Pediatric eczema

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Written by Yan Xin Liang
Pediatrics
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Can baby eczema cause fever?

Does infant eczema cause fever? Generally, this is not the case. Eczema is an allergic disease, characterized by the appearance of rashes on the skin due to an allergic reaction; fever typically does not occur in this case. If a baby develops a fever, the first consideration should be whether it is a cold. The second consideration should be whether there are any other infections present. Fever is generally considered to be caused by infectious factors, such as bacteria, viruses, mycoplasma, chlamydia, etc. Therefore, it is essential to identify the pathogen and determine the cause of the fever.

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Written by Yao Li Qin
Pediatrics
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Where does eczema occur in children?

Infant eczema, also known as atopic dermatitis, is a common type of skin lesion in children. It mainly manifests as proliferative and exudative, and it is inflammatory. Infant eczema can appear all over the body. However, most children have it on their faces, and some children have it on their chests, particularly severe cases can have eczema all over their bodies. Once eczema is diagnosed, it is essential to first moisturize the affected skin areas to relieve the child's discomfort, and then use mild corticosteroid creams under the guidance of a doctor. For facial eczema, parents must apply a thick layer of baby moisturizer. Additionally, eczema in the ear area, especially inside the external auditory canal, might sometimes discharge yellowish fluid. Therefore, it is crucial to apply moisturizer thickly in these areas. These areas can cause significant discomfort for the child, so proactive treatment is very important.

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Written by Yao Li Qin
Pediatrics
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What medicine should be used for infant eczema?

Infant eczema, also known as atopic dermatitis, is a chronic, recurrent, inflammatory skin disease that is fairly common in infants and young children. When eczema occurs, the affected area typically shows skin redness, followed by rashes and rough skin. Some may experience scaling and exudation, and the itching can be quite intense for the child. Eczema, as the name might suggest, is not caused by moist skin but rather by dry skin in the affected area, hence moisturizing makes up a significant part of the treatment. A thick layer of moisturizer specifically designed for infants should be applied to the child, three to four times a day. Based on the severity of the eczema, mild steroid creams can be used to effectively control the condition. For breastfed children, the mother should avoid consuming beef, lamb, nuts, seafood, and fermented rice wine, as these might exacerbate the condition. For children on formula, depending on the severity of the eczema, amino acid-based formulas or extensively hydrolyzed protein formulas should be given.

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Written by Yao Li Qin
Pediatrics
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Is infantile eczema contagious?

Infant eczema is not contagious because it is the most common skin disease among children, especially babies and young children, also known as atopic dermatitis. It primarily presents as local proliferative and exudative changes, and it is not an infectious disease, so it is not contagious. Therefore, infant eczema is ultimately caused by intrinsic reasons. Consequently, when a child comes into contact with another child who has eczema, they will not contract eczema. Parents should note this; it is only a skin condition and is not contagious because it is not an infectious disease. Therefore, when a child has eczema, we must treat it actively, primarily focusing on moisturizing and using mild topical corticosteroid creams. (The use of medications should be under the guidance of a doctor.)

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Written by Yao Li Qin
Pediatrics
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Is infantile eczema contagious?

Pediatric eczema is a chronic, recurrent inflammatory skin condition that typically presents during infancy and early childhood. Some children may continue to experience symptoms into childhood and even adulthood. It is characterized by skin damage but is not infectious; thus, pediatric eczema is not contagious, which should reassure parents. The causes of pediatric eczema are complex and relate to immune dysfunction or deficiency, and nutritional disorders. External factors also play a role, such as allergies to milk, fish, shrimp, or eggs, as well as mechanical irritation or improper care, all of which can lead to eczema. However, it is not contagious. Poor care can lead to local bacterial infections of the skin, which parents must be careful to avoid.

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Written by Yao Li Qin
Pediatrics
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Can children with eczema drink fish soup?

Infant eczema, a common skin disease in infants and young children, is also known as atopic dermatitis. Whether children with eczema can drink fish soup needs detailed analysis. In most cases, we do not recommend giving fish soup to children because, in practical terms, fish soup can worsen eczema for many children. However, some children may not be so sensitive to fish soup, and in such cases, they can drink a little. It is essential for children with eczema to maintain a daily life diary, noting which items they have been in contact with and which foods they have consumed that may exacerbate the condition. If the eczema worsens, it is typically best to avoid these foods and items as much as possible.

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Written by Yao Li Qin
Pediatrics
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Can olive oil be used for infant eczema?

It is not recommended to apply olive oil for baby eczema, also known as atopic dermatitis. The treatment of eczema includes two aspects. The first is localized moisturizing, and the second is the use of mild corticosteroid creams under the guidance of a doctor. Olive oil, being an oily substance, is not suitable for eczema. Moisturizing for eczema should be done with a baby-specific moisturizer, which can effectively alleviate the dryness of the skin. Additionally, if olive oil is used, it can make the skin particularly greasy and impede skin breathability, hence it is not advised for use on children. It is very important to use a baby moisturizer.

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Written by Yao Li Qin
Pediatrics
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Can calcined gypsum be used for infant eczema?

If a child has eczema, in principle, we do not recommend the routine use of calamine. Calamine has an antipruritic effect, but after use, the local skin becomes particularly dry, which can exacerbate eczema. Therefore, when a child has eczema, the first thing we must do is to maintain the local skin's moisture. Apply a thick layer of moisturizer, and on top of that, under the guidance of a hospital doctor, use some mild corticosteroid creams. Although calamine can relieve the local skin itching symptoms caused by eczema, it ultimately has no therapeutic effect on eczema, so we do not consider calamine as a common medication for treating eczema. (The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Yao Li Qin
Pediatrics
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How to treat infant eczema?

Infant eczema is a common skin problem in infants and toddlers, also known as atopic dermatitis. The first thing to pay attention to when a child has eczema is to moisturize the affected skin. Eczema is caused by dry skin, so moisturizing is particularly important. On top of moisturizing, under the guidance of a doctor at the hospital, we can use some mild corticosteroid creams. Through such measures, eczema can generally be well controlled. However, the biggest characteristic of eczema is that it is particularly prone to recurrence, so for children, we must treat it through diet and allergens. For children who drink formula, depending on the severity of the eczema, the child should be fed amino acid formula or hydrolyzed protein formula. For breastfed children, the diet of the nursing mother needs to be controlled – beef, lamb, nuts, seafood, and foods containing distiller's grains should be avoided. (The use of medications should be conducted under the guidance of a professional doctor.)

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Written by Yao Li Qin
Pediatrics
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Can babies with eczema not take baths?

It is very clear that infants with eczema can take baths. If a baby has eczema, it indicates that the child has a specific type of dermatitis, which may include exudative skin damage locally, and in severe cases, even lichenoid lesions. Therefore, moisturizing plays a very important role in the treatment of pediatric eczema. After bathing the baby, it is crucial to apply a thick layer of baby moisturizing cream on the areas affected by eczema. For severe eczema, it is necessary to use mild corticosteroid ointments under the guidance of a doctor. If the child is on formula, depending on the severity of the eczema, it is advised to choose amino acid formula or extensively hydrolyzed protein formula. With active treatment, eczema can be well-managed.