By the time Mary Elizabeth Bretz was 15, her mother, Christina, thought shed exhausted treatment options for her eczema. We tried everything thats on the counter and more, Christina says. We would go to the doctor constantly with her flare-ups, and they would prescribe a steroidal cream and say it may work, it may not. She says if it did work, it would only work for a short time, leaving them back at square one.
Mary Elizabeth, now 16, had her first flare-up with atopic dermatitis (a term used interchangeably with eczema) at 6 months old, and the symptoms exacerbated when she was in seventh grade. She felt the effects both physically, in the form of cuts and blisters on her skin, and emotionally. It caused me to be very self-conscious, and people would make fun of me, Mary Elizabeth says.
Christina adds that Mary Elizabeth had anxiety and depression because of her physical features. Christina noticed her daughters grades slipping, and she says Mary Elizabeth had trouble concentrating in school and on the soccer field because she was scratching her skin constantly. Soccer was taken away from me because I was in constant pain, Mary Elizabeth says. Sweating hurt so bad.
RELATED: Eczema Triggers and How to Target Them
Thats when Mary Elizabeths dermatologist suggested traveling from their home in Lexington, Kentucky, to Denver, for an intensive two-week wet wrap therapy program.
Photo Courtesy of National Jewish Health and Mary Elizabeth Bretz
Wet wrap therapy is a treatment option for intense eczema flares that are accompanied by itching or pain. Wet wraps work for moderate to severe atopic dermatitis, says Kanwaljit Brar, MD, a pediatric allergist and immunologist at National Jewish Health in Denver, where Mary Elizabeth received her treatment. (Dr. Brar didnt treat her, however.) The therapy isnt designed for mild cases. Its considered a rescue therapy, so its something we do to rescue the skin, Brar says. I like to think of it as a skin reset.
The therapy involves wrapping the affected areas of skin with damp fabric, either for a couple of hours during the day or overnight, which Brar says is the most effective and the most convenient for busy families. The therapy is generally used for a couple of days, according to Seattle Childrens, though Brar says it could be used for up to two weeks for severe cases.
During the first week of Mary Elizabeths visit to National Jewish Health, the wet wraps were applied for two hours in the morning, two hours in the afternoon, and overnight.
RELATED: A Detailed Guide to Eczema Treatment
The goal of the treatment, according to the National Eczema Association, is to rehydrate the skin and make medications soak in more effectively. Brar says it helps restore the skin barrier, reduces water loss, helps heal the abrasions and crusty areas on the skin, and can treat inflammation if the skin is infected. It also serves as a physical barrier, so by covering the area, it can prevent scratching as well, she says.
Wet wrap therapy is often used on children, which parents can administer at home, but it can work for adults, too. Its just a little more cumbersome given the larger bodies and bigger surface area to treat, Brar says.
Essentially, youll apply medication or moisturizer to the affected areas and then wrap the body (or part of the body) with a damp layer followed by a dry layer.
Heres how a full body wet wrap is done, per Seattle Childrens, the National Eczema Association, and Brar:
Wearing the wet clothes can be uncomfortable Mary Elizabeth recalls feeling freezing cold and wet so Brar recommends putting blankets straight out of the dryer on top of the patient for extra warmth.
You can also apply the wet wrap to just the affected areas, say the knees. Brar says in that case, cut the foot off of long socks and use those tubes as the wet layer. Or, if the eczema is on the face, a nurse can help apply a wrap made of gauze and surgical netting, according to National Jewish Health. Brar says to be careful when applying a face wrap to children especially overnight and during naptime because it could shift and end up blocking their nose or mouth.
Mary Elizabeths skin improved dramatically the first night of the therapy. It helped so much within 24 hours, she says. I woke up and it felt tremendously better.
The results will vary from patient to patient, but astudy published in the JulyAugust 2014 issue of The Journal of Allergy and Clinical Immunologyfound the benefits of wet wrap therapy continued one month after treatment ended.
RELATED: Can Essential Oils Help Eczema or Atopic Dermatitis?
The same study noted that in practice, wet wrap therapy is a safe intervention treatment. If youre unsure of how to go about it or want more guidance, speak with a doctor first.
As Mary Elizabeth knows, wearing wet clothes can induce chilling. That was the only side effect noted in aprevious study, though Mary Elizabeth says it was still worth it.
