Don’t Forget About The Feet
Shoes can even be a concern. Thermoplastic, rubber-boxed toes, and the chemicals used in the shoe-tanning process can cause flare-ups around your baby’s ankles. Look for genuine or eco-leather shoes that are made of chrome-free leather. This will let your baby’s foot breathe easily, leading to fewer irritations.
Brand that Works for Ethan: Bobux. Their shoes are made from eco-leather and are chrome-free.
How Is Eczema Diagnosed
There is no specific test used to diagnose eczema. The doctor will look at the rash and ask about symptoms, the child’s past health, and the family’s health. If family members have any atopic conditions, that’s an important clue.
The doctor will rule out other conditions that can cause skin inflammation, and might recommend that your child see a dermatologist or an allergist.
The doctor may ask you to ban some foods from your child’s diet, switch detergents or soaps, or make other changes for a time to see if your child is reacting to something.
Can My Baby Grow Out Of It
One of the most common questions parents have for pediatricians is whether their baby will outgrow their eczema. If you are wondering the same thing, rest assured. Most babies who develop eczema in the first few months of life outgrow it by the time they begin school at age 4 or 5. However, a small percentage of babies who develop eczema will not outgrow it. Unfortunately, there is no way to confirm whether a baby will or will not outgrow eczema in a few years but the chances of the condition staying increase if the condition runs in the family.
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Eczema Around The Eye
When eczema occurs on the face, it often affects the skin around the eyes or eyelids . Eczema that develops near the eyes needs special attention because the eyes themselves can be affected.
Those with eczema around the eyes are more susceptible to certain eye problems such as conjunctivitis , inflamed cornea, and changes in the shape of the cornea .
What You Can Do
You can help reduce your child’s discomfort by:
- keeping their fingernails short to reduce the damage to their skin from scratching
- washing them with aqueous cream instead of soap – ask your pharmacist about aqueous creams and always follow the instructions on the product
- using non-biological detergent and a double rinse cycle when washing their clothes or bedding
- avoiding herbal, ‘natural’ or alternative creams – these can make eczema worse, as they may contain bacteria or high doses of steroids
- rinsing and drying them well after swimming
- dressing them in cool, breathable fabrics like cotton
- keeping them away from anyone with a cold sore – as the cold sore virus can cause eczema to become infected
- using extra moisturiser on areas your child scratches a lot
- avoiding anything you know that causes your childs eczema to get worse
Around 6 out of 10 children with eczema will grow out of it by the time they’re teenagers.
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How Reducing Indoor Allergens Can Ease Your Eczema Symptoms
Eczema usually isnt a persistent condition, but rather one marked by long symptom-free periods followed by flare-ups.
Various environmental factors may cause the immune system to respond as if the body has encountered a harmful substance, resulting in inflammation and worsening eczema symptoms.
These triggers may include a variety of allergens and irritants, such as:
- Pet dander, pollen, mold, and dust mites
- Allergenic foods
- Clothing made of wool or synthetic fibers
- Cigarette smoke
Theres no cure for baby eczema, but the condition usually becomes less severe over time.
Treatment focuses on managing skin dryness to prevent flare-ups and on reducing skin inflammation.
Doctors recommend the following strategies to parents whose babies have eczema:
Your doctor may also recommend other eczema treatments for your child, including:
Baby Eczema Risk Factors And The Environment
While baby eczema is the result of immune-system dysfunction, likely from a genetic predisposition, studies have found a number of risk factors.
For example, a study published in February 2018 in the International Journal of Environmental Research and Public Health suggested that children have a higher risk of developing eczema if their mothers experienced high-stress situations during pregnancy.
In a study published in May 2018 in the Journal of Allergy and Clinical Immunology, researchers in the United Kingdom analyzed the sociodemographic characteristics of about 675,000 children in a primary-care database. They found that the children were more likely to be diagnosed with eczema if they fit one of the following descriptions:
- Male
- Black Caribbean
- Of high socioeconomic status
Another study, published in May 2018 in the Journal of the European Academy of Dermatology and Venereology, looked at how the outdoor environment specifically air pollutants and meteorological conditions affected eczema risk in children of both sexes. The researchers concluded that high levels of carbon monoxide, ammonia, formaldehyde, lead, particulate matter, and ozone levels may all influence the development of infantile eczema.
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What Do I Do When My Child Has A Flare
Your childs eczema will improve more quickly if it is treated soon after you first notice the rash. Prompt treatment will also reduce the likelihood of complications, so its best to see your doctor or pharmacist at the first sign of a flare-up.
Keep your childs fingernails short to avoid them scratching as much as possible.
Eczema is often treated using a steroid cream or ointment. You should get advice from your doctor or pharmacist about the best one to use for your specific case as different creams are used depending on the part of the body, the severity and the age of the child.
If your childs eczema does not improve after two days of regular treatment or if there are signs of infection, weepy, crusted or broken areas, it is important to see a doctor.
There are many treatments that can be used to treat eczema. For many children, eczema is a condition that comes and goes, and changes in intensity over time, so you may need to see your doctor a few times for the same condition.
