Pediatric eczema should be treated in which department?

Written by Yao Li Qin
Pediatrics
Updated on September 27, 2024
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Children with eczema primarily exhibit symptoms of red, oozing plaques on the facial skin and the skin throughout the body, and even a seborrheic dermatitis-like appearance. Pediatric eczema is classified into dry eczema and the common exudative eczema. Once a child has eczema, the general treatment involves moisturizing care, and attention should be paid to the child's diet. For severe cases of eczema, medical consultation is necessary. Pediatric eczema falls under pediatric dermatology, so visiting the pediatric dermatology department at a children's hospital is appropriate. If a general hospital lacks a pediatric dermatology department, pediatricians also have extensive experience in treating pediatric eczema, so visiting a pediatric outpatient clinic is also advisable.

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Written by Liu Li
Pediatrics
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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.

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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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Can calamine lotion be used for baby eczema?

Infant eczema is a common skin condition in babies and toddlers. Generally, we do not recommend the use of calamine lotion for eczema, as although it has an itch-relieving effect when applied locally, it can make the skin even drier. Therefore, if the skin is itchy, temporarily using calamine lotion is possible, but it is not recommended for long-term use in treating eczema. The treatment of eczema consists of 60%-70% moisturizing and 30%-40% may involve the use of mild corticosteroid creams under the guidance of a doctor. Overall, moisturizing is the main treatment for eczema, while hormone therapy can be a supportive treatment. Calamine lotion can be temporarily used to relieve itching, but it is not recommended as a standard treatment method for eczema. Additionally, for infants who are on formula, it is important to use hydrolyzed protein formula, and if breastfeeding, the mother’s diet needs to be carefully managed.

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Written by Yao Li Qin
Pediatrics
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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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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.