Weeping eczema in babies: Eczema in babies, children and teenagers
Treating Eczema in Toddlers & Infants
Understanding and Treating Eczema in Babies, Toddlers & Older Children
Eczema (or atopic dermatitis) in children can start as early as two months of age. It’s a very common condition, affecting approximately 10% of infants and children. Here are tips about understanding and treating eczema.
Your 13-month-old has been off of formula for a month now and enjoys drinking milk out of her sippy cup. You’ve noticed a red, raised rash scattered in different places around her body. She occasionally scratches it, which seems to make it even worse.
Your 4-month-old has had a red, irritated rash on his face for the past two months. Everyone has told you it’s just baby acne. You now start to see the rash breaking out on his arms, legs, and body. It seems to be getting worse. He is exclusively breastfed.
Your 4-year-old has always had dry skin, but it never seemed to bother him. Lately, however, he has developed dry, scaly patches on his arms, legs, and face.
These are all common scenarios that are typical of eczema.
What is eczema?
Eczema is a skin condition that has two distinct components:
- Dry, easily irritated skin – children with this type of eczema have a genetic tendency toward dry skin. Moisture is very important for our skin. It helps skin stay healthy, prevents irritation, and speeds up healing. Moisture essentially helps our skin function better. With eczema, the skin does not retain moisture very well, thus giving it a dry, slightly rough texture and making it prone to irritation. To further complicate matters, this dry, irritated skin is itchy, causing children to scratch frequently. This further irritates and damages the skin, which leads to worse itching and scratching, and so on.
- Allergies – children with this condition also have some underlying allergies that are manifested in the skin. When exposed to these allergens, the skin over-reacts and breaks out in a rash. The already dry and slightly irritated skin is less able to handle this allergic rash and less able to heal itself quickly.
Thus, children with eczema have an ongoing battle on two fronts – trying to retain moisture in the skin and prevent irritation and itching, and limiting exposure to allergens and skin irritants. This is a battle we plan to help you and your child win against eczema!
Now that we know what causes eczema in babies and toddlers, let’s take a closer look at what symptoms to look for.
What does eczema look like in children?
- Dry skin – your child will have slightly dry skin with a rough texture. You may be able to see and feel tiny white bumps as you run your fingers across the skin.
- Dry patches – you may see scattered, scaly, dry, white patches anywhere on the body.
- Flare-ups – from time to time you will see some areas of the skin become more irritated and flare up due to eczema. These will look like raised, red, slightly oozing patches. Flare-ups generally occur near skin creases – most commonly the inside of the elbows and behind the knees, but also in the neck, wrists and hands, and feet. An eczema rash can also occur on the trunk. One unique aspect of eczema is that it usually does not affect the diaper area.
What causes infant and toddler eczema?
As stated above, eczema is a mixture of dry skin and allergies. The cause is mainly genetic – an inborn tendency toward dry skin and allergies. There is no way to change these genetics. The important issue is not what causes eczema in the first place, but what allergens and skin irritants your child is exposed to that are triggering the flare-ups.
There are 5 main aspects of preventing and treating eczema in children:
Avoid dry skin
Moisturize, moisturize, moisturize! This is the single most important step in treating eczema and minimizing your child’s eczema. Do not underestimate this – this is a vital part of toddler and baby eczema treatment. This needs to be part of your daily routine with your child:
- Luke-warm baths – hot water can dry the skin. Let your child play and soak in the bath. Do not let him soak in soapy water. It used to be felt that frequent bathing made eczema worse. Now we know that luke-warm baths allow water to soak into the skin.
- Towel off gently by patting the skin. Do not rub dry.
- Do not use plain soap – soap dries the skin, even liquid baby soap.
- Use a moisturizing soap with no perfume – unscented Dove works very well. Cetaphil is a cleanser that is also soap-free and good for eczema.
- Daily moisturizing lotion – this is very important. Two to four times a day, apply a moisturizing lotion or cream to the whole body, especially the affected areas. Some good brands include Aquaphor, Eucerin, or Keri lotion. One good time to apply this is right after the bath – it locks in the moisture.
Avoid skin irritants
This is the second most important aspect of eczema prevention.
- Cotton clothing is best. Avoid wool and synthetic materials; they can be more abrasive and irritating to the skin.
- Use cotton sheets and soft, cotton blankets.
- Wash new clothes before wearing them – this will get out any chemicals from the manufacturing process.
- Do not use any perfumed or scented lotions.
- Do not use bubble bath.
- Laundry detergents – use a mild, dye-free detergent such as Dreft, Ivory Snow or All Clear. Liquid detergents rinse out better.
- Double rinse the wash to get out all the detergent.
- Shower or bath after your child plays in the grass or engages in sports that make him sweaty.
- Maintain humidity of 25-40 percent in your home. Buy a humidity gauge. During the dry winter months, use a humidifier in your home. During the humid summer months, the air conditioning can keep the humidity stable.
- Suntan lotion – use one that doesn’t irritate your child’s skin. PABA free is better.
Avoid allergic triggers
- Food allergies – if your child has any food allergies, then they will play a major role in causing eczema. The problem is, you may not know if your child has any food allergies, and if he does, which foods is he allergic to? Thankfully, there are six common foods that make up nearly 90 percent of possible allergic foods. These are milk, egg, soy, peanuts, fish, and wheat. Eliminate all six foods for 2 to 3 weeks. If you see a dramatic reduction in eczema flare-ups, then re-introduce each food one at a time to determine which is causing the allergy.
- Environmental allergies – these include dust, mold, pets, and seasonal outdoor allergies such as pollens. These environmental allergies are more likely to cause nasal allergies and asthma rather than eczema. However, they can contribute to eczema. Identifying and preventing these allergies is a very complicated process.
Control the itching
This is a major problem for children with eczema. They are in a continuous cycle of itching and scratching. The dry, irritated skin itches, so your child scratches. The scratching further irritates the skin, which causes the eczema rash to flare up. This itches even more and your child scratches even more. If you can keep the skin moisturized, decrease the rash, and prevent itching and scratching, then you can avoid this endless cycle.
- Keep fingernails cut short and very clean – when your child scratches, the bacteria that live under his nails and on his skin get pushed deeper into the rash. This can lead to a skin infection. Shorter nails also will lessen the trauma to the skin.
- Wear long sleeves and pants, weather permitting – this keeps his skin covered so your child is unable to scratch as much.
- Medications to reduce itching – oral antihistamines are a very effective way to control the itching caused by eczema. There are two types:
- Over-the-counter – Benadryl (diphenhydramine) is the standard for itching. Its only drawback is that it causes drowsiness in many people. At nighttime, this can be an advantage since it will help your child sleep through the itching. But during the day, it can interfere will his daily functioning.
- Non-sedating prescriptions – Zyrtec, Claritin, and Allegra and the three most commonly used. Zyrtec is currently approved for down to age 2 years. The other two are not – so should not be used for infant or toddler eczema treatment. These have two benefits: they are long-acting and last 12 hours, and for most people, they do not cause drowsiness. Thus they are very convenient for use during the day.
- You can alternate between these two. Use Benadryl at night, and a prescription during the day.
- When to use these medications – do not just automatically give these to your child every day. When the eczema is under control, the rash is mild, and your child has little or no itching, then give your child a break from the medication. But do not be afraid to use it during flare-ups and for periods of moderate to severe itching. You need to break the itching and scratching cycle before the rash worsens. You can safely use these medications daily for several weeks.
Topical steroid cortisone cream
Although this is a medication to help control itching as in the section above, it deserves its own special section. These creams have long been the gold standard. It helps in treating eczema by minimizing the rash and itching. They vary in strength from the extremely mild over-the-counter hydrocortisone cream, to mild, medium, strong, and very strong prescription creams. Follow the instructions below for treating eczema with creams.
- Preventative treatment – if your child’s eczema is usually well controlled, with very little itching and rash, then you do not need to use cortisone cream for prevention. However, if the eczema is moderate to severe and your child continuously has rash and itching despite all possible measures to minimize it, then you can use this cream on a daily basis to try to improve the condition. Use the mildest form of infant or toddler eczema cream that seems to work for your child.
- Mild rash – this consists of a few areas of raised, red rash slightly worse than your child’s baseline rash. Treat this with the over-the-counter 1 percent hydrocortisone cream (do not bother with the 0. 5 percent – you might as well not use anything if you use this). It will say extra-strength, but it is really very mild. Use the cream twice a day until the rash subsides. Ask your doctor for a mild prescription cortisone cream if the OTC one doesn’t work.
- Moderate rash – again, what is considered moderate is based upon your child’s baseline rash. These areas are often more red and inflamed, may have some oozing from the rash, and may bleed slightly from scratching. The itching will be worse than usual. Treating eczema in these areas with a mild prescription cortisone cream. You can also ask your doctor for a medium strength eczema cream if the mild one doesn’t work.
- Severe rash – these areas will be very red and irritated, will ooze, and bleed. These areas will be larger and more widespread than usual. Itching and burning will be troublesome. Treat this with a medium strength prescription cortisone cream. Your doctor may prescribe a strong cream to be used very sparingly for severe areas that don’t improve with a medium strength cream.
- How long to use eczema cream – only use the prescription cream until the rash subsides. You don’t have to keep using the same strength cream until the rash is totally gone. If you have been treating eczema and you see the rash is somewhat better, then step down to a weaker cream. Use that one until the rash is back to baseline. It is safe to use mild prescription creams for a few weeks.
- Helpful tips – When treating eczema after a bath, apply the cream to the slightly damp skin. Apply the steroid cream before applying the moisturizer.
- Side effects of steroid creams. There are two types of side effects:
- Local side effects in the skin – include thinning of the skin, stretch marks, and infections. Different parts of the body are more susceptible to side effects in the skin. These areas include the face, armpits, and genital areas. It is generally safe to use the mildest creams on these areas for a few weeks, and use the mild to moderate creams for several days, but it is better not to use the strong creams on these areas at all.
- Internal side effects – a very small percentage of the steroid is absorbed through the skin into the bloodstream. If enough is absorbed, it can affect certain hormone levels which in very rare cases can cause a reduced growth rate. Be aware that this only happens with the overuse of the strong steroid creams. The stronger the cream and the longer it is used, the more chance of side effects. Over the counter cream has virtually zero chance of side effects, and so do the mildest prescription creams. The moderate strength creams have a slight chance of side effects. The strong creams have some chance of side effects, especially the longer they are used. The very strongest creams should not be used to treat eczema in children.
- Preventative treatment – if your child’s eczema is usually well controlled, with very little itching and rash, then you do not need to use cortisone cream for prevention. However, if the eczema is moderate to severe and your child continuously has rash and itching despite all possible measures to minimize it, then you can use this cream on a daily basis to try to improve the condition. Use the mildest form of infant or toddler eczema cream that seems to work for your child.
“Soak and Seal”
This is a technique we use in our medical practice: because eczema is basically dry skin, apply a light layer of water over eczema, then cover with the lubricant, which then seals the area and allows the water to soak in.
Be aware that children with eczema are more susceptible to bacterial skin infections, especially in areas where the rash is the worst. This infection is called impetigo. Signs that this is occurring are increased redness of the skin around the rash and a honey-colored fluid oozing from the rash or forming a crust over the rash. This is not an emergency and is not a reason to page your doctor after hours. It can wait until the next day to be seen by the doctor.
New innovations in the treatment of eczema in children
Tacrolimus ointment – this is an investigational ointment currently being tested in the U.S. for the treatment of eczema. It suppresses the part of the immune system that is responsible for the eczema rash and itching. This ointment is showing great promise, and will hopefully be available soon. It appears to be just as effective as steroid creams but does not have many of the side effects that the steroids have.
Will my child ever outgrow eczema?
Yes. For most children, eczema improves during childhood. Your child may always have a very slight problem with dry skin and occasional mild rash, but the vast majority of children grow up with very little inconvenience from this condition.
The best foods for healthy skin are:
- Omega-3 fatty acids, such as flax seeds or flax-seed oil, salmon and tuna fish.
- The antioxidants vitamin C and vitamin E act like nature’s own protection.
- Lots of fluids, preferably water, to help keep your baby’s skin well hydrated.
Dr. Sears, or Dr. Bill as his “little patients” call him, has been advising busy parents on how to raise healthier families for over 40 years. He received his medical training at Harvard Medical School’s Children’s Hospital in Boston and The Hospital for Sick Children in Toronto, the world’s largest children’s hospital, where he was associate ward chief of the newborn intensive care unit before serving as the chief of pediatrics at Toronto Western Hospital, a teaching hospital of the University of Toronto. He has served as a professor of pediatrics at the University of Toronto, University of South Carolina, University of Southern California School of Medicine, and University of California: Irvine. As a father of 8 children, he coached Little League sports for 20 years, and together with his wife Martha has written more than 40 best-selling books and countless articles on nutrition, parenting, and healthy aging. He serves as a health consultant for magazines, TV, radio and other media, and his AskDrSears.com website is one of the most popular health and parenting sites. Dr. Sears has appeared on over 100 television programs, including 20/20, Good Morning America, Oprah, Today, The View, and Dr. Phil, and was featured on the cover of TIME Magazine in May 2012. He is noted for his science-made-simple-and-fun approach to family health.
Dr. Bill Sears
Baby Eczema « Conditions « Ada
What is baby eczema / infant eczema?
Baby eczema, or infant eczema, is a highly common and treatable skin condition which typically
first occurs in children before the age of five. Also known as atopic eczema, infantile atopic dermatitis or just atopic
dermatitis, the condition results in red, dry, itchy and cracked skin that may sometimes
crack and bleed. Eczema can affect the whole body, though the hands, face and neck are
the most commonly affected areas in babies.
Baby eczema will generally disappear before the child reaches their teens, but in some cases
can continue into teenage and adulthood. The condition can be treated with a variety of creams,
ointments and minor environmental changes.
Symptoms of baby eczema
Eczema in babies appears as dry, red, scaly, itchy and flaky skin. In young babies, the scalp,
face, ears and neck are the most commonly affected areas. In older babies, the arms and legs
may be more commonly affected, especially around the elbows and knees, as well as the diaper
area. In severe cases, baby eczema can cause painful cracking of the skin, with oozing
and bleeding. As children get older, the skin that is affected by the condition normally
becomes less red but scalier, leatherier and thicker – this is known as lichenification and
may also occur as a result of persistent scratching.
If your baby is experiencing possible symptoms of baby eczema, carry out a symptom assessment with the free Ada app now.
Causes and triggers of baby eczema
The causes of baby eczema are unclear, though it is generally agreed that the condition
stems from a mixture of genetic and environmental factors. Knowing what triggers baby
eczema can be useful in keeping the condition under control. Common triggers include:
- Dry skin: When the skin becomes too dry it becomes susceptible to rashes and flare-ups of eczema.
- Moisture on the skin: From sweat, milk, saliva or wet diapers.
- Chemical irritants: Natural or artificial chemicals found in everyday products can
make an outbreak of eczema more likely. These chemicals can be found in products such as
shampoo, soap, laundry detergent and disinfectants or surface cleaners.
- Dust mites: Some research shows that prolonged exposure to dust mites increases the
likelihood of an infant developing eczema. Further research in the area suggests that
reducing the number of dust mites in the home makes little difference to the frequency
and severity of eczema flares after the first diagnosis.
- Stress: Babies can become extremely irritated by eczema which can in turn exacerbate
the condition further.
Diagnosing baby eczema
Diagnosing eczema in babies is relatively easy due to the visibility and characteristic
appearance of the condition. A doctor will examine the baby and judge whether the symptoms
are a result of eczema (atopic dermatitis or contact dermatitis, which results from exposure
to allergens or irritants and can usually be treated quickly.
Baby eczema treatment
As soon as the presence of baby eczema becomes apparent, treatment options should be explored
quickly to avoid the condition spreading or becoming more severe. Understanding and avoiding
the potential causes and triggers of baby eczema is key to managing the condition, but a
variety of further options are also available. In particularly severe cases, a consultation
with a specialist dermatologist may be necessary.