A more serious side effect is the potential increased risk of infection. Areview published in November 2016 in The British Journal of Dermatologyfound a higher incidence of mild skin infections following wet wrap therapy. And astudy published in May 2015 in Acta Dermato-Venereologica found infections were more frequent when corticosteroids were used on the skin rather than moisturizers. Thats a catch, though, because the researchers found using wet wrap therapy with corticosteroids is more effective, so its important to keep a lookout for signs of infection. The researchers found the most common infection was folliculitis, which will look like white-head pimples or red bumps around hair follicles, accordingto the Mayo Clinic.
RELATED: Do You Need a Topical Steroid to Help Control Your Eczema?
Since Mary Elizabeth returned home after that two-week visit to National Jewish Health last November, she hasnt experienced any flare-ups and hasnt needed wet wrap therapy since. Christina now helps administer Dupixent (dupilumab), a biologic medication approved by the U.S. Food and Drug Administration (FDA), twice a month, which has helped keep her daughters symptoms under control.
Mary Elizabeth is no longer scratching her skin continuously throughout the day. I really feel the wet wrap therapy brought her to a level where she could concentrate and she could function like a normal person, Christina says, adding that Mary Elizabeths overall well-being improved and her grades have, too. Teachers noticed, myself and my husband noticed, and she noticed that she was able to concentrate more and the improvement was definitely there in all areas of her life.
Mary Elizabeth has regained self-confidence, too. [My boyfriend] told me when I came back from Denver that he knew I was a changed person because I was just happy in my skin.
Read more here:
'I Tried Wet Wrap Therapy for Eczema, and It Helped Reset My Skin' - Everyday Health
- Retrospective analysis of 397 DABE | CCID - Dove Medical Press - December 3rd, 2023 [December 3rd, 2023]
- Derm In The News: November 26-December 2 - Dermatology Times - December 3rd, 2023 [December 3rd, 2023]
- When is the Best Time to Try Alternative Treatments for Eczema? - National Eczema Association - September 23rd, 2023 [September 23rd, 2023]
- How Eczema Negatively Impacted the Way She Talked to Herself - National Eczema Association - September 23rd, 2023 [September 23rd, 2023]
- Colloidal Oatmeal Effective in Improving Atopic Dermatitis in Black ... - Dermatology Times - September 23rd, 2023 [September 23rd, 2023]
- Combination Treatments in HS Require Further Review - Dermatology Times - September 23rd, 2023 [September 23rd, 2023]
- Addressing Misconceptions, Concerns Around Biosimilar Use - Dermatology Times - September 23rd, 2023 [September 23rd, 2023]
- Native American and Indigenous Communities Face Dermatologic ... - Dermatology Times - September 23rd, 2023 [September 23rd, 2023]
- Microwave Therapy Successful for Treating Warts in Children - Dermatology Times - September 23rd, 2023 [September 23rd, 2023]
- 9 Best Antifungal Body Washes Review - The Jerusalem Post - September 23rd, 2023 [September 23rd, 2023]
- Patients With Severe Psoriasis Have Higher Risk of Heart Disease ... - AJMC.com Managed Markets Network - September 23rd, 2023 [September 23rd, 2023]
- Swimming and skin: What to know if a child has eczema - Harvard Health - May 20th, 2023 [May 20th, 2023]
- Experts demand traffic-light labels to show strength of eczema cream - Daily Mail - May 20th, 2023 [May 20th, 2023]
- Its mosquito season. Here are tips for treating bites, preventing them in the first place - Yahoo News - May 20th, 2023 [May 20th, 2023]
- How new EU incentives will help all patients get the best treatments - Euronews - May 20th, 2023 [May 20th, 2023]
