The eczema seems to cause the fatty liver, not the other way round. My theory? after 54 years of working with it and studying it in much detail? That it is a stress response and nothing more. That highly sensitive children absorb and express environmental stress through their skin. I believe it is the chain of events that are triggered by the stress which spark a chain reaction in the skin.... it IS made worse by diet and environmental factors like chemicals and detergents, but I believe with my whole heart that it starts with a profoundly sensitive child who can't process emotions and stress he-she can feel.