The Hidden Burden of Living with Eczema

In many black communities, eczema is often misunderstood, dismissed as “just dry skin” or even linked to myths about poor hygiene. Yet for those who live with it, the condition is far more complex, painful and emotionally draining.

Eczema, or atopic dermatitis, is a chronic skin condition that causes itching, dryness and inflamed patches. On darker skin tones, it may appear grey, purple or dark brown rather than red, which can make diagnosis difficult and lead to under-treatment. This hidden nature of eczema often adds to the struggle.

A Silent Struggle

For children in townships and villages, eczema can be especially tough. The constant itching disturbs sleep, leaving them tired at school. Some parents share stories of being told by relatives that their child’s skin problems are due to “bad blood” or “not bathing properly.” These misconceptions can add guilt and shame to what is already a challenging condition.

Adults, too, often carry the hidden burden. Many cover up their arms and legs, even in summer, to avoid questions or stares. The pressure to appear strong and “presentable” in the workplace or at social gatherings means the emotional impact is rarely spoken about, despite it being very real.

Beyond the Skin

The toll of eczema goes deeper than the surface. People living with the condition often report anxiety, low self-esteem and feelings of isolation. For black women in particular, who already face societal pressures around beauty and appearance, eczema can feel like an extra layer of judgment.

Steps Towards Support

Awareness is key. More healthcare professionals are now being trained to recognise how skin conditions present differently on black skin, but communities also need to play their part. By rejecting stigma and offering support, families and neighbours can help those with eczema feel seen and understood.

Simple acts, such as encouraging children not to tease classmates or creating safe spaces for adults to talk openly, can break the silence around this condition.

Eczema is not a matter of poor care or neglect. It is a medical condition, and for many in black communities, it remains a hidden burden — one that deserves both compassion and understanding.