By Martha A. Simpson, D.O., M.B.A.
Assistant Professor of Family Medicine
Ohio University College of Osteopathic Medicine

TEPID BATHS AND MOISTURIZING CREAMS CAN HEAL WINTER ITCH

Question: Every winter my legs and arms get dry and itchy. My doctor said I have “winter itch.” This year, it’s been worse than ever. It’s only January and I don’t think I can make it through the rest of the winter this way. Is there anything I can do to feel less miserable?

Answer: Winter itch, also called xerosis, is a common winter affliction for many who live in the northeastern part of our country. It is particularly common in people who have sensitive skin and allergies. About 10 percent of the general population suffer from this condition.

In winter itch, the skin becomes excessively dry and rather rough or scaly. This drying causes itching, and the resultant scratching produces a rash. It’s the opposite of many conditions, such as poison ivy, where the rash is what causes the itching. Winter itch is more common in the Northeast because of the climate and central heating that lowers the relative humidity of the indoor air. The low humidity promotes the drying of skin.

Winter itch is made worse by bathing, particularly with hot water and ample amounts of soap. This treatment removes dirt, but it also removes the natural skin oils that help smooth the skin and control water loss through the top layer of cells. The skin on the lower portions of the arms and legs produce less of these natural skin oils and, so, are more susceptible to drying problems. That’s why you have trouble with your arms and legs, but others with this condition can have the same itching and rash on other areas of their bodies.

One of the most important ways you can help stave off winter itch next year is to avoid unnecessary bathing -- especially the areas where your skin is the driest. Our society encourages daily bathing, but this is often not necessary to be clean. Wash your “stinky” parts (face, underarms, privates) daily, but bathe the rest of your body less frequently. Use tepid water instead of hot. Use a mild moisturizing soap or emollient cleanser and follow this by patting dry instead of vigorously rubbing with a towel because the rubbing stimulates the itch sensation.

Immediately after bathing, apply a lotion or cream to help smooth and soothe the skin while retaining moisture. Petroleum jelly is probably one of the most effective products for this purpose, but its greasy residue is often objectionable. I often recommend Aveeno cream for this purpose because my patients have found it significantly more effective.

Raising the humidity within the home is also beneficial in reducing dry skin. A vaporizer or humidifier in the bedroom is a good method of adding moisture to the air in your inside environment. It’s also helpful to avoid wool clothing that scratches the already irritated skin. There are many other natural and synthetic fibers that are attractive and comfortable without being scratchy. In my experience, however, it seems that cotton is often the best fabric to use until the xerosis is under fair control.

And one additional reminder: Even though the “winter itch” itches, don’t scratch. Scratching will only make it worse. Rub on another dab of lotion or cream instead.

Family Medicine® is a weekly column. To submit questions, write to Martha A. Simpson, D.O., M.B.A., Ohio University College of Osteopathic Medicine, P.O. Box 110, Athens, Ohio 45701. Medical information in this column is provided as an educational service only. It does not replace the judgment of your personal physician, who should be relied on to diagnosis and recommend treatment for any medical conditions. Past columns are available online at www.familymedicinenews.org.