People with atopic eczema can sometimes develop further physical and psychological problems.

As atopic eczema can cause your skin to become cracked and broken, there's a risk of the skin becoming infected with bacteria. The risk is higher if you scratch your eczema or do not use your treatments correctly.

Signs of a bacterial infection can include:

• fluid oozing from the skin
• a yellow crust on the skin surface
• small yellowish-white spots appearing in the eczema
• the skin becoming swollen and sore
• feeling hot and shivery and generally unwell

Your normal symptoms may also get rapidly worse and your eczema may not respond to your regular treatments.

You should see a doctor as soon as possible if you think your or your child's skin may have become infected.

They may prescribe antibiotics to treat the infection, as well as making sure the skin inflammation that led to the infection is well controlled.

Speak to a GP if these do not help or your symptoms get worse.

Once your infection has cleared, a GP will prescribe new supplies of any creams and ointments you're using to avoid contamination. Old treatments should be disposed of.

It's also possible for eczema to become infected with the herpes simplex virus, which normally causes cold sores. This can develop into a serious condition called eczema herpeticum.

Symptoms of eczema herpeticum include:

• areas of painful eczema that quickly get worse
• groups of fluid-filled blisters that break open and leave small, shallow open sores on the skin
• feeling hot, shivery and generally unwell, in some cases

Contact a doctor immediately if you suspect eczema herpeticum. If you cannot contact a GP, call NHS 111 or go to your nearest hospital.

If you're diagnosed with eczema herpeticum, you'll be given an antiviral medicine called aciclovir.

As well as affecting you or your child physically, atopic eczema may also affect you psychologically.

Bullying

Schoolchildren may experience teasing or bullying if they have atopic eczema. Any kind of bullying can be traumatic and difficult for a child to deal with.

Your child may become quiet and withdrawn. Explain the situation to your child's teacher and encourage your child to tell you how they're feeling.

Find out about regional support groups on the National Eczema Society website where you may be able to meet other people living with atopic eczema.

Problems sleeping

Sleep-related problems are common among people with eczema.

A lack of sleep may affect mood and behaviour. It may also make it more difficult to concentrate at school or work.

If your child has problems sleeping because of their eczema, they may fall behind with their schoolwork. It might help to let their teacher know about their condition so it can be taken into consideration.

During a severe eczema flare-up, your child may need time off from school. This may also affect their ability to keep up with their studies.

Self-confidence

Atopic eczema can affect the self-confidence of both adults and children. Children may find it particularly difficult to deal with their condition, which may lead to them having a poor self-image.

If your child is severely lacking in confidence, it may affect their ability to develop social skills. Support and encouragement will help boost your child's self-confidence and give them a more positive attitude about their appearance.

Speak to a GP if you're concerned your child's eczema is severely affecting their confidence. They may benefit from specialist psychological support.