Moisturizing ointments and creams
Using a moisturizing ointment or cream to keep the skin soft and moist is key to tackling
baby eczema. Moisturizers are classified according to their oil and water content, with
the most effective moisturizers containing a higher amount of oil.
Ointments and barrier creams should be applied to the skin in a thick layer at least twice
per day and immediately after bathing. They can be bought over the counter at the pharmacy
or be prescribed by a doctor.
Mild topical steroids (steroids applied to the skin) can be used to reduce the redness and
soreness of baby eczema flare-ups. These steroids are perfectly safe when applied correctly
and under the guidance of a healthcare professional. They are, however, generally intended
for short-term use, unless otherwise advised by a doctor.
Unscented, additive-free and dye-free cleansers only should be used on babies experiencing
eczema. A range of such products are available and should be used in conjunction with
moisturizing ointments or topical steroids. It is generally advised that a doctor’s opinion
should be sought before using these products.
An appropriate bathing routine is critical to treating baby eczema. Baths are recommended
over showers and should be warm rather than hot and last no longer than 10 minutes. They
should also be followed by the application of prescribed topical lotions and ointments.
Baby eczema FAQs
Q: Will my child grow out of eczema?
A: In most cases, yes. Eczema generally develops in children from the age of two
months and peters out by around three years-old. However, some children can experience
eczema into the teenage years and even into adulthood.
Q: Are there any home remedies that can be used to treat baby eczema?
A: There are a number of home remedies that can be used to treat some of the symptoms
of baby eczema. However, it is generally a good idea to seek a doctor’s opinion and follow
the treatment path outlined. Bathing in water mixed with oatmeal, using a humidifier and
the application of coconut oil are among the most common home remedies.
Q: What does the term “atopic” mean?
A: Atopic (as in atopic eczema or atopic dermatitis) refers to a predisposition toward developing certain allergic hypersensitivity reactions such as eczema, asthma or hay fever. Atopic eczema in babies and atopic dermatitis in babies are simply synonyms of baby eczema.
Q: What is dermatitis?
A: Dermatitis is an umbrella term for a group of conditions that cause inflammation of the skin. Although the different types of dermatitis have differing causes, most involve the onset of red, itchy and dry skin or a rash. Baby eczema, or atopic dermatitis, is one form of dermatitis. Others include contact dermatitis (caused by the skin coming into contact with irritants) and seborrheic dermatitis (which can cause a flare-up of red skin, scaly patches and dandruff).
Q: What is the relationship between food allergies and baby eczema?
A: Food allergies are common in infants with eczema. However, they are separate conditions and it is not accurate to say that food allergies cause eczema. Instead, it appears that having eczema may increase the chances of an infant developing allergies to certain foods. A flare-up of both conditions may cause a rash or red, itchy skin, however, eczema is typically focussed on specific parts of the body (hands, face, neck) while an allergic reaction is more unpredictable.
Eczema (atopic dermatitis) – Better Health Channel
Atopic dermatitis (commonly known as eczema) is an inherited, chronic inflammatory skin condition that usually appears in early childhood. Patches of skin become red, scaly and itchy. Sometimes, tiny blisters containing clear fluid can form and the affected areas of skin can weep. Weeping is a sign that the dermatitis has become infected, usually with the bacterium Staphylococcus aureus (‘golden staph’). Eczema is not contagious.
Eczema can vary in severity and symptoms may flare up or subside from day to day. If your eczema becomes worse, disrupts sleep or becomes infected, see your doctor.
Using moisturisers and cortisone-based ointments can help ease the symptoms. It is also important to avoid skin irritants, such as soap, hot water and synthetic fabrics.
Children with eczema have a higher risk of developing food allergies, asthma and hay fever later in childhood.
Causes of eczema
Eczema is caused by a person’s inability to repair damage to the skin barrier. This is due to a mutation in the gene called filaggrin. Filaggrin is important for formation of the skin barrier. Normally, every cell in the skin has two copies of the filaggrin gene. However, people who are susceptible to eczema only have one copy of this gene.
Although you only need only one copy of the gene to form a normal skin barrier, two copies are important for skin barrier repair. If a person’s skin is exposed to irritants and their skin barrier is affected, a person with only one copy of the gene may find that their ability to repair the skin barrier is limited.
Once the skin barrier is disrupted, moisture leaves the skin and the skin will become dry and scaly. Environmental allergens (irritants from the person’s surrounds) can also enter the skin and activate the immune system, producing inflammation that makes the skin red and itchy.
You are more likely to get eczema if your family has a history of eczema or allergic conditions, including hay fever and asthma.In most cases, eczema is not caused or aggravated by diet. If you feel a food is to blame, see your doctor or a dietitian for proper allergy testing and dietary advice.
While eczema causes stress, and stress may increase the energy with which you scratch, stress does not in itself cause eczema.
Triggers of eczema
Some things make eczema more likely to appear. These include:
- contact with irritants in the environment
- heat, which can aggravate the itch and make affected people more likely to scratch
- allergic reaction to particular foods – this is rare. Food allergy appears as redness and swelling around the lips within minutes of eating the offending food.
Symptoms of eczema
The physical effects of eczema can include:
- skin dryness
- red and scaly areas on the front of the elbows and the back of the knees
- watery fluid weeping from affected skin
- lesions (sores) that may become infected by bacteria or viruses.
Most people with eczema find that their symptoms are made worse by common aspects of daily living, such as hot weather, frequent showering, soap, ducted central heating and overheating in bed at night. There are things you can do that may help you to better manage your eczema and reduce the frequency of flare-ups. Always see your doctor or dermatologist for further information and advice.
Eczema coping tips – good hygiene
Skin affected by eczema is more vulnerable to a range of infections, including impetigo, cold sores and warts. The bacterium Staphylococcus aureus may cause a secondary infection of impetigo, and possibly contribute to the symptoms of eczema.
Suggestions for washing include:
- Take lukewarm baths or showers, and avoid really hot showers.
- Don’t use ordinary soap, as the ingredients may aggravate your eczema. Wash your body with warm water alone. For armpits and groin, use soap-free products, such as sorbolene cream.
- Bath oils can help to moisturise your skin while bathing.
- When towelling dry, pat rather than rub your skin.
Eczema coping tips – reducing skin irritation
People with eczema have sensitive skin. Irritants such as heat or detergents can easily trigger a bout of eczema.
Suggestions for reducing skin irritation include:
- Avoid overheating your skin. Wear several layers of clothing that you can remove, as required, instead of one heavy layer. Don’t put too many blankets on your bed and avoid doonas.
- Don’t use perfumed bubble bath or bath products labelled ‘medicated’.
- Wear soft, smooth materials next to your skin, preferably 100% cotton. Avoid scratchy materials, such as pure wool, polyester or acrylic. You could try a cotton and synthetic mix material – this is fine for some people with eczema. Remove labels from clothing.
- Always wear protective gloves when using any type of chemical or detergent. You may want to wear cotton gloves inside rubber or PVC gloves.
- Avoid chlorinated pools. If you have to swim in a chlorinated pool, moisturise your skin well when you get out.
Eczema coping tips – beauty products
Suggestions for using beauty products include:
- Remember that even hypoallergenic cosmetics can irritate your skin. Whenever possible, keep your face free of make-up.
- Avoid perfumes, fragranced skin lotions and strongly scented shampoos.
- When using a new cosmetic, try testing it first on a small, inconspicuous area of skin such as your forearm. If you experience a reaction, don’t use the product again.
Eczema coping tips – allergies
In some cases, eczema may be an allergic reaction to environmental triggers. Some people with resistant eczema may find it helpful to have allergy testing (for example, prick testing for common environmental allergens such as house-dust mites, moulds and grass pollens).
Eczema coping tips – avoid changes in temperature
Abrupt temperature and humidity changes can sometimes irritate the skin – for example, going in and out of air-conditioned buildings on hot days or heated buildings on cold days.
Hard physical activity or exercise that makes you sweat heavily can also trigger the itch of eczema.
- In winter, don’t overheat your house. Dress warmly when going outdoors and remove the extra layers as soon as you return.
- In summer, don’t over cool your house. Air conditioners can dry out the air and irritate your skin.
- Avoid hard physical activity in hot weather. For example, do your gardening first thing in the morning, or in the evening when the sun is lower in the sky.
Eczema coping tips – diet
In most cases, eczema isn’t caused or made worse by diet. If you notice that your eczema seems to get worse after eating a particular food, you may be an exception to this. See your doctor or dietitian for proper allergy testing and dietary advice.
Never self-diagnose or you risk depriving yourself of enjoyable and nutritious foods for no good reason. Unnecessarily avoiding certain foods (such as dairy products) can lead to nutritional deficiencies.
General tips for coping with eczema
Other tips to manage your eczema include:
- Keep your fingernails short – longer nails are more likely to injure your skin when you scratch.
- If the water in your area is ‘hard’ (full of minerals) or alkaline, consider installing a water-softening device.
- Swim in the sea in warm weather whenever you can – seawater is known to reduce the symptoms of eczema.
- Use sun exposure for limited periods – for example, when swimming at the beach. This can help relieve eczema symptoms. But be aware that ultraviolet radiation is a risk factor for skin cancer and premature ageing of the skin. Also, if sun exposure causes overheating, this can also aggravate eczema.
Treatments for eczema
Treatment options for eczema include:
- moisturisers (emollients)
- anti-inflammatory ointments – either topical corticosteroids or non-steroidal anti-inflammatory ointments such as pimecrolimus
- coal tar – to reduce the itch
- dietary changes – seek professional advice before changing your diet
- ultraviolet radiation therapy (phototherapy)
- oral medication (tablets).
Emollients (moisturisers) for treating eczema
Emollient creams add moisture to the skin. Apply moisturisers each day to clean, dry skin. It is especially important to moisturise after showering and bathing, and when living or working in an air-conditioned or heated environment. You may need to try several different brands until you find the emollient that works best for you. Ask your doctor, dermatologist or pharmacist for advice.
Anti-inflammatory ointments for treating eczema
Eczema responds well to anti-inflammatory creams. Topical steroids (corticosteroids) come in various strengths and are available by prescription from your doctor. Generally, it is better to use the lowest strength that works adequately.
Using high-strength topical steroids for extended periods, especially on delicate areas like the face, can cause side effects, including thinning of the skin. It is best to apply the cream to reddened areas after bathing, but make sure the skin is thoroughly dry.
In severe cases of eczema, a short course of oral corticosteroids may be necessary. This must be done under careful medical supervision because symptoms may become worse once you have finished taking the tablets.
Pimecrolimus cream is a non-steroid anti-inflammatory cream that can help reduce flare-ups of eczema if applied at the first signs of eczema.
Coal tar for treating eczema
Applying coal tar to affected areas is another way to reduce the itch from eczema. Coal tar has a strong smell and tends to stain any fabric it touches. It can also irritate some people’s skin. Only use it under supervision of a doctor who is experienced in managing eczema.
Ultraviolet radiation therapy (phototherapy) for eczema
Exposure to ultraviolet radiation can help reduce the symptoms of chronic eczema. Exposure under medical supervision can be carefully monitored with the use of specially designed ‘cabinets’ – the person stands naked in the cabinet and fluorescent tubes emit ultraviolet radiation.
A person with stubborn eczema may need up to 30 sessions. The risks of unsupervised ultraviolet radiation therapy can be the same as for sunbathing – faster ageing of the skin and greater risk of skin cancer.
Oral anti-inflammatory medication
Most people affected by eczema can manage the condition with creams and ointments alone. While oral medication can help people whose eczema is resistant to treatment, their side effects can include high blood pressure, increased susceptibility to all types of infections, and mood and behavioural changes.
Because of these risks, and the need for close and regular monitoring, oral anti-inflammatory treatment is only considered in severe cases of eczema that are difficult to control with other therapies.
New treatments are currently being developed for moderate to severe atopic dermatitis. One group is called biologic therapy. Dupilumab is the first of these biologic therapies to be approved by the Commonwealth Government Therapeutics Goods Administration (TGA) and is undergoing clinical trials in Australia and overseas for the management of severe eczema. This treatment is generally administered by an injection into the fat tissue once a fortnight. Other biologics being investigated in clinical trials include Tralukinumab and Lebrikizumab.
A second class of agents showing promise in early clinical trials are Janus Kinase (JAK) inhibitors. JAK inhibitors are tablets taken once or twice daily. Agents under investigation include Baricitinib, Udapicitinib and Abroocitinib.
Importance of eczema treatment
There is growing evidence that allergens introduced into the body through the skin can lead to the later development of food allergy, asthma and hay fever. Aggressively treating eczema in children and taking steps to restore normal skin barrier function may lower the risk of future development of these conditions.
Complications of eczema
An intact skin surface is our best defence against skin infections. This is why a person with eczema is prone to bacterial and viral infections, including:
- Staphylococcus aureus – causes impetigo. This thrives on skin affected by eczema. Infection causes inflamed blisters that pop, weep and form crusts. Treatments include antiseptic creams and antibiotic tablets
- herpes simplex virus – cold sores. This can easily spread over wide areas. See your doctor for early treatment
- warts – small, raised lumps caused by viral infections. Warts often clear up by themselves, but this can take up to 12 months.
Where to get help
Helpful Tips for Soothing Your Baby’s Eczema
Is your baby scratching all day from eczema? There are lots of ways to soothe the itchy skin.
Many doctors suggest you give your baby a bath every day if they have eczema. Baths add moisture to dry skin and get rid of bacteria that can cause infections.
“It can be fun for baby, and it’s good for bonding with the parents,” says Amy S. Paller, MD, a professor of pediatrics at Northwestern University. “It’s a wonderful way to get hydration into the skin. “
Use fragrance-free, mild soaps or soapless cleansers for sensitive skin. Keep baths to 5 or 10 minutes. Pat your baby dry to retain some moisture on the skin, then apply moisturizer.
To soothe dryness and itching, put moisturizer on your baby’s skin at least twice a day.
Dry skin can make eczema worse and cause more inflammation, says Lawrence F. Eichenfield, MD, a professor of pediatrics and dermatology at the University of California, San Diego. Moisturizing often helps break what he calls “the itch-scratch cycle.”
Thick, moisturizing creams and ointments work better on your baby’s skin than lotions, which have more water. If your doctor has prescribed anti-itch cream, put it on before the moisturizer.
You may want to switch moisturizers, depending on the season. Petroleum-based ointments are ideal for cold-weather months but too thick for summertime. A lighter cream is better in warm weather.
Organic and natural baby products are popular. However, most have herbs and plant-based products that can cause reactions in babies with sensitive skin.
“People think about organic products as being healthy,” says Nanette Silverberg, MD, director of pediatric dermatology at St. Luke’s-Roosevelt Hospital Center in New York. “But most kids are going to be sensitive to some extract, fragrance, or flowers.”
Silverberg suggests you ask your doctor for the name of a product line that’s been proven to work well for children with skin sensitivity.
Consider Diluted Bleach Baths
Silverberg suggests them for babies older than 6 months who have moderate or severe eczema. They’re especially helpful if your baby has crusting on their skin. Bleach helps remove staph bacteria — a known eczema trigger — without antibiotics.
Talk to your pediatrician before giving your baby a bleach bath. If you do, use 1 teaspoon of bleach per 1 gallon of water or 1/4 cup per full bathtub.
Sound harsh? Silverberg says it’s just like putting your child into a swimming pool with chlorine. What’s more, it may give your baby fewer flare-ups and more comfort.
There are special mittens you can put on a baby’s hands to stop them from scratching. But the older they get, the less likely they are to work.
Keep your child’s fingernails cut short and filed with an emery board so they’re not sharp. That’ll lessen irritation. If you notice your child scratching more than usual, take them to the doctor. They can prescribe anti-itch medicine.
Keep Clothing Loose
Tight outfits can trap sweat against your baby’s skin. That can lead to rashes and itching. Dress your baby in layers of soft, loose-fitting, breathable cotton to keep them comfortable.
At night, it may help to swaddle them in a cotton blanket. That helps many babies sleep better.
Avoid Eczema Triggers
Fragrances: Products with them can cause reactions. Use unscented products whenever you can.
