How to treat infant eczema?

Written by Yao Li Qin
Pediatrics
Updated on September 15, 2024
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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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How to treat infant eczema

Eczema is an intensely itchy skin inflammation reaction caused by a variety of factors, including both external and internal causes. External factors include environmental climate changes, sunlight exposure, animal fur, cosmetics, etc. Internal factors mainly involve food, endocrine disorders, stress, and more. Treatment primarily targets these causes. If caused by external factors, efforts should be made to avoid them. If related to food allergies, such as milk or eggs, these allergenic foods should be avoided. Treatment can also include the use of anti-allergic ointments, commonly corticosteroid ointments, as well as oral anti-allergy medications to assist in treatment.

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Can eczema spread?

Generally, based on the distribution characteristics of eczema rashes, we can divide it into localized eczema and generalized eczema. Localized eczema occurs in specific areas, such as the hands, ears, vulva, perianal area, breasts, elbow pits, popliteal fossae, and lower legs. These eczema cases generally do not spread but are relatively fixed. Generalized eczema, however, can be locally scattered or spread throughout the body. When care is improper, due to excessive scratching, scalding with hot water, failure to treat promptly or incorrectly, excessive use of steroids, or if it is accompanied by other internal diseases (such as diabetes, hyperthyroidism, etc.) that are not well controlled, then the range of the eczema rashes might spread throughout the body.

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How to deal with anal eczema?

Anal eczema can be treated with oral medication and topical application. If there is a primary disease, it should be actively treated. Additionally, it is important to improve the living environment; consume less spicy and irritating food; exercise to enhance physical fitness; and keep the anal area clean and dry. It is advised to seek medical treatment promptly and avoid the misuse of topical medications.

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Breast eczema and eczematous carcinoma

Breast eczema and eczematous carcinoma are very different and completely distinct from one another. Firstly, breast eczema is an inflammatory skin disease, whereas eczematous carcinoma is a malignant skin disease. Additionally, breast eczema typically presents with eczematous skin manifestations like erythema, papules, and vesicles, while eczematous carcinoma may also present with breast lumps. Finally, in terms of treatment, breast eczema can be completely cured, whereas eczematous carcinoma cannot be completely cured if it progresses to a late stage.

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Symptoms of eczema

Eczema is an intensely itchy skin inflammation reaction caused by various internal and external factors. It is categorized into three phases: acute, subacute, and chronic. 1. Acute eczema: Initially, the skin lesions appear as numerous, densely packed millet-sized papules, vesicopapules, or small vesicles with a reddish base that gradually merge into patches. Due to scratching, the tops of the papules, vesicopapules, or vesicles break open, leading to distinctive punctate exudation and minor erosion with unclear margins. If secondary infection occurs, the inflammation becomes more pronounced, possibly forming pustules, crusts, folliculitis, and boils. There is severe itching. Commonly affected areas include the head, face, behind the ears, extremities, scrotum, and perianal region, often symmetrically distributed. 2. Subacute eczema: Following the reduction of acute eczema inflammation, skin lesions primarily consist of small papules, crusts, and scales, with only a few vesicopapules and erosions, yet intense itching persists. 3. Chronic eczema: Often, chronic eczema results from reoccurring episodes of acute and subacute eczema that do not resolve, or it may start as chronic eczema. Characteristics include thickened, infiltrated skin at the affected sites, which tend to be brownish-red or have pigmentation, a rough surface covered with scales, or crusting caused by scratching. There is severe itching. Common sites include the lower legs, hands, feet, elbows, knees, genitals, and anus. The duration of the disease is variable, it is prone to relapse, and is often long-lasting without resolution.