Causes Of Atopic Eczema
The exact cause of atopic eczema is unknown, but it’s clear it is not down to one single thing.
Atopic eczema often occurs in people who get allergies. “Atopic” means sensitivity to allergens.
It can run in families, and often develops alongside other conditions, such as asthma and hay fever.
The symptoms of atopic eczema often have certain triggers, such as soaps, detergents, stress and the weather.
Sometimes food allergies can play a part, especially in young children with severe eczema.
You may be asked to keep a food diary to try to determine whether a specific food makes your symptoms worse.
Allergy tests are not usually needed, although they’re sometimes helpful in identifying whether a food allergy may be triggering symptoms.
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How Is Eczema Treated
There is no cure for eczema. But treatments can help with symptoms. The doctor will recommend different treatments based on how severe the symptoms are, the child’s age, and where the rash is. Some are “topical” and applied to the skin. Others are taken by mouth.
Topical moisturizers. Skin should be moisturized often . The best time to apply moisturizer is after a bath or shower, with the skin patted dry gently. Ointments and creams are best because they contain a lot of oil. Lotions have too much water to be helpful.
Topical corticosteroids, also called cortisone or steroid creams or ointments. These ease skin inflammation. It’s important not to use a topical steroid prescribed for someone else. These creams and ointments vary in strength, and using the wrong strength in sensitive areas can damage the skin, especially in infants.
Other topical anti-inflammatory medicines. These include medicines that change the way the skin’s immune system reacts.
Medicine taken by mouth. These can include antihistamines to help itchy kids sleep better at night, antibiotics if a rash gets infected by bacteria, and corticosteroid pills or other medicines that suppress the immune system.
Other types of treatment can include:
- wet wraps: damp cloths placed on irritated areas of skin
- bleach baths: bathing in very diluted bleach solution
Researchers Identify Subtype Of Eczema Tied To Food Allergies
Other studies, though, have had contradictory findings. For example, one study of American children published in August 2016 in the journal Pediatric Allergy and Immunology suggested that a hot and sunny climate combined with high particulate matter and ozone levels actually appears to protect against eczema.
A small Australia-based study, published in March 2019 in the Journal of Allergy and Clinical Immunology, found an association between ultraviolet sunlight exposure in early infancy and lower incidence of eczema by 6 months of age.
The scientists, though, caution against intentionally exposing babies to direct sunlight until researchers better understand this complicated issue.
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Eczema In Babies With Black And Brown Skin
According to the National Eczema Foundation, eczema affects more African American babies than any other racial background. About 1 in every 5 thats about 20% African American babies has some form of eczema. This compares to 10.7% of Hispanic babies, 12.1% of white babies, and 13% for Asian and Native American, respectively.
Eczema doesnt appear red like it does on white skin. Instead of red patches, eczema may cause gray, darker brown, or even purple patches. These discolored patches may still be dry, warm, swollen, itchy, and/or scaly.
Can Breastfeeding Prevent Baby Eczema
Good news for nursing moms: There may be a correlation between breastfeeding and lower incidence of baby eczema. A study found that babies who were exclusively breastfed for the first three months of life were less likely to develop eczema through age 6. While breastfeeding may not completely prevent these rashes, it could potentially reduce some flareups.
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When To Seek Medical Advice
See a GP if you have symptoms of atopic eczema. They’ll usually be able to diagnose atopic eczema by looking at your skin and asking questions, such as:
- whether the rash is itchy and where it appears
- when the symptoms first began
- whether it comes and goes over time
- whether there’s a history of atopic eczema in your family
- whether you have any other conditions, such as allergies or asthma
- whether something in your diet or lifestyle may be contributing to your symptoms
Typically, to be diagnosed with atopic eczema you should have had an itchy skin condition in the last 12 months and 3 or more of the following:
- visibly irritated red skin in the creases of your skin such as the insides of your elbows or behind your knees at the time of examination by a health professional
- a history of skin irritation occurring in the same areas mentioned above
- generally dry skin in the last 12 months
- a history of asthma or hay fever children under 4 must have an immediate relative, such as a parent, brother or sister, who has 1 of these conditions
- the condition started before the age of 2
Identify Your Babys Triggers
One of the most important things you can do for your babys eczema is to look for things in your environment that seem to trigger your babys flare-ups or make them worse. Products in your home could be causing or contributing to the problem.
In babies, the most common triggers are things that touch their skin. Rarely, environmental allergens like mold or pollen might be a trigger. Other known triggers that are rare in babies are infections and stress. Common triggers for babies are:
- harsh soaps and detergents
- rough or nonbreathable clothing fabrics
- sweat
If your baby is having a particularly severe eczema flare-up, ask your pediatrician about doing a wet dressing, or wet wrap therapy. This treatment is sometimes used with prescription steroid cream under close medical supervision.
The wrap helps ensure that topical treatments stay moist and get better absorbed into the skin.