- Consistent Use of Ceramide-Containing Products Combined With ... - Dermatology Times - May 20th, 2023 [May 20th, 2023]
- The Best Swimming Skin and Hair Products | livestrong - Livestrong - May 20th, 2023 [May 20th, 2023]
- These 13 Household Items Contain Smells That Are Harmful To ... - Rock 92.9 - May 20th, 2023 [May 20th, 2023]
- FDA Approves First Pill to Treat Moderate-to-Severe Crohn Disease - HealthDay News - May 20th, 2023 [May 20th, 2023]
- Feds investigating eczema cream after two Oregon babies found with high levels of lead in blood - OregonLive - January 27th, 2023 [January 27th, 2023]
- Heres how to treat eczema and other skin conditions for cold weather - The Hindu - January 27th, 2023 [January 27th, 2023]
- Atopic eczema - NHS - November 23rd, 2022 [November 23rd, 2022]
- Seborrheic dermatitis - Symptoms and causes - Mayo Clinic - November 23rd, 2022 [November 23rd, 2022]
- Oatmeal skincare is the perfect solution for sensitive skin (+ best products to try) - Lifestyle Asia Singapore - November 23rd, 2022 [November 23rd, 2022]
- Eczema - StatPearls - NCBI Bookshelf - October 21st, 2022 [October 21st, 2022]
- Cold, dry weather can trigger eczema - how to reduce damage to the skin this winter - Express - October 21st, 2022 [October 21st, 2022]
- Eczema on lips nhs - kved.erxe.de - August 29th, 2022 [August 29th, 2022]
- xrfkc.vitalhaskap.pl - August 29th, 2022 [August 29th, 2022]
- Atopic eczema and alopecia areata - cyasn.kugel-lernfoerderung.de - August 29th, 2022 [August 29th, 2022]
- north shore zipline oahu - owk.tophouse.shop - August 29th, 2022 [August 29th, 2022]
- nak stock - vbi.maxense.shop - August 29th, 2022 [August 29th, 2022]
- Atopic eczema and alopecia areata - zayqif.hydra-market.shop - August 29th, 2022 [August 29th, 2022]
- fort worth map with zip codes - prxrzj.rids-gear.shop - August 29th, 2022 [August 29th, 2022]
- Ear Eczema: Symptoms, Causes, and Treatments - Healthgrades - August 29th, 2022 [August 29th, 2022]
- The Mutha Body Oil Is Worth the Splurge, Especially If You Have Sensitive Skin - POPSUGAR - August 29th, 2022 [August 29th, 2022]
- Are You Allergic to Your Beauty Products? A Patch Test Might Tell You - Allure - August 29th, 2022 [August 29th, 2022]
- Stinky sweat turns out to have a surprising health benefit : Goats and Soda - NPR - August 29th, 2022 [August 29th, 2022]
- Makeup for Eczema-Prone Skin: Considerations, Products, and Tips - Healthline - July 13th, 2022 [July 13th, 2022]
- Eczema Vaccinatum: Symptoms, Diagnosis, and Treatment - Healthline - July 13th, 2022 [July 13th, 2022]
- What Is Topical Steroid Withdrawal in Atopic Dermatitis Treatment? - Everyday Health - July 13th, 2022 [July 13th, 2022]
- A new 'cure for eczema' pill has been signed off but who is allowed to take it? - Cosmopolitan UK - July 13th, 2022 [July 13th, 2022]
- What Causes Dandruff And How To Get Rid Of It, According To A Dermatologist - Fatherly - July 13th, 2022 [July 13th, 2022]
- Allergies on the rise due to climate change - BusinessWorld Online - July 13th, 2022 [July 13th, 2022]
- Cryotherapy Treatment: Uses and Benefits - newschannelnebraska.com - July 13th, 2022 [July 13th, 2022]
- Mutations of Filaggrin Leading to Eggs & Milk Allergies - Physician's Weekly - June 18th, 2022 [June 18th, 2022]
- How AI & the Pandemic Are Changing the Skin & Hair Clinic Experience - The Quint FIT - June 18th, 2022 [June 18th, 2022]
- How to treat your childs dry skin in winter - Lowvelder - June 15th, 2022 [June 15th, 2022]
- Topical steroid: Types, uses, side effects and treatment as revealed by doctors - Hindustan Times - June 15th, 2022 [June 15th, 2022]
- Psoriasis in the Belly Button: Symptoms, Causes, and Treatment - Healthline - June 15th, 2022 [June 15th, 2022]
