Eczema

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Written by Tong Peng
Pediatrics
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What to do if a child's eczema does not improve?

If childhood eczema is not improving, then it is crucial to actively search for the cause, rather than merely treating the symptoms. The care for childhood eczema mainly involves moisturizing and applying eczema ointment, but treating the primary cause is most important. The causes of eczema are varied, with common factors including genetics. If a child's parents have allergic rhinitis, eczema, or asthma, it suggests that the baby might have an allergic constitution, which can lead to recurrent episodes of eczema. Additionally, diet plays a role; consuming foods that are allergens can also trigger eczema flare-ups, especially foods containing proteins such as dairy products, eggs, and seafood products. Furthermore, contact with allergenic substances like animal dander and plant pollen can also induce eczema. Moreover, certain specific pathogens colonize on the surface of eczema-affected skin, leading to repeated outbreaks. These factors make the treatment of eczema less than ideal, so it is essential to understand the specific reasons behind the baby's eczema to tailor the treatment effectively.

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Written by Yan Qiao
Obstetrics and Gynecology
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Treatment of Vulvar Eczema

For the treatment of vulvar eczema, I believe the most important thing is to keep the vulva clean and dry. Regular cleaning of the vulva is necessary, and it should be kept as dry as possible. Additionally, try to avoid using sanitary pads as much as possible, because they can reduce breathability. Our clothing should also be as loose and breathable as possible, and avoid wearing synthetic underwear. Moreover, if there is itching and pain associated with vulvar eczema, topical corticosteroids can be applied to the vulva to relieve these symptoms and help heal the eczema. (The use of medications should be under the guidance of a doctor.)

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Written by Liu Gang
Dermatology
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Do you need to avoid certain foods if you have eczema?

Eczema is considered an allergic disease, and the specific allergens can be difficult to determine as they vary from person to person. Generally, it is related to decreased immunity and may also be linked to genetic factors within the family. Frequently consuming spicy foods, staying up late, or living in a damp and unclean environment can all potentially trigger eczema. Once eczema occurs, it is essential to avoid spicy and irritating foods. Avoid contact with chili peppers, mutton, seafood, and alcohol. Proper treatment should be enforced to prevent it from becoming chronic eczema. During treatment, do not wash with hot water; use warm or cool water instead. Avoid going to public baths or swimming pools, and stay away from places with many plants or animals to reduce inhalation of pollen or dust mites.

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Written by Huang Ling Juan
Dermatology
1min 12sec home-news-image

How to cure eczema?

To effectively treat chronic eczema, it is essential first to identify specific triggers and avoid contact to prevent recurrence. Under the guidance of a doctor, oral antihistamines can be administered, commonly options include chlorpheniramine maleate, cetirizine, loratadine, ebastine, and epinastine. In severe cases, infusion therapy might be an option, utilizing calcium gluconate injection or procaine vein blockage. For topical medications, one might choose corticosteroid creams such as desonide ointment or hydrocortisone butyrate cream, or opt for non-steroidal options like Mentholatum Dermacare Cream or Moisture-Removing Anti-Itch Cream. When eczema occurs, it can also be beneficial to combine traditional Chinese medicine and differential diagnosis with Western medicine for better results. Additionally, a light and bland diet is recommended.

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Written by Wu Ben Rong
Pediatrics
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Is milk crust eczema?

Milk cradle cap specifically refers to eczema on an infant's face, which is a facial skin inflammation that appears during the breastfeeding period. Therefore, some people call it milk cradle cap. From this perspective, milk cradle cap and eczema are the same, merely a specific type of eczema. There are many possible causes for this type of eczema in infants. It could be caused by parents overdressing the child, leading to overheated skin and localized inflammatory damage. It might also be due to improper daily care resulting in epidermal damage, or the child could be allergic to formula, or the mother might have consumed foods during breastfeeding that can cause allergies in the baby. It is recommended that parents take their child to a legitimate hospital for examination and treatment.

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Written by Liu Gang
Dermatology
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The difference between tinea cruris and eczema

Tinea cruris is caused by a fungal infection and its occurrence is generally localized, usually appearing on the upper thigh or buttocks. Eczema, on the other hand, is mainly caused by allergies and can occur in varying locations, possibly on the upper thigh or external genitals, and can even spread across the entire body. The treatments for these two diseases differ; tinea cruris can generally be cured with antifungal creams, whereas the treatment for eczema involves a combination of medications including oral antiallergic drugs and the topical application of steroid creams. Both conditions are relatively treatable, but if they persist for a long time, continuous effort and the adoption of good dietary and lifestyle habits are necessary. Avoid public baths and swimming pools and try to abstain from spicy and irritating foods.

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Written by Zhu Zhu
Dermatology
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What should I do if eczema causes fluid discharge from the ears?

Eczema and ear discharge are manifestations and symptoms of wet eczema, which are very common. If discharge from the ear occurs, it indicates that the eczema has progressed to a more severe stage. It is crucial to treat it promptly at this time. It is recommended to first clean the affected area with some clean materials, then make sure to keep the area dry, and you can also use some anti-inflammatory medications to help with inflammation.

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Written by Liu Gang
Dermatology
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Can eczema patients eat crab?

People with eczema should not eat crab, as well as mutton, chili peppers, fish, and shrimp. They should also abstain from alcohol, as eczema is an allergic condition and it's difficult to pinpoint specific allergens. Foods like seafood, crab, and chili peppers can potentially trigger a relapse or worsen the symptoms. After the onset of eczema, the affected areas should not be washed with hot water. Instead, antiallergic medications should be used for treatment, such as oral loratadine tablets, and topical application of corticosteroid creams like compound flumethasone ointment. If symptoms persist long-term, it's advisable to visit a dermatology department at a reputable hospital to identify specific allergens and receive targeted treatment. Overall, eczema is a chronic condition that can recur frequently, so attention must be paid to one's diet and lifestyle habits.

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Written by Liu Gang
Dermatology
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Is breast eczema contagious?

Breast eczema is simply eczema that occurs on the breast area and is also a type of allergic reaction. This disease is not contagious; it will not spread between people or increase in spread on one's own body. Once this disease occurs, it must be treated properly. Treatments may include oral and some anti-allergic medications, as well as localized red light therapy. It is advisable to visit a dermatology department in a regular hospital to check for allergens, see what triggers the allergies, and possibly cooperate with desensitization treatment. If the breast eczema has persistently poor results, it is recommended to consult a regular hospital again to see if there is a fungal infection in the affected area. If there repeatedly occur lesions, ulcers, and exudative discharges, a local pathological examination should be conducted to check for other pathological changes. After recovery, standardize dietary and living habits, strengthen exercise, and enhance immunity.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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What should I do if eczema is caused by excessive dampness?

For patients suffering from eczema caused by excessive dampness, initially, using a warm towel compress can help alleviate symptoms. It is also important to bathe frequently, maintain cleanliness, and keep dry to effectively prevent and improve the condition. Alternatively, spending more time in the sun, using a sauna, or soaking feet in warm water can also provide some relief. These methods can effectively prevent and treat the condition. Excessive dampness is often related to habitual overexertion and improper diet.