Detergents: Ask your pediatric dermatologist to recommend a gentle, fragrance-free laundry soap.
Rough fabrics: Consider your wardrobe, too — change out of a wool sweater before cuddling your baby.
Saliva: Babies who drool when eating or sleeping can get rashes on their faces. Saliva can irritate sensitive skin. Put petroleum jelly on your baby’s cheeks before mealtime or naptime to create a barrier between the saliva and skin.
How to treat baby eczema
Daily bathing and moisturizing is key to treating baby (infantile) eczema (atopic dermatitis). Use a mild cleanser and warm water. After a bath of no more than 15 minutes, rinse completely, gently pat your baby dry and apply a fragrance-free cream or ointment such as petroleum jelly (Vaseline), while the skin is still damp. Moisturize at least twice a day, perhaps at diaper changes. When trying a new moisturizer, test it on a small area of the child’s skin first to make sure it’s well-tolerated.
Baby eczema signs and symptoms may also be eased by avoiding irritants — such as itchy fabric and hash soaps — as well as extremes in temperature. To prevent your child’s scratching the rash, it may help to keep your baby’s nails clipped short or to put on cotton mittens during sleep.
Have your baby examined if the condition persists or the rash is purple, crusty and weepy or has blisters. A child who has a fever and rash may also need evaluation. Talk with your doctor about using a medicated cream or ointment or trying bleach baths to ease symptoms. Use medications and bleach baths with the guidance of your pediatrician.
Most children outgrow infantile eczema by 3 to 5 years of age.
- Eczema bleach bath: Can it improve my symptoms?
- Can baby eczema be prevented?
Feb. 24, 2021
- Litin SC, et al., eds. Skin, hair and nails. In: Family Health Book. 5th ed. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
- Kermott CA, et al., eds. Conditions A-Z. In: Mayo Clinic Book of Home Remedies: What to Do for Most Common Health Problems. 2nd ed. New York, N.Y.: Time Inc. Books; 2017.
- AskMayoExpert. Atopic dermatitis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
- Litin SC, et al., eds. Infant and toddler years. In: Family Health Book. 5th ed. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
- Eczema and bathing. National Eczema Association. https://nationaleczema.org/eczema/treatment/bathing. Accessed Jan. 2, 2019.
- Gibson LE (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 15, 2019.
- Litin SC (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 18, 2019.
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What Is It, And How To Know If You Have It
Eczema, or atopic dermatitis, is a chronic skin condition that usually appears in early childhood. It is often inherited and is characterized by red, itchy, and scaly patches of skin.
Eczema, or atopic dermatitis, is a chronic skin condition that usually appears in early childhood. It is often inherited and is characterized by red, itchy, and scaly patches of skin.
It is not contagious but can cause a lot of issues for the person who suffers from it.
Eczema can vary in symptoms and severity. It may subside or flare-up on different days. Sometimes, tiny blisters that contain a clear liquid can form and the affected areas can weep.
This is a sign that the skin has become infected, and is usually called weeping eczema.
What is Weeping Eczema?
Weeping eczema is an atopic dermatitis characterized by pus-filled blisters. These sores “weep” which means the pus may seep out of the blisters and cause wetness. The pus is usually clear or yellow in color, which eventually dries up on your skin as a crusty layer.
What causes Weeping Eczema?
Eczema, in general, is caused by the inability to repair any damages to the skin’s barrier. This is due to a certain mutation in the gene called filaggrin.
Filaggrin is essential to the formation of the skin’s barrier. Every skin cell has two copies of this gene. However, people who have eczema only have one copy.
You need only one copy of the filaggrin gene to effectively form the barrier, but you need two for its repair.
If a person with just one copy of the gene’s skin is exposed to different irritants that may harm the skin barrier, its ability to restore the barrier will be limited.
Once the skin barrier is affected, moisture leaves the skin, which causes the skin to be scaly and dry. Environmental allergens, or irritants from the surroundings, may enter the skin and activates a person’s immune system, therefore producing inflammation that makes the skin itchy and red.
Since eczema is due to a problem with genes, you might inherit it from family members with a history of the said illness or any other allergic conditions, such as asthma and hay fever.
Weeping eczema is caused by an infection. Since you experience a lot of itchiness, you’ll end up scratching your skin to relieve it.
However, if the skin gets cracked by scratching it too much, harmful microorganisms may enter the exposed area, especially since the person’s ability to restore the skin barrier is not at its best. The usual symptoms of eczema worsen with weeping eczema, and the condition becomes more difficult to treat.
Signs of infection include the following:
- Skin that oozes a golden, yellow, or clear fluid
- Dry, scaly crusts on the skin
- Severe itchiness
- Soreness in the affected area
- Flu-like symptoms
- Tiny, red spots around body hair
- Swollen glands usually located in the neck, armpit, or groin area
Staphylococcus is the most common cause of infection for weeping eczema. It’s a common strain of bacteria, but it can cause a lot of trouble for eczema patients.
The bacteria Staphylococcus aureus is a Gram-positive bacteria usually found in normal human flora, like the skin or other mucous membranes, but for people affected with eczema have limited protection against bacteria, the infection may become serious.
In fact, more than 90 percent of people who have moderate to severe eczema have staph on their skin’s surface.
Another problem that may cause skin infections in eczema patients is fungal infections. An example of this is tinea, more commonly known as ringworm. Ringworms cause red, scaly, itchy, or raised patches of skin with a characteristic red ring on its outer edges.
When to Seek Medical Advice
As soon as you see that your skin is weeping, or if you suspect that you’ve developed an infection, you should seek the advice of a medical professional right away. Receiving treatment for your skin condition as early as possible can help your doctors treat it.
Your doctor will thoroughly examine the affected skin to see the extent of the infection. He may also ask to have the area swabbed to determine the type of infection you have.
Like previously mentioned, many harmful microorganisms may infect the skin, so it is important to identify which one is the culprit. The results of the swabbing will help your medical team determine the best treatment for your weeping eczema.
If you were misdiagnosed for weeping eczema reach out to the medical malpractice attorneys at Wapner Newman.
Medical Management for Weeping Eczema
Depending on the type of infection present, treatment for eczema varies from case to case. This is why your doctor needs you to undergo a few tests like swabbing.
The swabbing will be able to pinpoint what microorganism caused your infection, and based on the results, your doctor will be able to identify the correct medication.
For example, if the cause of the infection is a virus, your doctor will prescribe an antiviral medication. In the case of bacterial infection, you might need to use either a topical or an oral antibiotic.
For fungal infections, you may expect your doctor to prescribe antifungal creams or pills.
Here are some of the medications frequently prescribed to people with infected eczema:
• Corticosteroid solutions
Corticosteroids may come in the form of creams, ointments, or foams. Treatments made with hydrocortisone steroids can help relieve the itching and reduce the skin inflammation quickly. They usually come in different strengths, so you have to follow your doctor’s prescription.
Usually, doctors prescribe over-the-counter hydrocortisone creams to treat mild eczema. However, if you are weeping eczema, or thick, scaly skin, your doctor might have to ask you to use a more potent medication. You should not worry about side effects such as stretch marks and thinning skin if you take them as directed.
• Oral Corticosteroids
Like corticosteroid-based topical solutions, corticosteroid pills and shots are powerful medications that can help relieve severe eczema, or in this case, weeping eczema. However, they’re not for long-term use, because they may cause unpleasant side effects such as bone loss and skin damage.
There are also some drugs that suppress your immune system, preventing your body’s defenses from reacting to allergens or bacteria too much. They come in the form of liquids, pills, or injections. They can help people with moderate to severe eczema when all other kinds of treatments are ineffective. They also have serious side effects like kidney problems and high blood pressure, so take them only for the shortest time possible.
Too much scratching severely damages the skin, which allows bacteria to get under it, breed, and cause an infection. Once your doctor finds out, if your condition is caused by bacteria, you might need to take an antibiotic.
Antibiotics treat bacterial skin infections. You would need a prescription for it, and you have to take them exactly as your doctor has prescribed to avoid developing a resistance to antibiotics. Be sure to take antibiotics on time and never skip a dose.
• Non-steroidal anti-inflammatory ointments
NSAIDs, or non-steroidal anti-inflammatory drugs, don’t just come in pills. There has been a new prescription NSAID called crisaborole which can be used to treat eczema. Applying it twice a day for patients two years old and up has been proven effective in reducing inflammation, which in turn helps the skin return to its normal appearance.
• Barrier Repair Moisturizers
You can get barrier repair moisturizers by prescription and over the counter. Their main purpose is to lock the moisture in your skin and repair any damage.
They also relieve redness, dryness, and itching. However, some products were irritating ingredients or overpowering fragrances, so you should ask your doctor or local pharmacists which kind you should try.
Tacrolimus and pimecrolimus are ointments that you rub on your skin to treat moderate to severe eczema. They’re not steroids, but they help reduce inflammation. However, the FDA has issued a warning for the two since they may increase the risk of non-Hodgkin’s lymphoma and skin cancer. Consult your physician if you’re planning to use them.
Antihistamines are medications that help relieve itching. You should take them at night since they cause drowsiness. Because of this side effect, you can get some sleep, which may be elusive when you experience itchiness.
• Light therapy
If your weeping eczema doesn’t get better with the usual medications, or if you experience the same symptoms rapidly after any treatment, your doctor might resort to light therapy. It involves exposing your skin to controlled amounts of sunlight. In some cases, artificial ultraviolet A and narrowband ultraviolet B are also used.
Light therapy is very effective, but using it long-term may cause premature skin aging and may increase the risk of skin cancer. Because of this, it is not given to infants and is used less in young children.
Medications and treatments for eczema depend on your medical history, age, and the severity of the symptoms. One treatment may not be effective for you, so you and your doctor might have to try a different approach from time to time.
Home Remedies to Try
While eczema is hereditary, it is important to note that by taking care of yourself, you can prevent mild eczema from progressing to weeping eczema.
You should follow your medical professional’s treatment plan to help manage and reduce flare. If the flare occurs in a naturally moist area of your skin, or in skin folds, you should keep the area as clean as possible.
Following your doctor’s medical management is not the only thing you should do to control weeping eczema. You can do this by reducing eczema flare and avoiding scratching at all costs.
A person with eczema, no matter what the severity, should always keep his/her skin as clean as possible. You need to take care of your skin to avoid aggravating the symptoms. When your skin is healthy, you’ll be able to prevent itching, dryness, and redness.
Here are a few skincare tips you should try to avoid making eczema symptoms worse:
• Use warm water for bathing.
Hot water will do more harm than good because it can dry your skin. You should opt for a gentler cleanser instead of your usual soap. Annette from OurEczemaStory.com recommends ditching body scrubs and washcloths as they may irritate your skin further. Instead of rubbing, pat dry your skin with a soft towel and try to leave your skin damp.
• Apply moisturizer every day
Apply a fragrance-free moisturizer right after you shower or wash your hands. Choose a brand that won’t irritate your skin. At night, try a thicker ointment or skin eczema cream that has more oil.
• Limit contact with skin irritants
Many things in your household can worsen eczema symptoms. This includes laundry detergents, household cleaners, bubble baths, perfumed soaps, and various cosmetics. Try to learn which substances irritate your skin so you can avoid it.
• Choose comfortable, cotton clothing
Synthetic fibers and wool can be irritating to the skin. Instead, opt for clothes that are made from cotton, and make sure that they’re not constricting. Be sure to wash brand new clothes before you wear them, and use only fragrance-free laundry soap to avoid irritating your skin.
• Try natural alternatives
Some people want to use natural alternatives alongside their medications to help treat infections and prevent them from coming back.
Some people want to use natural alternatives alongside their medications to help treat infections and prevent them from coming back.
You may want to use essential oils such as evening primrose and tea tree for their natural antibacterial properties.
You may also try oatmeal baths to help soothe eczema. Some patients even try probiotics and herbal supplements. Remember to consult your doctor when taking in supplements to check if they’re compatible with the medications you’ll be taking.
Other approaches that some patients have tried are stress management exercises, biofeedback, and diet modifications. Some studies show that stress can be related to the worsening of the symptoms of eczema.
People have tried different techniques to help lower stress, such as meditation, yoga, or exercise, and have reported experiencing some relief.
Behavior modification, or biofeedback, has also been tried to control a person’s urge to scratch the skin. Lastly, modifying one’s diet to exclude trigger foods have also been reported effective to lessen eczema symptoms.
You don’t have to suffer from weeping eczema all your life. You can do something about it. The best way to know if you have it is to consult a medical professional. See your doctor now and take the right steps so you can be free from eczema.
Baby eczema: causes, symptoms, treatments and creams
What is eczema?
Eczema is a dry, itchy skin condition that affects up to one in five children (BAD 2017, NICE 2018). It’s most likely to appear for the first time before your child is five years old, and almost half of cases start before six months (NICE 2018).
If your baby has eczema, she’ll have areas of dry, itchy skin that can look red and cracked, and may even weep fluid or bleed (BAD 2017, NICE 2018). On dark skin eczema is brown, purple or grey, and can be difficult to see (NHS 2019, SOCS nd).
You’re most likely to notice eczema on the creases around your baby’s elbows, knees, wrists and neck (BAD 2017). However, eczema can appear on any part of her body, including her face (BAD 2017).
There may be times when your baby doesn’t have any symptoms at all, and times when her symptoms are more noticeable (known as a flare-up) (BAD 2017). These flare-ups are often caused by particular triggers, which can differ from person to person (NICE 2018).
Unfortunately, there’s no cure for eczema, but it can be controlled with the right treatments (BAD 2017). The good news is that most children who have eczema will grow out of the condition by the time they’re in their teens (BAD 2017, NICE 2018).
Eczema is also known as atopic eczema, or atopic dermatitis (BAD 2017). Atopic means that your baby’s immune system has a tendency to react to substances that are normally harmless. This can also be associated with other allergic conditions (BAD 2017).
If your baby has eczema, she has about a one in three chance of developing asthma, hayfever or both (BAD 2017). As with eczema, some babies naturally grow out of these conditions with time (NHS 2018, Tidy 2018).
What causes eczema in babies?
We don’t know exactly what causes eczema, but genes may play a role (BAD 2017, NICE 2018). Most children have about a one in five chance of developing eczema(BAD 2017, NICE 2018), but if you or your partner has it, this rises to about three in five (NICE 2018). If you and your partner both have eczema, your child has a four in five chance of developing it too (NICE 2018).
Allergic conditions, including eczema, asthma, and hayfever, are more common in modern, urban environments (NICE 2018, Platts-Mills and Commins 2018, Weston and Howe 2018). This could be because people who live in these environments are exposed to more chemicals that can trigger an eczema flare-up. Or it could be that our clean, hygienic homes mean that babies’ immune systems are exposed to fewer allergens, causing them to overreact to harmless substances (Platts-Mills and Commins 2018, Weston and Howe 2018).
All in all, we need more research to find out exactly what causes eczema. One thing we do know, however, is that atopic eczema is not contagious, so your baby can’t pass it on to anyone else (BAD 2017).
What can trigger my baby’s eczema flare-ups?
Your baby’s eczema may flare up when she comes into contact with certain triggers. Common triggers for eczema in babies include:
- soaps, bath and skincare products, and laundry detergents (BAD 2017, NICE 2018)
- synthetic (NICE 2018) or woollen (BAD 2017, NICE 2018) fabrics, or clothes made using certain dyes (NICE 2018)
- environmental allergens, such as pets (BAD 2017, NICE 2018), pollen (BAD 2017, NICE 2018) and household dust (BAD 2017)
- food allergens (BAD 2017, NICE 2018), such as milk, egg, wheat, soya and peanuts (NICE 2018)
- unusually hot (BAD 2017, NICE 2018) or cold (NICE 2018) environments
Your little one’s eczema may also flare up when she’s generally under the weather, for example if she’s teething, has a cold (BAD 2017, NICE 2018), or isn’t getting enough sleep (NICE 2018).
Children with eczema are also more prone to skin infections (BAD 2017). An infection such as impetigo, cellulitis or herpes can also cause a severe flare-up, and may need special treatment (BAD 2017, NICE 2018).
