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He should definitely be referred to a dermatologist. I have been experiencing mild eczema since i was a child (now i am 23) and starting this past winter, it has turned very severe to the point that my skin got extremely dry/flakey, itchy, had bumpy rashes and caused my skin to break down causing the inner layers to be exposed (very painful) and bruise-like itchy patches on the chest areas and neck. Unless you are referred to a dermatologist, a family doctor can only do so much (suggest use of Cetaphil moisturizing cream, 0.5% hydrocortisone.. etc which may be too weak).. a dermatologist can provide more potent steroid-creams or pills that may work. The most potent drug i was using was Prednisone, and it worked very well when my eczema was exacerbated by another steroid cream called Desonide. But keep in mind that these meds only mask the symptoms and not cure them. Natural, herbal products may work on some people but not others. I agree that Aveeno moisturizers are good, I recently started using their products (they also have lotion specially for eczema type skin). Try to avoid being in extreme temperatures such as very cold weathers (eg. snow) and hot temps as they can exacerbate the symptoms.
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