  • Protect your peeling skin from further damage by keeping it covered with clothing or a very thin layer of sunscreen with an SPF of 45 or higher.
  • Aloe vera and moisturizer:

    • Many people find that aloe vera is an effective moisturizer that helps to soothe irritated skin. It is particularly helpful after a sunburn when the skin is feeling hot and painful. Aloe vera gels or lotions can:
      • cool the skin
      • reduce inflammation
      • slow or reduce the skin’s peeling process
    • Gently apply the lotion with the fingertips. Leave the lotion on top of the sunburn instead of rubbing it in all the way into the skin. This will maximize moisturizing effects and minimize irritation.
    • Sunburn can dry the skin, and drier skin makes the peeling more intense. Anyone who wishes to stop their skin from peeling after a sunburn should apply moisturizer.
    • A study published in the International Journal of Research in Pharmacy and Chemistry recommend using an unscented moisturizer and applying as often as needed to protect the skin following a sunburn.
    • Some moisturizers may contain ingredients that are not suitable for sunburn. People who are unsure should check with a pharmacist or doctor.
    • Creams and lotions that contain aloe vera provide the benefits of both aloe vera and moisturizer.

    Try these home remedies:

  • There is not a great deal of scientific evidence to back up any home or natural remedies for sunburn. But most home or natural remedies are safe to try unless someone misuses them or is allergic.Try:
    • applying menthol shaving cream to the skin
    • adding baking soda to a cool bath
    • putting honey on the skin

    When to visit a Doctor?

  • Peeling skin caused by dry skin or mild sunburn is likely to improve with over-the-counter lotions and usually doesn't require medical care. If you have any doubt about the cause of peeling skin or if the condition is severe, call your doctor before trying over-the-counter lotions or home remedies.
  • Frequently Asked Questions:

  • Peeling skin may occur because of direct damage to the skin, such as from sunburn or infection. It may also be a sign of an immune system disorder or other disease. Rash, itching, dryness and other irritating skin problems may accompany peeling skin.
  • Chemical peels can improve the skin's appearance. In this treatment, a chemical solution is applied to the skin, which makes it "blister" and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin. Chemical peels can be done on the face, neck, or hands.
  • Getting too little or too much of certain vitamins may cause your skin to peel. Pellagra is a condition that results from a lack of vitamin B-3 (niacin) in the diet.
  • Peeling is the body's way of repairing damaged cells. Peeling skin is harmless and helps the healing process, but it can be itchy and uncomfortable. Peeling skin is a common problem after a sunburn. In this article, we look at some simple steps that people can try to prevent or treat peeling skin.
  • Peeling skin is common and usually part of the healing of skin damage. Superficial loss of skin cells is a normal ongoing process, but noticeable peeling skin can be due to injury or disease.
  • Owing to limited exposure to the sun, deficiency of Vitamin D is quite common. Dry skin is a common skin condition, which can also be a result of Vitamin D deficiency.
  • Peeling skin before it is ready to come off can be counter-productive. After three to four days, most of the peeling should be complete, but it may take anywhere from five to seven days before your fresh, new skin has developed. Within seven to fourteen days, your skin should be completely healed.
  • Citations:

  • https://www.sciencedirect.com/science/article/pii/S0002929710003617
  • https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2133.1987.tb05799.x