How is eczema treated in babies?
If you think your baby may have eczema, speak to your GP (BAD 2017). He can help you to find the right treatment for your little one, which will depend on how bad her eczema is (BAD 2017, NICE 2018). Available treatments include:
This is usually the most important step for treating eczema (BAD 2017). Emollients are moisturising treatments, available as creams, lotions and ointments, as well as washes that you can use instead of soap (BAD 2017).
You’ll need to apply lots of emollient to your baby’s skin every day, even when she doesn’t have eczema symptoms (BAD 2017). One good way to remember is to keep emollient near where you change your baby’s nappy, and apply it at most changes.
In particular, be sure to apply emollient after your baby’s bath, while her skin is still damp (NICE 2018). This will help to prevent her skin from drying out too much, reducing the risk of flare-ups (BAD 2017).
There’s a huge variety of moisturisers and emollients available (BAD 2017). There’s no evidence that one cream is better than another, so it’s just a matter of trying different types until you find one that works for you and your baby (NICE 2018).
Once you’ve found one that works, your GP can offer you a repeat prescription to save you more trips to the surgery (NICE 2018). However, emollients can become less effective over time, so it’s best to check in with your GP at least once a year, to make sure that your baby’s still getting the best treatment (NICE 2018).
Avoid using a type of emollient called aqueous cream, as this can irritate the skin and may make your little one’s eczema worse (BAD 2017).
When your baby is having a flare-up, a corticosteroid cream can soothe the symptoms and help her feel better. There are several different strengths of corticosteroid cream available, and your GP will be careful to prescribe the right strength for your baby’s symptoms (NICE 2018). He’ll also show you exactly how and when to apply it to deal with flare-ups when they happen (NICE 2018).
If your baby has particularly severe eczema, your GP may also recommend using corticosteroid cream in between flare-ups, for example twice a week (NICE 2018). This can help to reduce flare-ups, but you should only try it if your GP recommends it (NICE 2018).
Using strong corticosteroid cream for a long time can sometimes cause side-effects, such as making the skin thinner, or lighter in colour (NHS 2016). Most side-effects will go away once you stop using the cream (NHS 2016). But to be on the safe side, your GP will be careful to prescribe the weakest effective cream, and will only recommend that you use it when it’s really necessary (BAD 2017).
Bandages and wraps
If your baby has severe eczema, your GP may be able to recommend special bandages or wet wraps (BAD 2017, NICE 2018). These can help to keep any creams or lotions on your baby’s skin, as well as generally keeping the skin moist and preventing your baby from scratching her eczema patches (BAD 2017).
If your doctor thinks wraps could be helpful, he’ll help you choose the right one, and show you how to use it effectively (BAD 2017).
These aren’t usually recommended for treating eczema (NICE 2018). But if your baby isn’t getting enough sleep because the itching from her eczema is always keeping her awake at night, your GP may prescribe a short course of antihistamine liquid medicine to relieve the itching and help her get some sleep (BAD 2017, NICE 2018).
There’s not much evidence that these can help your little one’s eczema (NHS 2016). In some cases, they can actually do more harm than good, because the ingredients aren’t regulated (BAD 2017). If you want to try a herbal remedy for your baby’s eczema, always talk to your pharmacist, GP or dermatologist first, and don’t stop using any other medication that’s been prescribed for your baby (NHS 2016).
What other treatments are available?
If the treatments above aren’t enough to control your baby’s eczema, your GP may refer you to a dermatologist, who’ll help you find the right treatment for your little one (NICE 2018).
One possible option is a type of cream known as a calcineurin inhibitor (BAD 2017, NICE 2018). Although these aren’t usually recommended for young babies, they can sometimes help to control symptoms where steroid creams have failed (BAD 2017, NICE 2018). Your dermatologist will discuss the risks and benefits with you, to help you decide if this is something you want to try (NICE 2018).
During a bad flare-up, your dermatologist might recommend a short course of corticosteroid soluble tablets (NHS 2017, NICE 2018). This can be highly effective in helping to clear up a severe flare-up (NICE 2018).
However, corticosteroid medicine shouldn’t be used too often, because long-term use can cause serious side-effects, including affecting your baby’s growth (NICE 2018). Such side-effects are highly unlikely after a single short course, though (NICE 2018).
If your baby has particularly bad eczema that doesn’t respond to other treatments, your dermatologist may recommend a type of medicine called an immunosuppressant (BAD 2017, NHS 2016). This can dampen down your little one’s immune system so it doesn’t overreact to harmless triggers, helping to reduce eczema symptoms. Your doctor will want to keep a close eye on your baby while she’s taking this medicine (BAD 2017).
One final option that can be considered in some cases is ultraviolet light therapy (BAD 2017). Regularly shining UV light on skin can help to reduce eczema symptoms. However, this isn’t usually recommended for babies and young children (BAD 2017), because it normally involves standing up, unaided, inside a UV light box.
What happens if my baby’s eczema becomes infected?
If your baby has eczema, she’s particularly vulnerable to skin infections, especially if she scratches a lot (BAD 2017, NHS 2016). There are two main types of infection that may affect your baby:
If your baby has a bacterial infection, her eczema symptoms may get worse (NHS 2016), and you may also notice that areas of her skin:
- ooze or weep fluid
- have a yellow, crusty appearance
- have small, yellow-white spots
- are swollen and sore
Your baby may also develop a fever if she’s fighting off an infection (NHS 2016).
If you think your baby could have a bacterial infection, see your GP. If the infection is just in a small area, he may prescribe an antibiotic cream to clear it up (NICE 2018). For more widespread infections, he may prescribe antibiotic drops that you can give your baby by mouth, which will treat all the areas at once (NICE 2018).
The herpes simplex virus – which usually causes cold sores – can be more dangerous for babies with eczema. Where possible, try to keep your baby away from people with cold sores (BAD 2017). If you get one yourself, try not to kiss your baby, or share cups and cutlery with her, until it’s fully healed.
If your baby does catch the virus, she may develop a serious condition called eczema herpeticum. Symptoms include:
- patches of eczema that are particularly painful for your baby, and get worse quickly
- fluid-filled blisters that burst, leaving small open sores on your baby’s skin
- a fever and seeming generally under the weather
If you notice these symptoms, contact your GP straight away, or call NHS 111 for urgent advice (in Wales call 0845 46 47, and in Northern Ireland call your local GP surgery to find your out-of-hours service). Your baby will need to take an antiviral medication called aciclovir to keep the virus in check while her immune system fights it off (NHS 2016). This may involve a short stay in hospital, so the doctors there can keep an eye on her while she’s taking the medicine.
Can I do anything to prevent my baby’s eczema flare-ups?
The most important thing you can do is moisturise your baby’s skin well several times a day, using an effective emollient (BAD 2017). But there are plenty of other steps you can take to reduce your baby’s flare-ups:
- Keep your baby’s fingernails trimmed, to reduce any damage to her skin when she scratches. You could also consider buying some anti-scratch mittens to help protect her skin (NHS 2016, NICE 2018).
- If she gets a flare-up when she wears certain fabrics, dress her in natural materials such as cotton instead (BAD 2017, NHS 2016). Avoid wool though, as this can also be a trigger (BAD 2017).
- Replace soaps and bubble baths with an emollient wash (soap substitute), which is kinder to your baby’s skin (BAD 2017).
- There’s no evidence that using non-biological washing powder can help, however many parents say it works for them (NES 2018). You can also use a double rinse cycle to make sure that any detergent residue is gone from your baby’s clothes and bedding before she uses them (BAD 2017).
- Keep your home cool, especially your baby’s bedroom, as getting too hot and sweaty can cause a flare-up (BAD 2017).
- When you take your baby swimming, rinse her skin well with fresh water afterwards to remove the chlorine, and moisturise her thoroughly after that (BAD 2017).
- If being around your pets seems to make your baby’s eczema worse, keep them out of her bedroom and vacuum the rest of the house regularly (Knott 2018). It’s also a good idea to wash and groom your pets, and their bedding, frequently (Knott 2018). If your child’s eczema is particularly severe, you may even want to consider rehoming your animal (BAD 2017, Knott 2018). As tough as this can be, it may be the best option for your baby.
If you notice that your baby’s eczema flares up after she’s eaten a particular food, speak to your GP before cutting it out of her diet (or your diet, if you’re breastfeeding) (BAD 2017, NICE 2018). Getting advice first will mean that you can be sure she’s still getting all the nutrients she needs to grow up healthy and strong.
Can I prevent my baby from getting eczema in the first place?
There’s no sure-fire way to prevent eczema. But if your baby is at a high risk of developing it – for example, if you or your partner has it – you could try asking your GP or health visitor about emollient creams. These can help to protect your little one’s skin barrier, and may reduce the risk of eczema developing (BAD 2017). Avoid a type of emollient called aqueous cream though, as this can sometimes irritate the skin (BAD 2017).
You may have heard that giving your baby organic milk or fish-oil supplements can help to prevent eczema. This is mainly based on one large study, and other studies haven’t found the same results (Kummeling et al 2008, Anandan et al 2009). It may be worth a try if allergic conditions such as eczema run in your family, but we need more research to be sure.
In general though, unless your baby has flare-ups in response to particular foods, she can enjoy the same healthy diet as other babies her age.
More tips and advice:
Last reviewed: November 2018
Anandan C, Nurmatov U, Sheikh A. 2009. Omega 3 and 6 oils for primary prevention of allergic disease: systematic review and meta-analysis. Allergy 64:6
BAD. 2017. Atopic eczema. British Association of Dermatologists, Patient Information Leaflet. www.bad.org.uk [Accessed October 2018]
Knott L. 2018. House dust mite and pet allergy. Patient, Health Info. patient.info [Accessed November 2018]
Kummeling I, Thijs C, Humber M et al. 2007. Consumption of organic foods and risk of atopic disease during the first 2 years of life in the Netherlands. Br J Nut 99(3):598-605
NES. 2018. Childhood atopic eczema: your questions answered… National Eczema Society, Patient Booklet. www.eczema.org [Accessed October 2018]
NHS. 2016. Atopic eczema. NHS, Health A-Z. www.nhs.uk [Accessed October 2018]
NHS. 2018. Asthma. NHS, Health A-Z. www.nhs.uk [Accessed November 2018]
NHS. 2019. Atopic Eczema. NHS Choices, Health A-Z. www.nhs.uk [Accessed September 2020]
NICE. 2018.Eczema – atopic.National Institute for Health and Care Excellence, Clinical Knowledge Summaries. cks.nice.org.uk [Accessed October 2018]
Platts-Mills TAE, Commins SP. 2018. Increasing prevalence of asthma and allergic rhinitis and the role of environmental factors. UpToDate. www.uptodate.com [Accessed October 2018]
SOCS. nd.Eczema Skin of Color Society. https://skinofcolorsociety.org [Accessed September 2020]
Tidy C. 2018. Hay fever and seasonal allergies. Patient, Health Info. patient.info [Accessed November 2018]
Weston WL, Howe W. 2018. Atopic dermatitis (eczema): pathogenesis, clinical manifestations, and diagnosis. UpToDate. www.uptodate.com [Accessed October 2018]
90,000 Weeping eczema in a child. Symptoms and treatment of weeping eczema in children
Weeping eczema in a child is an inflammatory process of the skin, manifested by rashes in the form of many small bubbles, followed by opening and the release of abundant secretions from the wounds. Weeping eczema in children is a serious allergic disease that is difficult to tolerate.
The disease extends from 2 months to 5 years of age. The main cause of the disease is genetic inheritance.A close relative with a chronic form of eczema transmits the propensity to the disease to the child. But for the gene to manifest itself, a provoking factor is needed:
- child’s severe stress. Fright, parents quarrel;
- unsuitable personal hygiene products;
- acute allergy to formula milk, through mother’s breast milk, earlier introduction of complementary foods, etc.;
- Serious diseases of the digestive system.
How is the disease in children?
Skin rashes are the first sign of weeping eczema.Many small bubbles are located in the face, folds of arms, legs, folds of the neck, groin, armpits. The kid is worried about severe itching, which is why he begins to scratch the papules. Bubbles burst, serous fluid flows out. The skin becomes dry. The liquid hardens, crusts are constantly wet, painful. Weeping eczema in infants causes insomnia, tearfulness, poor appetite. Abundant foci of inflammation require prompt treatment.
What should a mother do to relieve her baby’s condition?
Weeping eczema in children requires special attention.The dermatologist is obliged to find out the reason. Knowing the source of the problem will prevent the recurrence of rashes, the transition to a chronic form. The baby needs to be examined, to ask the mother about the baby’s diet, in what conditions he lives. Afterwards, conduct a test to identify the allergen based on the mother’s story.
Weeping eczema in babies requires a review of the mother’s diet. Older children need to exclude allergenic food, contact with external irritants. It is advisable not to give chocolate, dairy products and products, cocoa drinks, citrus fruits.
Baby’s clothes deserve special attention. Synthetic things should not come into contact with the body. Sensitive areas of the skin should not chafe the seams. Avoid heavy sweating, maintain a temperature regime in the baby’s room of 21 C. Briefly trim the baby’s nails so as not to scratch the wounds.
Expectant mothers should eat properly so that weeping eczema in babies does not appear. During pregnancy, breastfeeding, exclude all possible allergens, even if the mother is not allergic to them.Give up smoking, alcoholic beverages, do not contact with chemicals.
How to take care of baby’s skin before and during illness?
Weeping eczema in infants, older children, damages the structure of the skin. Normally, the epidermis consists of several layers. The outer layer is covered with a thin, fatty film of phospholipids. In babies, it is especially fragile. The outer barrier protects against an unfavorable environment, pathogenic microbes.
In case of disease, the layer is disturbed, the protective functions are weakened.The connection between the cells of the epidermis is broken. The skin dries up. Why is it dangerous? Dryness causes unbearable itching, scratching inflammation, microtraumas serve as an entrance gate for pathogens and allergens. Proper care prevents the development of the disease, relieves the condition during eczema.
- Avoid contact with external stimuli. Synthetics, wool, pet hair. Clothing close to the body made of cotton, linen. It is important to wash baby clothes correctly.Washing with hypoallergenic powder. On the machine, set the machine for an additional rinse mode in hot water. Now washing machines are sold with a built-in mode for washing baby clothes.
- Skin moisturizing care principle. Hygienic baths. Daily bathing without soap in non-chlorinated water at 37 C. Clean the city water supply with filters to remove chlorine or let the water stand for several hours. Bathing for no more than twenty minutes. Once a week, bathing with hypoallergenic shampoo and soap.Then dry the skin with a towel with soft blotting movements.
Important! Baths are allowed only at the initial stage of the disease. In the presence of wounds, wet crusts, pus, they will temporarily refrain from bathing.
- Moisturizing creams for children. Children’s medical cosmetics for skin care. Creams restore cells, eliminate redness, reduce itching, and heal cracks. Moisturized skin should be silky, soft and not rough.
- series of cosmetics “Eared nanny”;
- “My sun”;
Before using care products, a test must be carried out. Apply cream on a small area, check the reaction after a few hours. If the skin is clean, the product can be used.
Features of the treatment of eczema in childhood
To treat weeping eczema in infants should be strictly under the supervision of a dermatologist and pediatrician. Anti-inflammatory therapy is prescribed. Local hormonal, non-hormonal ointments. Ointments are applied in small quantities for no more than five days.After pretreating the affected area with an antiseptic.
Hormonal ointments are approved for use in children from two years of age:
- Prednisolone is allowed to be applied to children under one year old;
There are no contraindications to non-hormonal ointments for children:
- Vishnevsky ointment;
Additionally, it is necessary to solder an antihistamine to the baby. Suprastin is prescribed depending on age. A fourth part up to a year, half a tablet up to six years, the whole can be given from six years two, three times a day during meals in the form of a powder.
Subject to all the recommendations of a specialist, treatment is easy, without complications. Do not self-medicate. Experiments on a child’s health can lead to irreparable consequences.
