Pediatric eczema, what department to see?

Written by Yao Li Qin
Pediatrics
Updated on September 12, 2024
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Infant eczema, also known as atopic dermatitis, is a chronic and recurrent skin disease that is particularly common in infants and toddlers. When a child has eczema, it primarily appears on the face, and severe cases can affect the entire body.

Since eczema primarily affects the skin, when a child has eczema, they can visit a dermatologist. Generally, children's hospitals have specialized pediatric dermatology departments. Even if a general hospital does not have a pediatric dermatology department, it is still possible to seek treatment there. At the same time, pediatricians also have extensive experience in diagnosing and treating infant eczema, so consulting a pediatrician in a general hospital can also provide excellent care for the child.

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Will pediatric allergic eczema be contagious?

Childhood allergic eczema is not a contagious disease, so it is not transmissible. Eczema is a common skin allergic disease during infancy and early childhood, characterized by rashes and skin itching. The rash mostly appears on the neck, the perineum, and other areas, often recurring. The onset in some children is related to family genetics. When children develop eczema, they can apply calamine lotion topically or take antihistamine medication orally under the guidance of a doctor to relieve symptoms of skin itching. In terms of diet, it is advisable to avoid allergenic foods such as fish, shrimp, eggs, and seafood.

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Can infantile eczema heal itself after crusting?

Infant eczema is a type of skin allergy. If an eczema patient develops crusty skin, it often indicates that the condition is improving. In this case, it is important to keep the skin clean and hygienic, avoid scratching the crusted areas with hands, and also ensure that the local skin is well-moisturized to prevent infections. However, this does not mean that eczema will stop occurring once it crusts over. Eczema is a recurrent disease, so even if it heals this time, it may still reappear in the same areas in the future.

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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.

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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.

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Can children with allergic eczema take baths?

Actually, children with atopic dermatitis can bathe because no matter what the cause, it's necessary to keep the skin clean. If they do not bathe, it will worsen the accumulation of waste and make the eczema more severe. However, there are certain precautions to take when bathing. It is important to use as few synthetic chemical bath products as possible or avoid them altogether to prevent a secondary infection. Additionally, for babies with eczema, it is sufficient to simply avoid the allergens that trigger the eczema.