Eczema may be triggered by a number of environmental factors including extremes in temperature and humidity. During the winter time, patients with eczema are more prone to dryness due to the lower humidity and cold temperatures. It is especially important to moisturize twice daily during colder months. On the flip side, during the summer, it is important to maintain an indoor temperature of 72°F as heat and sweating may exacerbate itch and eczema. As mentioned above, harsh soaps can trigger eczema. In addition, bubble baths and fragrances should be avoided. To that end, it is advisable to use hypoallergenic detergents that are “free and clear ” and avoid fragrance, fabric softener, and dryer sheets. Perfumed and fragrance products from Bath and Body Works, Lush, etc. should also be avoided. Cotton clothing is preferable to wool and other harsh textiles, as these fabrics can irritate the skin. Bacterial infection with Staphylococcus (Staph) is a common cause of eczema flares. People with eczema have impaired local immunity of the skin enabling bacterial colonization. These bacteria can drive over activity of the immune system with increased itching, redness, crusting, and oozing. Oral antibiotics are often necessary.  Bleach bathes may decrease the bacteria on the skin.