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90,000 Eczema (weeping lichen). treatment, symptoms, ointment for eczema on hands and feet
Weeping eczema is a chronic pathology, which is characterized by a periodic change in the phases of exacerbations and remissions.The very term “eczema”, which is translated from the ancient Greek language as “boiling”, clearly describes the course of the disease. During the period of exacerbation, the patient’s skin is affected by bubbles, which, bursting, secrete serous fluid.
Moist lichen is difficult to treat. To reduce the area of the lesion and reduce the level of discomfort in the patient, it is required to follow certain rules for treating the disease. So, in addition to the selection of medicines, it is necessary to protect the body as much as possible from the action of irritating factors, prevent scratching of the damaged areas, and follow a diet during exacerbations.
Wet eczema – first appearance on hands
Sources of occurrence and course of wet eczema ↑
Eczema belongs to the number of polytymological diseases, which are characterized by the presence of a huge number of pathogens. The causes leading to the appearance of bursting blisters on the skin can be divided into 4 categories:
- Infectious and allergic.
- Associated with disorders of the nervous system.
One of the causes of eczema is allergy
The poor state of the body’s protective functions is the main factor in the development of weeping eczema.
All reasons are developing due to weakening of the immune system. Stress, disruption of the gastrointestinal tract and metabolism, the influence of external stimuli in the form of infections and bacteria – these reasons literally “eat away” the patient’s immunity and become a trigger for the appearance of wet lichen.
The immunity of the organism, weighed down by wet lichen, lacks T-lymphocytes, which are responsible for the elimination of foreign antigens.The body loses the ability to independently resist the action of destructive factors, and it needs the help of a specialist.
In this case, neglect of treatment can lead to overgrowth of the affected area and the risk of infections penetrating through newly formed ulcers.
Stages of development of eczema
For the first time, wet eczema occurs in the acute stage, which is characterized by:
- formation of vesicles with serous contents;
- swelling of the affected areas;
- The appearance of crusts and flaking.
Over time, it becomes chronic with regular periods of exacerbation.
Difference between dry and wet eczema
Wet lichen, over a period of time, goes through the following stages:
Symptoms of weeping eczema ↑
The symptomatology of weeping eczema is expressed in the form of redness of the skin, accompanied by a scattering of vesicles with serous contents, itching and burning.
Often the ailment is localized on the scalp, the inner side of the bends of the limbs. Weeping eczema on the legs is characterized by:
- increased sensitivity to the simultaneous action of several allergens, incl. to allergens produced by the body itself;
- violation of the hormonal balance of the body;
- development of autonomic dysfunction;
- Disruption of the functioning of the gastrointestinal tract, metabolism and metabolic processes in cells.
Serous pustule in section
More precisely, the symptoms of wet lichen are revealed through one or another type of disease.So, true eczema is characterized by the development of tissue hyperemia, the appearance of “serous wells”, the appearance of crusts and damage due to scratching of the damaged areas. The rash is most often localized on the face and limbs, but can spread to other areas of the skin.
In the chronic stage, eczema on the legs is determined by infiltration, thickening of damaged areas and the appearance of cracks.
Microbial wet lichen in humans develops in areas of pre-existing foci of purulent inflammation of the skin: wounds, ulcers, fistulas, etc.e. During the period of exacerbation, this form of the disease is characterized by the spread of well-defined wounds with a “collar”, covered with a crust of green or gray-yellow hue.
When it falls away, the lesion center changes, takes the form of a serous depression surrounded by reddened skin.
The microbial form is characterized by the peripheral growth of eczema – an elevation above the surface of moist skin by layering new growths and the rapid emergence of small pustules around it, accompanied by itching.
Locations of seborrheic lichen on the head
Seborrheic lichen in humans is characterized by lesions of the scalp, upper chest, joints and the area between the shoulder blades.
The damaged parts of the skin are hyperemic, covered with vesicles with serous contents and a huge amount of coarse gray scales. Swelling and cracks are observed in places where the limbs are bent and folds of the skin.
Eczema on the legs have the appearance of well-defined yellow spots, in the center of which there are sometimes networks of finely nodular junctions.
Children have symptoms of true, seborrheic and microbial forms of the disease.
Eczema in children manifests itself on the face and neck
The lesions in these cases are symmetrical, indistinctly defined, hyperemic and edematous. Microvesicles, less often papules, and yellow-brown crusts appear. The child suffers from itching and insomnia.
Initially, the rash is localized on the cheeks and forehead, after which it spreads to the scalp, ears and neck.
In case of untimely treatment, it spreads to the area of the joints and buttocks, until it covers the entire trunk.
Manifestation of wet lichen in animals ↑
Wet lichen in animals is a non-infectious disease, manifested in the defeat of individual areas of the skin with a scattering of papules, wounds and crusts. Features:
- Sick animal experiences itching, burning.
- Damaged areas turn red and may swell.
Weeping eczema in dogs
The basis for the development of wet lichen in dogs lies in improper nutrition and careless pet care.The predominance of fatty foods in the diet, neglect of bathing – these reasons lead to the appearance of serous blisters on the skin.
When bursting, these papules secrete irritating exudate that attacks healthy areas and leads to the formation of new nodules.
These neoplasms itch, and the dog tears them apart until open sores appear, through which new infections enter the body.
In order to avoid expansion of the affected area, it is necessary to contact the veterinarian as soon as possible, who must decide how to treat the animal.
Protection against scratching
Therapy for weeping lichen in dogs is complex in nature, it includes a diet for the animal and the use of medications.
For effective and quick treatment, it is recommended to remove hair from the affected areas, apply special, softening bandages and wash the dog.
After that, it is necessary to treat the wounds with an ointment or any antibacterial agent – best of all with brilliant green, which disinfects and dries well the affected areas.
Eczema in cats is characterized by a rash of bursting vesicles that itch and irritate adjacent healthy skin areas. The onset of the disease is facilitated by allergic and microbial factors. Eczema in cats is treated with medications that contain antibiotics.
Weeping eczema in a cat
If the course of the disease is additionally complicated by a fungal infection, the use of the ointment is unacceptable. In this case, the patient needs to undergo antifungal therapy, after which ointment can be applied to the affected areas.
Drug treatment of the disease ↑
To accurately determine the causative agent of the disease and resolve the issue of how to treat weeping eczema, the doctor examines:
- influence of external factors;
- the state of the patient’s endocrine system;
- the course of the patient’s parallel chronic pathologies.
Symptoms and treatment of weeping lichen are complex. The patient is prescribed the use of medications, a special diet and physiotherapy procedures.
Celestoderm ointment is used in treatment
Treatment of eczema on the legs includes hyposensitization therapy, which allows to reduce the degree of sensitivity of the weakened body to the action of allergens.
At this stage, the patient is shown the use of antihistamines (Suprastin, Diazolin, Diphenhydramine, etc.) and sedatives.
For a short period, foot eczema can be treated with corticosteroid medications.
In order to quickly and successfully cure weeping eczema on the legs, it is necessary to accelerate the process of removing allergens from the body.
For this, the patient takes laxatives and diuretics.
To cure eczema on the legs and support the body during the acute course of the disease, the doctor prescribes the intake of immune drugs (Taktivin, Timalin, Dekaris, etc.).
With the simultaneous diagnosis of gastrointestinal disorders, the use of drugs stabilizing the microflora state (Linex, Lactobacterin) is additionally required.
Magnetotherapy has a positive effect
Treatment of weeping eczema achieves greater efficiency with the simultaneous carrying out of the following physiotherapeutic procedures:
- laser treatment;
- magnetic therapy;
- mud therapy, etc.
Ichthyol ointment relieves exacerbation
For the external treatment of weeping lichen, it is recommended to use anti-inflammatory ointments: ichthyol, tar or zinc, which, with the simultaneous development of a bacterial or fungal infection, are supplemented with drugs with antibiotics.
Antimicrobial agents must not be used continuously. The ointment must be applied during periods of severe exacerbation and itching.
In severe acute stage of the disease, ointments containing corticosteroid agents are used: Mometasone, Advantan, etc.
Vitamins in treatment have a positive effect
For greater effectiveness of treatment, the ointment is combined with the simultaneous use of vitamins B and C. After consulting a doctor, the patient can use a mixture prepared by himself based on sulfur, tar and other natural ingredients.
Do not use the ointment as the main agent in the treatment of a child. It is used only to relieve itching and relieve the condition of a small patient.
Prevention of weeping lichen ↑
Prevention of weeping eczema includes a set of measures aimed at maintaining the protective functions of the body.
First of all, it is necessary to observe the rules of personal hygiene: it is unacceptable to use coarse cleaning agents, prolonged contact with water, visiting saunas, moisturizing the skin on the fingers with hypoallergenic agents after washing should be excluded.
Moist eczema on the forehead
Prevention of weeping lichen includes the timely relief of foci of purulent inflammation of the skin, mycoses and dermatitis. Careful therapy is required for diseases that can complicate the course of lichen, especially gastrointestinal disorders.
Compliance with the correct diet provides for the restriction (and in the period of exacerbation – complete exclusion from the diet) products aggravating the course of the disease:
- yeast dough items;
- canned food;
90,011 citrus fruits;
90,011 sweet and savory dishes;
During this period, it is recommended to follow a dairy-vegetable diet.
A dairy-plant diet helps to reduce the manifestations of eczema
Weeping eczema on the hands often occurs due to the harmful effects of detergents and powders. To avoid the onset of the acute stage of the disease, patients should use rubber gloves during cleaning. Eczema on the feet is prevented by choosing comfortable, non-crushing footwear.
Eczema requires careful diagnosis, since it is the correct identification of the causative agents of the disease that allows you to start treatment on time and prevent the rash from spreading to healthy areas of the skin.
Therapy for weeping eczema includes the elimination of allergens, medication, disinfection of lesions and a special diet.
Videos. Weeping eczema and treatment ↑
Treatment of eczema with ointments on the face, hands and feet, the best creams for the treatment of eczema
Eczema is a serious disease affecting the upper and deep layers of the skin. It is characterized by a rapid transition to a chronic form. Pathology is diagnosed in people of different ages.
Treating eczema with ointments on your own without a doctor’s recommendation can be dangerous. Improperly selected drugs worsen the general condition, the disease progresses.
Ointments for treating eczema on hands and feet
Effective ointments in a short period of time relieve unpleasant symptoms, reduce inflammation, relieve constant itching.
During relapse, it is necessary to use ointments containing glucocorticoids. They are recommended to be used from 1-2 weeks, long-term use (longer than 30 days) is contraindicated.
|I|| Provides a weak effect for a short period.
|II|| Moderate effect. They are antipruritic, reduce the manifestations of the inflammatory process.
|III|| Provides a quick relief effect.
|IV|| Valid within a few days.
The dermatologist gives clear instructions for therapy. You cannot violate them. In the absence of positive dynamics after 7 days of using the product, it must be replaced.
The appointment of non-hormonal agents is necessary at the first manifestations of the disease. The drugs accelerate the regenerative processes, eliminate uncomfortable symptoms. If weeping eczema is present, it is necessary to prescribe drugs with an anti-exudative effect. They dry well, destroy foci of infection.
Ointments for the treatment of eczema on the face and head
A disease that develops on the scalp often spreads to the neck and forehead. The foci of manifestation have no clear boundaries.Mild exfoliating ointments are needed. Scalp medications may be more active. For the face, gentle means are used. Recommended ointments:
- preparations based on resorcinol.
Additionally, hair should be washed only with shampoos with selenium sulfide, salicylic acid.
What ointments to use to treat dry and weeping eczema
All funds have a similar effect – they alleviate the condition, relieve inflammation, constantly disturbing itching.Also, their active components should accelerate the healing process.
|Ointments for dry eczema||Ointments for wet eczema|
|Bepanten is an effective wound healing agent. Restores cell metabolism, promotes the regeneration of damaged skin.||Radevit – quickly relieves allergy symptoms. It has an anti-inflammatory, restorative effect. The active ingredients increase the skin’s immunity and are an antioxidant.|
|Irikar is an antipruritic, anti-inflammatory agent. Helps to soften damaged skin. The homeopathic remedy has no contraindications, it is a safe drug.||Skin-cap is a non-hormonal ointment. Has a gentle, quick effect. Relieves itching. It is an antifungal, antibacterial agent. It has a detrimental effect on pathogenic bacteria and fungi.|
|Argosulfan is an antimicrobial, antibacterial agent.Prevents infection through wounds, cracks.||Zinc ointment. One of the most effective and affordable tools. Produces a drying effect, improves the condition of the dermis, accelerates the regeneration of damaged cells.|
|Advant – ointment in a short time eliminates itching, soreness with areas damaged by the disease. It has anti-allergenic action.||Eplan. The ointment accelerates the healing of ulcers and wounds. Eases pain, eliminates soreness of damaged areas.|
|Flucinar is an anti-inflammatory ointment. Eliminates rashes, softens dry skin. Starts regenerative processes.||Boric ointment. Effectively eliminates fungal infections, pathogenic microbes. It is an effective antiseptic, disinfectant.|
Treatment of eczema with non-hormonal ointments
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Non-hormonal ointments used in the treatment of eczema relieve itching on the hands, stop the spread of the disease to other parts of the body.The use of such products softens the skin, eliminating dryness.
|Magnipsor||Antibiotic, antiseptic. Softens the skin, has a strong therapeutic effect. The drug has no contraindications. It is used for dry eczema.|
|Aurobin||Prescribed to a patient with eczema for long-term use. Active ingredients trigger regenerative intracellular processes.The drug is effective for dry, weeping form of the disease. It is applied around the affected area and directly on it.|
|Erythromycin ointment||A drug that has an effective effect on the initial stages of the development of eczema. She has practically no side effects.|
Corticosteroid ointment for eczema
Hormonal agents are able to effectively cope with inflammatory processes formed on the skin.
|Hydrocortisone||Quickly relieves symptoms of illness, skin irritation, puffiness. The result of the treatment comes within a few days. The ointment should be applied to the affected areas 2 times a day.|
|Prednisilon||Reduces the manifestation of allergies, relieves severe itching. Helps reduce the amount of exudate secreted. Relieves inflammation, accelerates the elimination of toxins.|
|Soderm||Quickly relieves inflammation, itching. Eliminates soreness of the skin, visible defects in the affected areas. It is applied to the skin once every 2 days in a thin layer.|
Numerous ointments for eczema can effectively and quickly eliminate the unpleasant symptoms inherent in the disease. It is strictly forbidden to select drugs on your own. This can provoke an exacerbation, therapy in this case will be longer and more complex.
- Helps to get rid of all types of eczema, dyshidrosis and atopic dermatitis;
- Helps eliminate itching and blemishes on the skin;
- Available without a doctor’s prescription;
- Can be used at home;
- Cleans the body from toxins in 1 course;
- Unlike hormonal ointments, the collection is absolutely safe;
- Suitable for adults and children.
This is a drug that allows in the shortest possible time, literally in one course, to forget about itching, pain, peeling, and within a couple of months to cure even very difficult cases.
???? Expert opinion on the drug.
Eczema (weeping lichen): causes, symptoms and treatment. How and what to treat weeping eczema
Skin diseases are extremely unpleasant. Not only do they spoil the appearance, these diseases most often cause many unpleasant symptoms that are unsettling. It is such a disease of eczema, popularly called it, weeping lichen. And if you start such a disease, then there is a great risk that it will go into a chronic phase and remain for life.
Eczema: causes, symptoms and treatment
A skin disease such as eczema is quite common in our time. Moreover, the disease affects children and young people under 30 years of age. The onset of the disease is characterized by the formation of a rash on the skin. It can vary depending on the type of eczema.
The rash is usually very itchy and may crust or blister. All the symptoms greatly overshadow the patient’s condition, since they interfere with normal life.
All patients are very concerned about the question – what causes eczema? Until now, medicine cannot give a clear answer about a disease such as eczema. The reasons are assumed to be:
- Allergic reaction. Most often occurs on hygiene products and household chemicals.
- Severe stress, abnormalities in the work of the nervous system.
- Metabolic disorders.
- Weakened immunity.
- Hormonal disruptions. Usually, the disease affects girls during the transition period, when they rapidly gain weight. Also, cutaneous eczema often attacks pregnant women with hormonal surges.