How to apply a wet dressing:
You can continue applying the wet dressing for 24 to 72 hours or overnight. Continue for a maximum of one week.
Before using wet wrap therapy, always discuss it with your pediatrician.
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What Doesnt Cause Eczema
Eczema is not contagious. You can’t catch eczema by coming in contact with someone who has it.
Eczema is not an allergic reaction. Even so, a large number of children who have eczema also have food allergies. That doesn’t mean that certain foods such as dairy, eggs, and nuts — common food allergy triggers in children with eczema — cause it or make it worse. Before removing particular foods from your child’s diet, talk with your doctor to be sure your child’s nutritional needs will be met.
How Do I Prevent My Child With Eczema Having Flare
The goal of treating eczema is to prevent and minimise flare-ups, as well as maintain skin health between flare-ups.
Moisturisers should be used between flare-ups to keep the skin in good condition, reduce the itch associated with dry skin and reduce the chance of infections. It is important to moisturise after showering or bathing once the skin is dry.
People with eczema have sensitive skin so irritants should be avoided. This includes many soaps and moisturisers. Your pharmacist can help you choose products suitable for eczema.
Trying to avoid triggers is worthwhile. Food allergies are not common eczema triggers. It is important not to put your child on a diet without medical advice, as nutrition for children shouldn’t be compromised unnecessarily.
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Key Points About Atopic Dermatitis In Children
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Atopic dermatitis is a long-term skin condition. It’s common in babies and children.
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A child with allergies or family members with atopic dermatitis has a higher chance of having atopic dermatitis.
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Itching, dryness, and redness are common symptoms.
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The goals of treatment are to ease itching and inflammation of the skin, increase moisture, and prevent infection.
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Staying away from triggers is important to manage the condition.
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It usually gets better or goes away as a child gets older.
Clothes That Work For Him
Buying organic clothes can be very expensive. To cut down on costs, I conducted an elimination test of various nonorganic brands. I introduced a particular nonorganic brand of clothing into Ethan’s clothing rotation for four days if no reactions appeared, it was a safe bet that all clothing from this nonorganic brand was safe for his skin.
Brands that Work for Ethan: Carter’s and Baby Gap
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What Causes Eczema In Babies
The first step in preventing eczema is to learn what causes it, and unfortunately, there are many causes.
One of the biggest factors in whether or not a child develops eczema is the childs own health history, specifically his or her genes. If baby has a relative diagnosed with eczema, he/she is more at-risk for developing eczema as well.
In addition to babys unique genetic makeup, environmental triggers affect future flare-ups. The most common triggers include:
What Are The Symptoms Of Atopic Dermatitis In A Child
Symptoms may come and go, or occur most or all of the time. Any area of the body may be affected. In babies, symptoms usually affect the face, neck, scalp, elbows, and knees. In children, symptoms usually affect the skin inside the elbows, on the back of the knees, the sides of the neck, around the mouth, and on the wrists, ankles, and hands.
Symptoms can occur a bit differently in each child. They can include:
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Dry, scaly skin
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Pale skin on the face
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Small, raised bumps that may become crusty and leak fluid if scratched
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Rough bumps on the face, upper arms, and thighs
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Darkened skin of eyelids or around the eyes
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Skin changes around the mouth, eyes, or ears
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Raised, red areas
The symptoms of atopic dermatitis can be like other health conditions. Make sure your child sees his or her healthcare provider for a diagnosis.
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Managing Eczema: Knowing And Avoiding Possible Triggers
Although we dont know what causes eczema to develop in the first place, we do know many triggers that can cause baby eczema to suddenly get worse.
If your child has eczema, it may flare up when their skin is exposed to any number of triggers.
Some triggers that may cause eczema flare-ups include:
- Dry skin
- Environmental allergens, especially if your child already has an environmental allergy
- Common allergy-causing foods, especially if your child already has an allergy to that food
One key to baby eczema management is identifying possible triggers that seem to cause eczema to flare up, then keeping babys skin from coming in contact with them.
Some possible triggers should be avoided outright when your baby has eczema.
For example, stay away from shampoos, soaps, lotions, and laundry detergents that contain fragrances and dyes. Opt for unscented, dye-free bath and laundry products instead. Mild, unscented liquid body wash is always a good choice.
Also, dont dress your baby in synthetic fabrics like polyester, wool, and nylon. Dont use blankets and covers made from these fabrics, either. And avoid any other itchy, tight clothing. Opt for natural, loose-fitting cotton clothing instead, and use cotton bedding for their crib.
Be sure to wash new clothing and bedding before their first use as well, since unwashed fabric can contain irritating chemicals.
What Are The Signs And Symptoms Of Eczema
- if your child has eczema, their skin feels dry and rough to touch, and it is itchy
- their skin can become inflamed , and may even get infected , particularly with scratching
- in babies, the rash often involves their face
- in older children, the skin in the creases of their knees and elbows, around their neck and on their hands is often affected
- in some children, the skin over their entire body is affected
- at times your child’s skin will look good and at other times it gets worse – this is part of eczema and not necessarily caused by bad care
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