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Eczema is often treated like a surface problem, but the itch, redness, scaling, and flares usually start with a deeper mix of biology and environment. Atopic dermatitis, the most common form of eczema, is not caused by one thing. It develops when the skin barrier, immune system, microbes, genes, and daily exposures all interact. That is why one person flares after winter weather, another after sweating, and another during a stressful week with poor sleep. The skin is reacting