All this can be the starting point in the development of such a skin rash. The causes and treatment are related. First you need to determine what led to the exacerbation of the condition, the type of rash, then you can determine the treatment.
Types of eczema:
- Dry and weeping eczema.
The classification of eczema also includes its phase. It can be:
For effective treatment, it is necessary to establish the approximate cause of the disease, type and phase. Then drugs are prescribed. As a rule, complex treatment of eczema includes:
- Proper nutrition and healthy lifestyle.
- Taking anti-allergic drugs.
- Anxiety medicines.
- Topical corticosteroid ointments.
But all pharmaceuticals must be prescribed by a dermatologist who will fully assess the extent of the disease.
True eczema and symptoms, treatment
The disease begins with a slight reddening of the skin. Usually manifests itself on the hands and feet. Medicine is inclined to believe that the true type of disease is an allergic reaction.
A little later, a small rash forms at the site of redness, which actively itches. The onset of itching is very difficult to endure. The man begins to scratch the wound. After that, the skin becomes covered with bubbles with fluid. This acute stage of the disease is called weeping eczema.
After a couple of days, the burst bubbles begin to dry out. In their place, a crust forms, which is called dry eczema. Everything continues in a circle: dry – weeping eczema.
Are they enlisted in the army with eczema
In severe stages of the disease, wet eczema descends and the skin is constantly covered with crusts, they begin to expand, covering an ever larger area.With this course, the treatment should be systemic and cardinal. Usually, in such cases, the patient needs a hospital and taking strong hormonal drugs.
The pathogenesis of this type of eczema is reduced to infections. Most often these are streptococci and staphylococci. Immunity is weakened, he does not have the strength to fight, so eczema forms at the site of the wounds. The current is also passing.
Weeping eczema first, then crusts. But the speed of propagation is increasing.All large and large chunks of healthy skin next to the rash are invaded by the disease.
In such cases, you cannot do without taking an antibiotic.
Considered a microbial species. Signs of eczema:
- Moderate itching.
- Clear eruptions in areas with impaired blood supply and congestion.
It appears in places with varicose veins. The legs are usually affected. Hence the name.
Also a subspecies of microbial.The rash may start in the upper torso. It occurs at a short distance from the main source of the disease. A small rash of 1-3 cm is formed. It has a round appearance, more often similar to a coin. If the lesions are injured or treated incorrectly, then there is a high risk of spreading to a large area of skin.
This type of disease affects those who are constantly faced with hazardous work at work. As a rule, these are employees of chemical plants.
Also, this type can be encountered by people who too often come into contact with household chemicals. Therefore, it is so important to use personal protective equipment.
And the main treatment in this case is a change in the type of activity. Otherwise, the situation can constantly worsen.
Psoriasis and eczema (seborrheic): difference
This type is easily confused with a disease such as psoriasis. Eczema is somewhat different. But, if a person does not have medical titles, then psoriasis and eczema will be identical to him.Therefore, it is so important to consult a dermatologist for advice. After all, the appeared psoriasis is much worse than seborrheic eczema.
Psoriasis and eczema, their main differences:
- With eczema, the itching is much worse.
- The stage of weeping eczema is absolutely not typical for psoriasis.
- In psoriasis, rashes often appear on rough areas of the skin.
- The crust has a gray-yellow tinge with eczema, if it is peeled off, then there will be no blood.
As you can see, psoriasis and eczema are really similar, only an experienced dermatologist can distinguish them.
Seborrheic eczema tends to appear on the scalp. At first, it resembles dandruff, which is not immediately paid attention to, which triggers the disease. From what it can appear on the T-shaped area of the face. Often, the rash on the scalp will very quickly skip the “wet” stage. The surface is immediately covered with scales that flake off in flakes.
Dyshidrotic eczema on hands and feet: causes and treatment
If measures are not taken in time, then a person may even go bald.
Most often, the causes of this type of disease include:
- Vegetovascular dystonia.
- Diabetes mellitus.
- Weakened immunity.
- Problems with the liver and endocrine system.
The problem mainly concerns those areas of the skin where sweating is impaired. It can manifest itself primarily on the feet and palms of the hands, then it can spread throughout the body.Symptoms may be mild as the skin on the hands and feet is quite dense.
If the symptoms are missed and not treated, then there is a great risk of trophic changes in the nails, the transition of the disease to its true form.
Most often occurs upon contact with a specific irritant or allergen. Usually, such weeping lichen has a clear localization. As a rule, contact eczema is divided into two types:
- Allergic .It can start from contact with perfume, hair dye, cosmetics.
- Irritant . Occurs on contact with substances that damage the upper skin area. These include all household chemicals. Therefore, it is important to use gloves, masks and other protective equipment in the household.
This is a kind of fungal allergy. Passes exactly the same as true form. The only difference is clear lesions of the rash. With this type of disease, it is extremely important to consult a doctor.Since the standard treatment with hormonal ointments only aggravates the situation. The rash will expand and mutate faster.
It manifests itself in those who are prone to allergies to food, wool, pollen. Also at risk are those whose parents suffer from bronchial asthma.
The disease begins after contact with an allergen. The skin immediately swells, blisters pop out on it, which cause severe itching.
Wet lichen begins on the baby’s face and scalp.If nothing is done, then very soon the disease will take over the entire body of the baby. The reasons for the child’s form include:
- Severe pregnancy.
- Child’s fragile immune system.
- Failure to comply with hygiene rules.
- Baby’s hypersensitivity.
The risk of getting eczema on the skin is increased in those children whose mothers suffered from allergic rhinitis, neurodermatitis, bronchial asthma.
Young mothers are very concerned about the question of how to cure eczema in a child, because this disease is also dangerous for children.
How to treat eczema
First of all, you need to understand the reason. All actions should be reduced to the maximum to eliminate it. Of course, eczema can be cured by eliminating only the symptoms, but this will be short-lived. Since in this case it will become chronic and will appear regularly.
How to get rid of eczema? Basic rules:
- Eliminate what provokes it. It’s difficult. First you need to find this “catalyst”, and this is sometimes not easy.In most cases, household chemicals, cosmetics, wool serve as a provocateur.
- Follow a strict hypoallergenic diet. Flour, spicy, salty dishes are excluded. You need to add as many natural products as possible to the diet.
- Stress should be avoided.
- Take good care of your skin.
- Follow your dermatologist’s instructions carefully.
Eczema of nails: causes and treatment
Drug therapy is reduced to the healing of the rash, the elimination of itching and other symptoms.Typically, treatment begins at the oozing stage. How to treat weeping eczema? With the help of such preparations:
- Protopic and Pimecrolimus are a new trend in treatment. These drugs are classified as tropical calcineurin inhibitors.
These medicines help to reduce the inflammatory process and heal wounds.
With weeping eczema, treatment also includes taking antiallergic drugs:
Sedatives may be prescribed if the active phase of the illness is caused by stress. And such cases are often typical for schoolchildren and students taking exams.
If we are talking about the microbial subspecies, then antibiotics are necessarily prescribed. Those that have an effect on staphylococci and streptococci are selected.
In severe cases, intravenous corticosteroids and cytostatics may be prescribed.
In any case, treatment should only be prescribed by a dermatologist. He will be able to recognize the type and phase of the disease, and will select the right medication. It is not recommended to select them yourself, since different treatments are prescribed for different types of disease. Also, the rash must not be treated.
Complications are also possible. Microbes can enter the wounds and cause purulent inflammation. Children’s eczema is especially dangerous. It can provoke many other diseases, which in total lead to the death of very young children.
Therefore, it is so important to visit a dermatologist at the slightest manifestation of a rash.
Over the past 10-20 years, a disease such as eczema has become very widespread. The disease has no preference. It manifests itself equally often in women and men. Medicine still cannot name the exact reasons that provoke eczema. It is assumed that most often the disease occurs with improper diet, stress, malfunction of the endocrine system, with hormonal surges.
The main symptoms include redness of the skin and a rash that causes severe itching. Over time, the rash crusts and flakes.
There are many types of eczema. And each of them is treated in its own way.
To diagnose the disease, it is necessary to visit a dermatologist who will conduct an examination with the help of special devices and prescribe treatment. As a rule, sedatives, antihistamines, corticosteroids are prescribed. A careful diet and complete rest are also prescribed.
Wet eczema on the arm and legs: 8 photos with a description, treatment, symptoms and causes
Wet eczema in its specificity is a dermatosis – skin rashes that cover various parts of the human skin.
They are vesicles (vesicles), the content of which is serous fluid. In most cases, weeping eczema affects the surface of the hands and feet, but in the case of a severe course of the disease, other areas of the skin are also affected.
It should be noted that weeping eczema is not a contagious disease, therefore, even in the case of direct contact with a patient, you cannot get infected. The main cause of the rash is internal disturbances in the functioning of the body. Everyone around the patient simply cannot become infected with the disease, even with close contact with the patient.
In the article we will talk about what this disease is, and also consider how to treat weeping eczema and show you what weeping eczema looks like in the photo.
Moist eczema in the photo 8 pieces with a description
Causes of weeping eczema
The disease is caused at once by a complex of several reasons, therefore, all the reasons are immediately established in the patient in very rare cases. Most often, the disease is a consequence of disturbances in the work of internal organs, especially the endocrine, immune and nervous systems.
The provocation of the disease is carried out:
- stress and psychological problems;
- by heredity;
- diabetes mellitus;
- diseases of the gastrointestinal tract.
90,011 chronic infections;
Symptoms of weeping eczema
The first stage of weeping eczema on the hands is characterized by the covering of the skin of the hands with reddened foci of the disease, and the shape and size of the redness does not matter. They are edematous, and their surface is covered with papules (with purulent content) or vesicles (when opened, an exceptionally clear liquid is released).
Even if the itching is ignored, the rash can open up on its own. It is the serous exudate and its continuous separation that are the main symptoms of weeping eczema, since wet areas appear on the skin.
After a while, the opened papules and vesicles are covered with actively peeling crusts. The main symptom of the disease is a rash of various stages of development.
This means that along with new vesicles, old vesicles are present on the skin, and the crusts of the opened vesicles are also peeling.
All this is accompanied by severe itching, and its strength is such that the patient’s sleep is disturbed, and neurotic disorders are also observed.
In the case of the transition of the disease into a chronic state, there is a thickening of the skin, its scarring, as well as the acquisition of a bluish-red tint.
Most often, such areas are characterized by constant peeling and, in acute stages, secondary symptoms of the disease are added.
Old lesions may disappear over time, but in most cases the disease reminds of itself with pigmented spots on the skin.
The very disease weeping eczema is a reaction to internal, but often to external stimuli. The immune system begins an active attack on the skin, which is the cause of the appearance of all the symptoms that are inherent in the disease.
When examining the immune system, even in the early stages of eczema, it is found that it was weakened, and its work is incorrect.
This can be seen very strongly if the patient undergoes the wrong therapy, since in this case the weeping areas can “capture” a secondary infection.
- Weeping eczema on the legs and arms in most cases affects females, since they very often have hormonal disruptions;
- In addition, citizens approaching 40 years of age are also at risk.
- In other cases, both adults and children are at risk of weeping eczema, and the illness of children, in most cases, is associated with an allergic reaction.
Treatment of weeping eczema
You already know what weeping eczema is. We will describe the treatment of this ailment in this subsection.
Moist eczema affects different parts of the body:
- Internal parts of the elbow joints;
- the inner part of the knee joints;
There are four types of eczema:
- Seborrheic (location – head, hands, other areas of the skin, on which hair vegetation is present, as well as the skin behind the ears).
- True (this type of rash is the most poorly treated, in addition, the course of eczema is very severe, a profuse rash is diagnosed, which constantly swells and in most cases this type of disease becomes a chronic disease).
- Professional (most often the victims are people who work with serious irritants – chemicals, powerful detergents, etc.)etc.).
- Microbial (appears where pathogenic fungi or other pathogens previously appeared).
- It is necessary to treat weeping eczema with the help of complex therapy, but it is better to use prevention.
- Local treatment of a disease should never be abandoned as it can help relieve irritable symptoms. Ointments for weeping eczema are very helpful, the basis of which is:
- silver nitrate;
- birch tar;
- Ichthyol ointment.
During the course of the disease from the initial to the acute stage, it is necessary to use compresses based on water and silver. In addition, the gauze is moistened with a solution of potassium permanganate.
The course of treatment with lotions takes 3 days (2 procedures per day). For 1 procedure, it is necessary to change from 3 to 4 compresses per hour. After the lotion is removed, the skin is treated with either an ointment or a medicinal mixture. Compresses should only be cold!
In case of crust formation, it is necessary to use ointments that contribute to their rapid exfoliation:
- Creams based on urea;
Self-removal of crusts is prohibited, as this can lead to repeated relapse. In case of attenuation of the disease and its transition to the active phase, it is necessary to connect physiotherapeutic methods of treatment (magnetotherapy, cryotherapy, microwave, etc.).
Drug treatment for weeping eczema
In order to heal weeping eczema use:
- Enterosorbents that absorb and remove toxins. To support the body, several injections with magnesium sulfate, sodium thiosulfate and calcium gluconate are performed.
- Sedatives, as most doctors have confidence that it is neurological problems that are causing weeping eczema on the hands. Treatment must be carried out with sedative tablets with a plant base.
- Daytime tranquilizers.
- Antihistamines that eliminate puffiness, itching and other allergic reactions.
Antibiotics and corticosteroids are not always used, but only if the underlying disease is accompanied by an aggravating infection.If there is such a course of the disease, even serious drugs do not guarantee a quick cure.
In addition, it is necessary to pay attention to the treatment of the underlying pathology, which is the cause of the disease itself. If you diagnosed it, then it will become much easier to treat eczema, and most importantly, you can get rid of new relapses and shorten the duration of the acute phase.
Treatment of weeping eczema on the hands
In order to eliminate the external manifestations of the disease on the hands, hydrocortisone ointment is used, although this is a hormonal drug and its use can lead to side effects, for example, increased blood pressure or renal failure.In addition, ichthyol ointment is actively used.
It is worth noting that you should never use medicines on your own, since an accurate doctor’s prediction is needed.
Treatment of weeping eczema on the feet
Now let’s talk about weeping eczema on the feet. We will tell you how to treat this disease in this subsection.
Treatment is carried out by soaking feet in trays with a special medical mixture based on pine cones and branches treated with boiling water.After that, the solution is infused for at least an hour and filtered. Next, hot water is added, and the temperature sensors of the bath must be kept at a level of 40 to 45 degrees. You can also use chamomile infusion trays.
Prevention of weeping eczema
In order to block the appearance of the disease on the feet, hygiene and comfortable shoes are necessary.
In addition, repetition can be blocked by blocking the use of allergenic products or items, for which it is necessary to wear only hypoallergenic clothing.
In the event that several small pigmented foci of the disease remain, use ointments based on birch tar, petroleum jelly, ichthyol and sulfur.
- It is also necessary to maintain a certain lifestyle and diet, maintain a sleep schedule and never allow nervousness.
- In addition, a sauna, a bathhouse and every place that can become a provocation of the acute phase (water and high temperature indicators) are contraindicated.
- DO NOT forget about the constant maintenance of the health of the body, preventing the appearance of infectious diseases and various parasites.
Diet for weeping eczema
One of the main aspects of prevention is adherence to a diet and not eating food that can provoke allergies.
The most harmful effect can be caused by the consumption of oranges, tangerines, lemons, grapefruits, strawberries, honey, chocolates, and other allergens.
A diet is necessary for all sick people, and not only for those who have an allergic reaction that causes the disease.
It is necessary to make the diet varied so that you can get all the necessary vitamin complex.Cutting down on calorie intake is necessary only for obesity, since even this can cause the onset of the disease.
During the development of an exacerbation, try to eat cereals, soups, dairy products. The use of strong broths, as well as salt, sweets and pastries during illness is completely prohibited. Getting rid of this food completely, then the cure for the disease will be easy and short-lived, and relapses will not appear.
An integrated approach will help to quickly eliminate the acute stage, and the individual approach of the patient himself plays a huge role in this.If there is a fulfillment of all the doctor’s prescriptions and a desire for recovery, then you can expect quick relief from weeping eczema.
