Eczema in the Over-50s: Why It Happens and What You Can Do About It
Eczema isn’t just a childhood condition—it can show up or worsen later in life, especially after the age of 50. So what’s behind this shift, and how can you manage it effectively and naturally?
Why Does Eczema Appear After 50?
There are several key reasons eczema may appear or worsen later in life:
1. Hormonal Changes
As we move through perimenopause, menopause, or andropause, hormone levels—especially oestrogen and testosterone—decline. These hormones are crucial for maintaining skin hydration, elasticity, and barrier function. When levels drop, the skin becomes thinner, drier, and more prone to inflammation, which can trigger or worsen eczema.
2. Skin Barrier Breakdown
A strong skin barrier protects us from irritants, allergens, and moisture loss. But as we age, the barrier naturally becomes weaker. Less oil production, reduced ceramides, and slower skin cell turnover can all lead to dry, itchy, and reactive skin—prime conditions for eczema to develop.
3. Immune System Shifts
Our immune system evolves with age. It may become less efficient at defending against infections but more prone to low-grade inflammation. This underlying inflammation can exacerbate eczema symptoms.
4. Medication and Health Conditions
As we age, we’re more likely to be taking medications or dealing with health conditions (like diabetes or thyroid issues) that can affect the skin. Certain medications can cause dryness or increase sensitivity, which can contribute to eczema flares.
5. Emotional Stress and Nervous System Dysregulation
Life after 50 often comes with major emotional shifts—retirement, loss of loved ones, caring for aging parents, or health challenges. Chronic stress can trigger or worsen eczema by disrupting the skin barrier, spiking inflammation, and impairing the body’s ability to repair itself.
What Does Eczema Look Like in Older Adults?
Eczema in over-50s can present differently than in younger people. You might notice:
Dry, flaky patches on the face, neck, hands, or lower legs
Itching that gets worse at night or in warm environments
Redness or rough texture that doesn’t go away with moisturisers
Cracked or weeping skin, especially in creases like behind the knees or elbows
Increased sensitivity to soaps, perfumes, or even your usual skincare routine
How to Manage Eczema Naturally After 50
Supporting your body from the inside out is key to healing eczema and preventing future flares. Here’s where to start:
🧴 Repair the Skin Barrier
Use fragrance-free, nourishing moisturisers rich in ceramides, shea butter, or colloidal oats.
Avoid long hot showers and use a gentle, non-toxic cleanser.
Apply moisturiser immediately after bathing to lock in moisture.
🧘♀️ Regulate Stress and the Nervous System
Try meditation, breathwork, gentle movement like yoga or tai chi.
Herbal adaptogenic teas such as ashwagandha may help calm the nervous system and support resilience.
🧬 Balance Hormones and Support Detox Pathways
Ensure your diet includes foods high in vitamin B6, zinc, magnesium, and vitamin E are essential for hormone processing and skin repair.
Cruciferous veggies (broccoli, cauliflower, kale) help the liver process hormones efficiently.
🥬 Support Gut Health and Reduce Inflammation
Include probiotic-rich foods like sauerkraut, kefir, and natural yoghurt.
Eat plenty of fibre and plant diversity to nourish a healthy microbiome.
Consider food sensitivity testing if certain foods seem to trigger your eczema.
🌞 Don’t Forget Vitamin D
Many over-50s are low in vitamin D, which is crucial for immune balance and skin health. Ask your practitioner to check your levels in your routine blood tests.
👩⚕️ Ready for Support?
If you’re over 50 and struggling with eczema, we’re here to help. Book a consultation to uncover the root cause and receive a personalised plan to get your skin back on track.