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Yao Li Qin
Pediatrics
About me
Practicing physician, graduated from the Department of Pediatrics with a bachelor's degree from university, has been working in pediatric internal medicine for twenty-five years.
Proficient in diseases
Specializes in common pediatric diseases such as colds, pneumonia, diarrhea, eczema, neonatal jaundice, infant feeding, and more.
Voices
What age can infantile eczema recover?
Infant eczema, also known as atopic dermatitis, is the most common skin disease in infants and children under three years of age. Most children’s eczema is controlled between the ages of one and one and a half years, but a few may continue to experience symptoms until after the age of three or even into childhood. In severe cases, the eczema can persist into adulthood. This depends on the child's own constitution and physical condition. For children who are inherently allergic, the duration of eczema can be particularly prolonged. If the eczema is due to an allergy to breast milk or formula, it can be well controlled once breastfeeding is stopped, or the formula is switched to a hypoallergenic hydrolyzed protein formula.
When will baby eczema get better?
Infant eczema is a common skin disease in infants and young children, also known as atopic dermatitis or a hereditary skin disease, and is related to factors such as allergies and the environment. Most cases of infant eczema gradually improve between the ages of one and three. Some children with allergic constitutions may continue to experience eczema throughout childhood, adolescence, and even into adulthood. However, for the vast majority of children, eczema resolves by the age of one to three. Once eczema is diagnosed, it is essential to maintain skin hydration and avoid contact with allergens. When necessary, under the guidance of a doctor at a hospital, use of mild corticosteroid creams may be recommended to control the outbreaks of eczema.
Initial symptoms of hand, foot, and mouth disease
Hand, foot, and mouth disease is a common pediatric exanthematous disease caused by an enterovirus infection, primarily manifesting on the hands, feet, mouth, and buttocks with scattered vesicular and pustular rashes. The incubation period for hand, foot, and mouth disease generally ranges from three to five days. The initial stage of the illness may include fever and sore mouth, or discomfort in the throat, leading to reluctance in children to eat. Accompanying symptoms might include mild coughing, runny nose, and throat discomfort. During a physical examination, a doctor may observe scattered small vesicles in the mouth mucosa, or shallow ulcers that have already erupted. These are mainly found on the lingual and buccal mucosa, as well as the mucosa on the inner side of the lips and upper palate. Subsequently, rashes appear on the hands and feet, generally starting as maculopapular rashes that slowly turn into vesicular rashes. These rashes are distributed eccentrically and typically resolve on their own within two to three days without scaling, scarring, or pigmentation. The oral vesicles usually heal on their own within a week. Some children with milder cases may only exhibit rashes or vesicular pharyngitis.
How to deal with infant paronychia swelling?
If infants clearly have paronychia, it is imperative to take the child to a pediatric surgery department as soon as possible for wound treatment. The doctor will disinfect the wound. If the swelling is particularly severe and there is already pus deep within, it will also be necessary to incise and drain the wound for thorough disinfection and debridement. Once the infection is under control, the wound should be properly bandaged. The dressing should be changed every two to three days until the wound has completely healed, after which disinfection can be stopped. Therefore, it is essential to seek treatment at a pediatric surgery department and have the dressings changed professionally. Parents should not attempt to handle it by themselves.
Hand, foot, and mouth disease transmission routes
Hand, foot, and mouth disease is caused by an intestinal virus infection, characterized by a rash of scattered maculopapular and vesicular lesions on the hands, feet, mouth, and buttocks. Generally, the prognosis is good. The disease is quite contagious, primarily spreading through the gastrointestinal tract, respiratory tract, and close contact. Therefore, during peak seasons of hand, foot, and mouth disease, children should stay at home and avoid crowded places and playing with children who have the disease. The highest incidence of this disease is among children under three years old, so it is essential to pay attention to the prevention and health care of infants. If a child in kindergarten is found to have the disease, they should rest at home and not return to the kindergarten immediately.
What should be done about infant eczema in the summer?
If the baby has eczema, the hot weather and increased sweating during summer can easily aggravate the condition. Therefore, it is essential to keep the child cool. If it is hot outside and the child is sweating profusely, try to keep the child indoors, preferably in an air-conditioned room. However, the air in air-conditioned rooms is quite dry, which can also worsen eczema. In such cases, it is necessary to use a humidifier, which can effectively prevent worsening of eczema due to heat and excessive sweating during summer. Additionally, even in summer, it is important to keep the child's skin moisturized. If the eczema is particularly severe, it is also necessary to use mild corticosteroid creams under the guidance of a doctor. Children who are formula-fed should continue with amino acid-based formula and hydrolyzed protein formula.