A complete cure, in most cases, is impossible, since the disease is chronic, and the results can only be seen by how and when relapses occur.
Moist eczema – Losterin in the complex therapy of psoriasis, eczema, atopic dermatitis – Losterin
- Weeping (dyshidrotic) eczema is a type of chronic skin disease, the main manifestation of which is dense blisters filled with clear liquid.
- Weeping (dyshidrotic) eczema is mainly found on the hands (palms) and legs (feet), but in some cases, a rash can form on the insides of the knees and elbows, on the chest and head.
- Eczema is not contagious, but it is difficult to treat and often recurs.
Moist eczema on photo
Wet eczema on the hands
Wet eczema on the hands
Causes of weeping eczema
The exact cause of eczema is unknown, but the development of the disease is influenced by a genetic predisposition, the presence of predisposing changes in the functioning of the immune system, allergic predisposition, functional changes in the nervous, endocrine and digestive systems.
Provoking factors can be:
- hereditary predisposition;
- diabetes mellitus;
- bronchial asthma;
- exudative diathesis;
- changes in hormonal levels;
- ulcers, gastritis and other diseases of the digestive system;
- diseases of the nervous system;
- Allergy to food or drugs;
- physical and emotional stress;
- protracted depression;
- constant contact with chemicals.
90,011 chronic infections;
90 011 stressful situations;
Pathology can affect people of different ages, and children are no exception.
Symptoms of weeping eczema
In the photo of weeping (dyshidrotic) eczema, the signs of the disease are clearly visible. A characteristic symptom of weeping (dyshidrotic) eczema is the simultaneous presence of a rash at various stages of development.
Initially, red edematous spots appear on the skin, later papules with purulent contents and vesicles filled with serous exudate form on their surface.
As a result of combing or independently, the bubbles open up, forming weeping areas, on which the exudate is located pointwise, resembling dew drops. Over time, the liquid dries up, forming an exfoliating crust.
The disease is accompanied by very severe itching, which causes insomnia, irritability and nervousness, and sometimes even leads to reversible mental disorders.
When the disease becomes chronic, the skin turns bluish-reddish, thickens.Often, stagnant spots at the site of the most pronounced rashes and peeling do not disappear even during the period of remission.
A dermatologist can make a diagnosis based on an external examination. To determine the cause of the problem, immunological, allergic and scarified tests are performed.
Treatment of weeping eczema
How to treat weeping eczema? To cope with the disease, you will need complex treatment, which includes both medication and therapeutic methods.
Drug treatment involves the use of both systemic and topical drugs.
- to reduce the sensitivity to allergic substances;
- relieve inflammation;
- to reduce the intoxication of the body;
Usually the doctor prescribes:
- external anti-inflammatory drugs
- antihistamines with a sedative (calming) effect – eliminate itching, burning, swelling, inflammation and other unpleasant symptoms;
- enterosorbents – absorb and remove toxic substances;
- immunomodulatory agents – strengthen the immune system;
- vitamin complexes.
In addition to symptomatic drugs, you will also need general funds aimed at eliminating the cause of the disease.
Focuses on the local treatment of weeping eczema. During periods of exacerbation, hormonal preparations and traditional drying agents based on naphthalan and tar are recommended, cold compresses from a decoction of chamomile or oak bark. Drying agents are prescribed for a short period of time until all bubbles disappear.
Hormonal preparations have a quick and effective result, but they can become addictive with prolonged use and other undesirable effects, including thinning of the skin.Usually they are used no more than 2-3 weeks.
After the removal of acute symptoms, you will need non-hormonal ointments that have a regenerating and exfoliating effect that can prolong remission.
Physiotherapy procedures can also be carried out during this period:
- ultra high frequency therapy;
- ultraviolet irradiation;
- ozone therapy;
- laser therapy;
- magnetic therapy;
- paraffin treatment;
- mud therapy.
In addition to taking medications and using ointments, you need to change your lifestyle: eliminate bad habits, walk more often in the fresh air and adhere to a diet.
We’ll have to give up smoked meats, fatty, salty and spicy foods, pasta, eggs, seafood, citrus fruits (as well as red-colored fruits), strawberries, raspberries, chocolate, honey, coffee, tea, sugary carbonated drinks, limit consumption potatoes.
At the same time, it is necessary to provide the body with adequate nutrition, provide it with all the necessary vitamins and minerals.
Do not wait for a complete recovery, as this process is chronic. But if you follow the doctor’s recommendations exactly, you will be able to achieve a stable remission and avoid exacerbations.
Zinc-naphthalan paste Losterin for weeping (dyshidrotic) eczema
One of the effective agents in the treatment of the acute stage of weeping (dyshidrotic) eczema is the zinc-naphthalan paste Losterin. It has a drying and adsorbing effect, relieves itching, reduces the inflammatory component and prevents the development of secondary infection.
The composition of Losterin paste contains deresined naphthalan (3%) and zinc oxide (25%). The paste does not contain hormones, does not cause withdrawal symptoms and other unwanted complications. Therefore, it can be used daily (usually 3 to 10 days)
Treatment of weeping eczema on the hands
The treatment of weeping (dyshidrotic) eczema on the hands is no different from the general principles of therapy: medications and physiotherapeutic procedures, systemic and local drugs are used.
Treatment of weeping (dyshidrotic) eczema on the legs
How to treat weeping (dyshidrotic) eczema on the legs? Due to the fact that bacterial and fungal infections often join the rashes on the lower extremities, drugs with an additional antiseptic effect are usually used.
Prevention of weeping (dyshidrotic) eczema
To prevent relapses, it is recommended:
- “forget” about bad habits;
- to exclude contact with allergens;
- observe the correct daily routine, take time for good sleep;
- adhere to a diet;
- to exclude nervous stress;
- avoid stressful situations;
- Refuse to visit baths, saunas and other places where the effects of water and high temperatures are combined;
- do not overheat or overcool the body;
- wear cotton clothing;
- treat various diseases in a timely manner;
Maintaining body hygiene is especially important.But do not use hygiene products containing alkalis and chemical fragrances, as they can provoke an exacerbation. It is best to purchase hypoallergenic products of the Losterin series (shampoo, shower gel and cream soap). They do not irritate the skin and are recommended for daily use.
Eczema is an acute or chronic allergic skin disease that most commonly affects the hands, palms and fingers. Eczema is characterized by stages of exacerbation and remission and requires complex, usually long-term treatment.
Dyshidrotic eczema, or dyshidrosis, is one of the varieties of true eczema.
The disease is characterized by the eruption of many small vesicles, located in groups, on the palms, soles, fingers and toes.
Bubbles can open, forming “serous wells”, or dry up, turning into serous-purulent crusts. Like any other type of eczema, dyshidrosis is accompanied by severe itching.
Eczema is an allergic skin disease that manifests itself as reddening of the skin, layering of serous crusts, oozing, swelling, itching and burning.
This disease affects the skin on different parts of the body and can appear on the elbows, legs, fingers and other parts of the body.
If the parents of the child themselves suffer from this disease or have a tendency to allergic reactions, then the probability that the child will get sick is much higher.
Callus eczema (horny, tylotic eczema) is a neuro-allergic disease in which the skin of the hands and feet suffers.Severe itching appears, the upper layer of the skin (horny) in these places becomes denser, cracks, corns are formed, which is why this skin disease has so many names.
According to statistics, more than 80% of cases of dermatological diseases occur in people with disorders of the autonomic nervous system. The main causes of pathological processes include a number of factors, including chronic infections, hormonal imbalances, genetic susceptibility to allergies, etc.
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Combined means are prescribed, and it is provoked by external and internal factors. Eczema in children is most difficult in the age group from 2 months to 5 years. We suggest bonds Eczema in children can become chronic. In this case, there is an alternation of periods of exacerbation and remission.Usually, eczema on the hands and feet in children is treated with the help of local preparations. Photos with a detailed description of the causes of eczema in children, including in the first months of life. Eczema of children Eczema in a child is a chronic skin disease caused by inflammatory pathological processes in the upper layers of the epidermis. Pathology often manifests itself against the background of diathesis. The quality treatment of eczema in children depends on its cause and form. It can only be prescribed by a dermatologist. Today, it is customary to use the following medications and procedures in therapy to eliminate this disease.Page content. Forms and features of children’s microbial eczema. The causes of the disease. Treatment regimen. Home treatments. You can defeat eczema and other dermatitis!
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Weeping eczema in a child is an inflammatory process of the skin, legs and other parts of the body. Diagnosis of eczema in a child and how to treat the disease It is very important not to postpone treatment of eczema in children, it will only worsen the condition of the child.It is worth remembering – How to treat eczema in a child at – REAL, PRESENT, immunity that has not yet fully formed. True eczema in infants looks like bright red blistering spots on the face, and at worst, the frequency of use and the duration of the course are chosen by the attending physician based on the individual initial state of health of the child. with the appearance of red spots without clear boundaries, including in the first months of life.Page content. Forms and features of children’s microbial eczema. The causes of the disease. Treatment regimen. Home treatments. You can defeat eczema and other dermatitis!
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90,000 Expert opinion: how to deal with eczema in winter
All long-awaited winter seasonal delights like hot chocolate, for example, always have a downside.For many of us, this is dry skin and itching. As a rule, exacerbations of the so-called eczema occur precisely during the cold season. In our material, we talk about the most effective methods of treatment.
In winter, eczema is mainly associated with transepidermal moisture loss (dehydration of skin cells) and a violation of the protective barrier due to a lack of lipids in the skin. However, there are many different types of eczema and a dermatologist can help diagnose them. The most famous is atopic dermatitis, which experts call “classic” eczema (the skin becomes very dry and inflamed, itching appears).Atopic dermatitis can also present as small, fluid-filled bumps that burst when scratched and lead to painful infections.
Many people come to see me with a special type of eczema called asteotic eczema. This disease makes the skin look like fish scales, especially in the lower leg area. In more severe cases, people may develop itchy red patches where the surface of the skin is damaged, it looks like cracked porcelain (astatotic eczema also known as crakele eczema), – explains Shasa Hu, M.D., a dermatologist at the University of Miami.
There are several types of eczema: true, coin-like, chronic, dry, microbial, weeping, allergic, varicose and seborrheic.
According to Marina Kulbaeva, dermatologist at the Remedy Lab clinic, there can be many causes of eczema: from an imbalance of the immune system to a combination of external (temperature and exposure to chemicals) and internal factors (for example, diseases of internal organs).
Treatment of both types of eczema requires gentle skin care and deep hydration.However, Hu says atopic eczema occurs all year round and is usually genetic or aggravated by allergies. Asteotic eczema, on the other hand, is seasonal – it worsens in the fall and winter.
Use humidify the air
Dry air in the bedroom and at home can exacerbate skin problems such as eczema, leaving skin dry and flaky. You can remedy this situation by purchasing an air humidifier that will supply moisture not only to the air, but also to your skin.
Minimize long showers
Taking too long a hot shower, especially in winter, removes the natural oils from your skin and makes it dry even more, says Lily Talacoub, dermatologist at McLean Dermatology and Skin Care Center in Virginia.
Instead, she recommends that patients with eczema shower for less than five minutes and use warm water (never hot). In addition, the high mineral content of tap water can dry out the skin and worsen eczema.
Moisturize your skin twice a day with a fat cream or ointment
Eczema is a sign of skin sensitivity, and this sensitivity is often associated with damage to the skin barrier, resulting in increased exposure to allergens, chemicals and irritants, Hu explains.
When the protective barrier is broken, the skin becomes dry and reddened. The dermatologists we spoke with agreed to moisturize her with a thick layer of cream twice a day.Please note that it takes at least four weeks of continuous use of beauty products to eliminate the symptoms of eczema.
The formulations of over-the-counter moisturizers differ from one another. Gels are mostly made up of water and alcohol, while lotions are a combination of oil and lots of water. Creams contain the same percentage of oil and water, while ointments are mostly oil-based, that is, they have emollient properties.In general, experts recommend choosing creams and ointments over gels and lotions as they contain more oil and are therefore more nutritious. Ointments usually stay on the skin longer than creams and gels, so even ordinary petroleum jelly or aquaphor can help (they do not contain fragrances, so they are suitable for owners of sensitive skin).
As an alternative for those who dislike the oily texture of the ointment, Hu also recommends Curel Hydra Therapy for dry to very dry skin.It contains ceramides and shea butter.
Marina Kulbaeva during an exacerbation does not recommend applying the cream to the affected areas:
Vitamins K and B6 will be ideal, since they have a regenerating effect and regenerating properties.
Wear natural fabrics
Synthetic clothing can cause eczema in people with sensitive skin. Carefully study the composition of your favorite knitwear, it is better that the clothes consist of cotton, silk or cashmere.Wool and polyester will warm you, but can irritate and redden the skin
Sleep better on cotton sheets. Also, avoid dry cleaning clothes as much as possible, as the chemicals used in the process can cause eczema, says Talakoub.
Look for moisture-retaining ingredients in skin care products
When shopping for moisturizers for your face, look out for hyaluronic acid, squalene, dimethicone, and ceramides, as these moisturizing ingredients trap moisture in the skin.
Hu recommends applying moisturizer first and then sealing it with a thicker ointment to prevent or minimize moisture loss. Keep in mind that eczema on the body, where the skin is often thicker (for example, on the knees and elbows), requires more frequent application than on the face.
The main problem with dry eczema is cracks and dryness. Therefore, the main task is to use a maximum of moisturizers and emollients. Nutritional and moisturizing components are suitable: vitamin K, fat-soluble vitamin B.They will also have a regenerating effect. With dry eczema, there are procedures that can be done during the period of remission – cryotherapy, various lasers, mesotherapy and enzyme peeling
– Recommended by Marina Kulbaeva.
Choose the right cleaning agent
Hu explains that the skin on our face may be more sensitive to chemicals and temperature changes. Therefore, before buying your next cleanser, make sure it is free of fragrances, preservatives and surfactants.Avoid products containing sodium lauryl sulfate and parabens.
Any exposure to chemicals or violation of the protective barrier will trigger a reaction of the skin’s immune system, which will lead to even more intense flare-ups of eczema. In addition, cleansing foams, gels, and shaving creams can make things worse.
Don’t overdo your tan
The care should be free of alkaline, acidic agents – choose a neutral pH. Make the most of SPF products and protect areas with a hat, umbrella, glasses.Since ultraviolet light is contraindicated for eczema, its effect on eczema foci will lead to the appearance of hyperpigmentation, – says Marina Kulbaeva.
Do not use antioxidant gels, but use antioxidant serums
While most of the skin care products you used in the summer are best replaced with others in the winter. Serums can be used regardless of the season. Talakoub advises avoiding the use of antioxidant gels.Gels are alcohol-based, while serums are oil-based.
Don’t overdo exfoliation
Gentle exfoliation once or twice a week is important for dry skin care as it allows better penetration of moisturizers. Use a mild honey-based sugar scrub for exfoliation. You should also avoid peels with large abrasive particles and excessive use of retinol, as these are stronger exfoliants.
Oils are your friends
Experts recommend using products based on natural oils such as argan or sunflower oil.They contain fatty acids that moisturize the skin.
Seek medical attention
If you can’t manage your eczema symptoms no matter how much moisturizer you apply, experts recommend seeking medical attention from a board-certified dermatologist. Some signs to look out for include persistent itching, trouble sleeping, redness and inflammation with a yellow crust that can be a sign of infection.
Since eczema is a disease with not fully understood etiology, eczema treatment is carried out in combination. As a rule, a split meal diet is prescribed that excludes carbohydrates and sugar. High protein foods are recommended.
Enterosorbents, various sedatives are prescribed without fail, antihistamines are also recommended, which block histamine receptors in the body. In addition, anti-inflammatory, keratolytic and antipruritic agents are prescribed.In some serious and chronic cases, corticosteroids (intramuscularly) are prescribed. In severe forms, plasma sorption is recommended (removal of toxins from the blood),
– says Marina Kulbaeva.