- In his last days, my father asked for Yiddish music - Forward - June 15th, 2022 [June 15th, 2022]
- Throwing away the water after cooking rice? Know how it could benefit your skin and hair - Times Now - June 15th, 2022 [June 15th, 2022]
- Family 'devastated and numb' as boy, 9, dies a day after breaking his arm - Coventry Live - June 15th, 2022 [June 15th, 2022]
- Happy Cappy Not Just For Babies; Everyone With Sensitive Skin Can Benefit - Pediatric Shampoo Granted Trademark in New Campaign: 'No Scalp Left... - June 15th, 2022 [June 15th, 2022]
- Eczema on black skin: Pictures, symptoms, and treatment - June 11th, 2022 [June 11th, 2022]
- Eczema on the Ears or Eyebrows: How to Cope - Everyday Health - June 11th, 2022 [June 11th, 2022]
- What People With Eczema Need to Know About Self-Screening for Skin Cancer - National Eczema Association - June 11th, 2022 [June 11th, 2022]
- How to protect children with eczema from scratching until they bleed - Channel NewsAsia - June 11th, 2022 [June 11th, 2022]
- Autism, allergies and other diseases and disorders afflicted baby boomers, too - PolitiFact - June 11th, 2022 [June 11th, 2022]
- Is saltwater good for the skin? What to know Beaufort South Carolina The Island News - The Island News - June 11th, 2022 [June 11th, 2022]
- What's trending? The most-read stories on APAC beauty market and consumer insights - CosmeticsDesign-Asia.com - June 11th, 2022 [June 11th, 2022]
- Canada to require a warning be printed on every cigarette - Coventry Live - June 11th, 2022 [June 11th, 2022]
- Holistic Acne Treatments That Are Better Than What You've Been Doing - The List - June 11th, 2022 [June 11th, 2022]
- Almirall: Eight out of Ten Patients Maintained Skin Clearance at One Year in Lebrikizumab Atopic Dermatitis Monotherapy Trials - PR Newswire UK - June 7th, 2022 [June 7th, 2022]
- Woman left balding and bedbound by chronic eczema clears the condition with a 9 face cream - The Independent - June 7th, 2022 [June 7th, 2022]
- Poll: Six in 10 people would eat food that has fallen on the floor - Coventry Live - June 7th, 2022 [June 7th, 2022]
- The itch that rashes: Treating and understanding eczema - El Paso Inc. - June 5th, 2022 [June 5th, 2022]
- Celebrities With Eczema Speak Out - Everyday Health - June 5th, 2022 [June 5th, 2022]
- Lotion, Cream, Gel, and Ointment Similarly Effective for Childhood Eczema - HealthDay News - June 5th, 2022 [June 5th, 2022]
- Antibiotics Given Before C-sections Are Not Linked to Asthma, Eczema in Young Children - Pharmacy Times - June 5th, 2022 [June 5th, 2022]
- Eczema Skin-Care Products Market Size, Scope and Forecast | Alliance Pharma Plc., Bausch Health Companies Inc., Bayer AG., AbbVie Inc., Eli Lilly and... - June 5th, 2022 [June 5th, 2022]
- What are the benefits of ceramides for the skin? - Medical News Today - June 5th, 2022 [June 5th, 2022]
- Some Allergies Associated With Lower Risk of SARS-CoV-2 Infection - Smithsonian Magazine - June 5th, 2022 [June 5th, 2022]
- The CDC is sending monkeypox vaccines to people at high risk in a race to prevent the spread - CNBC - June 5th, 2022 [June 5th, 2022]
- Missing Sikeston teen may be heading to Kansas City area - KMBC Kansas City - June 5th, 2022 [June 5th, 2022]
- Should you cleanse or exfoliate first? What to know - Medical News Today - June 5th, 2022 [June 5th, 2022]
- Dry Skin: Eczema, Itchy Skin, Causes, Treatments, Relief, Types - May 17th, 2022 [May 17th, 2022]
- Foods to Eat and Foods to Avoid If You Have Eczema - The Beet - May 17th, 2022 [May 17th, 2022]
- 3 Women With Eczema Describe the Ways They Combat Nighttime Flare-Ups - Verve Times - May 17th, 2022 [May 17th, 2022]
- The Challenges of Parenting a Child With Eczema - Verve Times - May 17th, 2022 [May 17th, 2022]
- Manuka Honey Benefits for Skin: Benefits, Masks, and More - Greatist - May 17th, 2022 [May 17th, 2022]