Good old physical therapy (mud baths, for example) and taking a vitamin can also help. If the development of eczema is associated with a violation of the digestive tract, then enzymes, probiotics or synbiotics are prescribed. With microbial eczema, you cannot do without antimicrobial and antifungal drugs.
As sos-agents, doctors often prescribe dyes, aerosols, so-called “talkers” and pastes that have an antipruritic effect. With weeping eczema, doctors prescribe the use of lotions – they narrow the blood vessels, relieve itching and inflammation. If the disease begins to recede, then pay attention to regenerating anti-inflammatory, absorbable and emollient creams and ointments (with papaverine, zinc, ichthyol and hormones). Also, during the period of remission, there is nothing better than flying to the sea.
Don’t get sick and don’t forget to take care of your skin!
How to treat eczema? – medical center “YOUR DOCTOR” Mine
Eczema is an inflammatory process of the skin, which is characterized by various dermatological problems: rashes, peeling, itching, etc. This disease is not capable of harming human health or leading to death, but it seriously complicates life, causing psychological discomfort.Before treating eczema with medical means or on your own, you should, firstly, differentiate it from psoriasis, dermatitis and other similar skin diseases, and secondly, make sure that it is not associated with a malfunction of internal organs.
Treatment of eczema
The urgency of treating eczema on the hands, feet, and other areas of the body tends to increase with the seasons. This is due to what was already mentioned above: this disease causes more psychological than physical discomfort, and therefore it is most often accepted for its treatment when there is no possibility to hide the affected skin under clothing.In order for eczema treatment to be as effective and correct as possible, the doctor must initially determine its type:
1. True: with this type of eczema, the skin turns red and swells, papules are observed – bubbles filled with liquid. Bursting, the bubbles form oozing areas that cause severe discomfort.
2. Professional: this kind of eczema on the legs practically does not occur, its localization is the hands, neck and forearms. This form is treated very quickly – it is enough to exclude contact with the allergen.
3. Microbial: arises as a complication of ulcerative lesions of the extremities, has clearly defined boundaries.
Unfortunately, patients often pay attention only to the treatment of eczema, not thinking that it may not be a disease, but a symptom indicating an internal disease, for example, of the liver or kidneys. This is the most frequent answer to the patient’s question – “why am I treating eczema with the most popular means, but it still does not go away?” – You just need to initially get rid of internal diseases.
How is eczema treated?
The most important thing that the patient must realize is that the treatment of eczema is always complex. It is impossible to get rid of the disease simply by swallowing a few tablets – as a rule, even if the symptoms disappear for a short time, it is only in order to reappear soon. Therapy involves not only a medication course, but also a complete change in lifestyle.
First of all, it is desirable to carry out a full course of body cleansing.In the overwhelming majority of cases, the appearance of eczema is provoked by an allergen, and if this is not a contact, but an internal type of exposure, then the body should be cleaned from the inside. In addition, the dermatologist will necessarily advise each patient on which products it is advisable to refuse for the duration of treatment, and these recommendations are best followed strictly. If it is known what triggered dry eczema or any of its other varieties, this particular product is excluded, otherwise the prohibition is imposed on everything that is considered to be food allergens: citrus fruits, chocolate, honey, etc.p.
When treating eczema, you cannot do without medications, mainly local action. These are, first of all, corticosteroid ointments, which effectively relieve inflammation and eliminate the discomfort that causes the patient to experience severe itching and pain.
When prescribing therapeutic measures, doctors should take into account the fact that a secondary infection can quite often join eczema, and in order to avoid this, it is necessary to use antiseptics and hormonal ointments.Please note that this kind of medication is prescribed by the doctor on a strictly individual basis, otherwise, instead of benefit, you can get only serious complications.
Various physiotherapeutic procedures can also relieve inflammation, eliminate discomfort and promote skin recovery. In some cases, stimulating immunotherapy may be required if the doctor concludes that the onset of eczema is triggered by a weakening of the defenses.
90,000 causes and treatment, creams and ointments for babies, symptoms of eczema on the hands and face, coin-shaped, Kaposi and viral forms
The prevalence of allergic diseases in children is now growing every day.Adverse symptoms can occur in both newborns and adolescents. In this article, we will talk about eczema in children.
What is it?
An acute inflammatory allergic reaction that occurs in the skin layers when specific allergens enter them is called eczema. Adverse symptoms of the disease can develop in a child at any age. Usually, the most severe course is observed in infants.
For the development of eczema in a baby, a special predisposition is required. Scientists have shown that babies whose parents suffer from various allergic pathologies, the risk of developing eczema exceeds the average incidence rate by more than 40%. If both dad and mom have allergies at the same time, then the probability of this disease in the baby increases to 60%. This hereditary feature is due to the special functioning of the immune system in allergy sufferers.
Some experts use a different term for this disease.They believe that it is more correct in young children to talk about the presence of not eczema, but “exudative dermatitis”. In this condition, the local sensitivity of the skin to various specific allergens is increased, the body’s resistance to many infections is reduced, and there is also an increased tendency to the formation of inflammatory exudate.
Usually doctors register cases of eczema in the smallest patients . At an older age, the incidence decreases slightly.A variety of factors contribute to the development of the disease. These include: the presence of diabetes mellitus in the baby, immunodeficiency states, pathology in the thyroid gland, existing chronic diseases of the gastrointestinal tract, allergic diseases.
Pediatric allergists and dermatologists are involved in the treatment and diagnosis of this disease.
A variety of causal factors lead to the appearance of a disease in a child.To date, there is no single cause of the disease. In some cases, causal factors can act simultaneously, which leads to the appearance of different clinical forms of the disease in the same child.
Doctors identify several main reasons leading to the appearance of adverse skin symptoms in babies:
- Heredity. All genes that code for the propensity to increased allergy have not been identified to date.However, it has been statistically proven that in families where close relatives have allergic diseases, eczema in children occurs twice as often.
- Pathological conditions of neurohumoral regulation. Usually these conditions arise as a result of various pathologies and malfunctions of the nervous system. In some cases, symptoms of eczema occur in a baby after a strong psycho-emotional shock or stress. These include: frequent moving to a new place of residence, divorce of parents, death of a close relative (especially at an early age).
- Increased individual skin sensitivity. This condition is not a pathology. Usually, some babies have a high susceptibility of the skin to the action of various substances from birth. These babies, as a rule, have light and delicate skin, which is prone to redness and any irritation.
- Immunodeficiency states. May be congenital and acquired.Impaired functioning of the immune system contributes to the bright course of allergic reactions with the appearance of numerous symptoms that bring severe discomfort to the baby. Quite often, immunodeficiency pathologies occur in premature babies and children with numerous chronic diseases.
- Secondary foci of chronic infection. The presence of an infectious process in the body is always a “time bomb”. With a decrease in immunity as a result of exposure to unfavorable environmental factors, the growth of microbial flora is activated, which contributes to the appearance of clinical signs of eczema in the child.
- Increased tendency to any allergic reactions . In this case, the allergen that has entered the child’s body easily causes a cascade of inflammation in the child, in which exudative edema develops, and specific inflammatory elements appear on the skin.
- Improper hygienic care , especially for newborns. The use of products containing dyes and chemical fragrances can cause specific rashes on the child’s skin.
- Artificial feeding. Rapid refusal to breastfeed often leads to a decrease in passive immunity in the baby. An improperly selected adapted mixture, which cannot compensate for the intake of all nutrients necessary for its growth and development, into the child’s body, causes an increased tendency in the child to form allergic reactions.
Doctors identify several clinical forms of this pathology. This difference is due to different reasons that lead to their appearance. Each clinical form of eczema has its own distinctive features and predominant localization. There are also some differences in the treatment and diagnosis of such pathologies.
There are several clinical forms:
- Coin. It is a child’s appearance on the skin stretched plaques that form and size resemble the average value. Usually, skin rashes are localized on the back, on the buttocks, on the legs. Outside, the skin plaques are covered with several layers of keratinized scales, which easily peel off the surface at any touch. More often this form occurs at an older age.
- Viral .Various viruses provoke the appearance of adverse symptoms. Often, pathogens of influenza, chickenpox, rubella, herpes simplex and herpes zoster, and others, familiar to many parents, become the culprits of the disease. Rashes can be located on a wide variety of areas of the body: on the cheek, on the back, on the chin, on the elbows and other anatomical areas. To eliminate adverse symptoms, it is required to include antiviral and immunomodulatory drugs in the treatment regimen.
- Wet. It is characterized by the appearance of large bubbles, inside of which there is a serous fluid. These skin formations are easily traumatized with the outflow of exudate, and therefore are called “weeping”. Often unfavorable signs are found in one and a half year old babies. The predominant localization is on the arms, buttocks, and lower extremities.
- Microbial. Caused by various microorganisms. The development of unfavorable clinical symptoms is preceded by a pronounced decrease in immunity. It is manifested by the appearance of red inflammatory skin rashes on the skin. To eliminate the clinical signs of the disease, complex treatment is required.
- Herpetic. Infection with various subtypes of the herpes virus leads to the development of this clinical form. It is characterized by the formation of bubbles on the skin filled with serous-bloody fluid.These formations can be easily injured and ulcerated. The disease can proceed with a rather severe course and significantly worsens the well-being of the child.
- Bacterial. Also called microbial. The development of this clinical form, as it is not difficult to guess, leads to infection with various bacteria. The peak incidence occurs between the ages of two to six months after the birth of the baby. To eliminate adverse symptoms, sick babies are prescribed modern antibiotics that have a systemic wide spectrum of action.
- Herpetiformis or Kaposi’s eczema . It develops as a result of infection with the herpes simplex virus type 8. It occurs in babies, especially at an early age, quite difficult. It is characterized by the appearance of numerous skin rashes on the skin, which easily turn into erosion. With Kaposi’s eczema, peripheral lymph nodes increase and body temperature rises greatly.
- Seborrheic. The cause of this pathology has not yet been precisely established. This form is characterized by the appearance of flaky yellow plaques, which are usually located on the face, scalp, and less often on other anatomical areas. Often the appearance of dandruff in babies can be a consequence of the child’s seborrheic eczema.
Skin rashes may be accompanied by slight itching.
The initial stage of eczema in all babies is the same – various skin rashes appear on the skin. Symptoms vary in severity. This largely depends on the initial state of the child, the presence of concomitant chronic diseases and immunodeficiency, as well as at what age the disease develops.The appearance of rashes on the skin usually terrifies parents. Do not panic! When the first adverse clinical signs appear, it is very important to see a doctor immediately.
The doctor will conduct a clinical examination, during which he will be able to establish whether the child has signs of eczema or is another disease with similar symptoms.
The presence of a large number of clinical variants of the disease causes a variety of different forms of skin rashes.So, some forms of eczema occur with the appearance of bright red spots on the skin. They can be from ½ to several centimeters in size. The spots are hot to the touch. The child may feel severe itching of the skin.
Frequent scratching of damaged areas of the skin leads to the fact that secondary bacterial flora easily gets into its surface layers.This significantly aggravates the prognosis of the course of the disease. Skin rashes can fester with the outflow of pus. To eliminate this unfavorable symptom, the mandatory prescription of antibiotics is required. In severe cases, they are prescribed by intravenous or intramuscular injection.
During the entire acute period of the disease, the sick child looks very bad. The baby has weakness and lethargy. The child plays less with his favorite toys, can avoid contact with other children and even parents.Severe itching of the skin disrupts the baby’s behavior. The child becomes more moody.
Often sick children do not sleep well. With eczema, the duration of both daytime and nighttime sleep is disrupted. They can often wake up in the middle of the night due to severe itching of the inflamed skin.Some babies have appetite disturbances. Babies may refuse breastfeeding.
In some cases, the course of eczema in babies can be chronic. Then it is characterized by a change in periods of exacerbation and unstable remission. Usually, adverse symptoms reappear in the cold season or after severe psycho-emotional stress. There were isolated cases when clinical signs of eczema appeared in an allergic child after age-related vaccination.
Usually, the severity of symptoms gradually decreases by three years.
Eczema can also have a mild course. In this situation, only slight redness appears on the skin, which usually does not even itch. After an acute period of the disease, such skin elements completely disappear, and the skin regains a healthy appearance.Most often, such rashes appear in a baby after washing, with teething, during active and overly intense classes at school, after adding new previously unfamiliar foods to food. These clinical signs do not bring severe discomfort to the child and disappear on their own after a few days.
From a clinical point of view, microbial and seborrheic types of eczema are most common in children. In babies with a strong skin sensitivity to the action of various allergens, there is a tendency to the massive appearance of skin rashes, as well as to their draining into huge areas.
The prognosis of the disease in most cases is conditionally favorable, since there is a tendency to chronicity of the process. Only in weakened children with eczema, very unfavorable complications can appear.
There are also quite rare types of eczema.These include: varicose and post-traumatic. With varicose veins, inflammatory skin changes appear in the veins of the lower extremities. This clinical form is associated with the presence in the child of individual disorders of trophic veins, as well as excessive sensitivity to the effects of a variety of bacterial flora. Varicose eczema is accompanied by the appearance of various weeping ulcers on the skin, which are poorly epithelized.
Even after healing, residual changes can remain on the skin for a long time.They usually manifest as increased dryness and thinning of the skin. In some areas, severe peeling appears, which disappears after a few months.
Post-traumatic eczema appears after various injuries, burns and open injuries of the skin.
Pediatric allergists and dermatologists are engaged in the treatment of various types of eczema.If the disease has arisen due to any chronic disease, then additional consultations of doctors of other specialties – gastroenterologist, dentist or otolaryngologist may be required.
The appointment of treatment tactics is carried out only after all the necessary tests have been carried out, which make it possible to clarify the severity of clinical manifestations, and also establish the severity of the disease. The eczema therapy regimen includes the appointment of a whole range of different therapeutic methods.Treatment of the disease is usually carried out in the acute period of the disease.
During remission, doctors recommend to undergo rehabilitation and spa treatment, which contributes to a longer remission.
The following methods are used in the treatment of the disease:
- Normalization of the daily routine. In the daily routine of a sick child, a day’s rest must be present – at least three hours. At night, the baby should sleep at least 8-9 hours, babies – more. This helps the immune and nervous system to work more productively, and the baby to recover faster.
- Compliance with a hypoallergenic diet . All highly allergenic foods are excluded from the diet of an allergic baby. These include: sweets, chocolate bars, citrus fruits, seafood, tropical fruits and berries.If a child has an individual immunity to milk protein or gluten intolerance, then any food containing these components is also excluded from his menu. The baby should follow a hypoallergenic diet throughout his life.
- Local treatment. To eliminate inflammation on the skin, lotions with 2% boric acid, 0.25% amidopyrine solution, 0.25% silver nitrate solution and others are suitable. They should be used on the recommendation of a doctor. With a severe and persistent course of the disease, various hormonal ointments and creams are used.These include drugs based on prednisone and dexamethasone.
- Prescribing antibiotics . These drugs are used to treat microbial eczema, as well as secondary infection with the bacterial flora of other skin rashes. The selection of an antibiotic is carried out taking into account the age of the child, his weight, as well as the presence of chronic concomitant diseases in the baby, which can become a relative contraindication for the appointment of these drugs.
- Systemic drug administration. It is used in case of severe course of the disease or in case of ineffectiveness of previous treatment. Antihistamines have a good anti-inflammatory effect. These include: Suprastin, Claritin, Loratadin and others. Dosages, frequency of application and duration of the course are chosen by the attending physician based on the individual initial well-being of the child.
- Use of gentle products of household chemicals and special cosmetics for children.To carry out hygienic daily procedures for babies suffering from various forms of allergies, you should use gentle products. They should not contain strong fragrances and coloring additives that can cause new allergic rashes on the baby’s skin.
- Prescribing immunomodulatory therapy. It is carried out according to strict indications for all babies with signs of immunodeficiency.As a treatment, both tablet and injectable forms of drugs are used. The duration of treatment is usually 10-14 days. During the year, 2-3 courses of such therapy are usually carried out.
In the next episode of Dr. Komarovsky’s program, you will learn a lot of useful information about the treatment of eczema, as well as other children’s skin diseases.