Eczema in Children
Medically reviewed by Drugs.com. Last updated on May 6, 2024.
AMBULATORY CARE:
Eczema
is an itchy, red, scaly skin rash. Eczema is common in children between the ages of 2 months and 5 years. Your child is more likely to have eczema if he or she also has asthma or allergies. Your child's symptoms may improve as he or she gets older. However, your child may have flare-ups from time to time for the rest of his or her life.
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Signs and symptoms:
- Patches of dry, red, itchy skin
- Bumps or blisters that crust over or ooze clear fluid
- Areas of skin that are thick, scaly, or hard and leather-like
- Being irritable or having trouble sleeping because of itching
Eczema triggers:
Anything that increases dryness or makes your child want to scratch is a trigger. Triggers can cause eczema to flare up. The following are common triggers:
- Frequent hot baths or showers can lead to dry, itchy skin. Soaps and skin cleansers with dyes or fragrances can also make eczema worse.
- Sudden temperature changes , such as cold air, dries out your child's skin. Heat can increase sweating. Both can make your child itch.
- Allergens such as dust mites and pet dander can make your child's symptoms worse. Pollen, mold, and cigarette smoke may also irritate his or her skin.
- Stress, anxiety, or depression may cause your child's eczema to get worse.
Seek care immediately if:
- Your child develops a fever.
- Your child has red streaks going up his or her arm or leg.
- Your child's rash gets more swollen, red, or hot.
Call your child's doctor if:
- Most of your child's skin is red, swollen, painful, and covered with scales.
- Your child develops bloody, painful crusts.
- Your child's skin blisters and oozes white or yellow pus.
- Your child has trouble sleeping because of itching.
- You have questions or concerns about your child's condition or care.
Treatment for eczema
is aimed at reducing your child's itching and pain, and adding moisture to his or her skin. This helps repair the skin barrier. The skin barrier is the outer layer of the skin. It protects the skin from outside conditions and helps prevent water loss from the body. Your child's symptoms should improve within several weeks of treatment. He or she may need the following:
- Medicines may help reduce itching, redness, pain, and swelling. They may be given as an emollient (thick) cream, pill, or injection under the skin. Your child may also receive antibiotics if he or she has a skin infection.
- Phototherapy , or light therapy, may help heal your child's skin.
Treatment options
The following list of medications are related to or used in the treatment of this condition.
Care for your child's skin:
- Pat or press on your child's skin to relieve itching. Remind your child not to scratch. Trim your child's fingernails. Put cotton gloves or mittens on your child's hands while he or she sleeps.
- Keep your child's skin moist. Rub gentle or sensitive skin lotion, cream, or ointment on your child's skin many times throughout the day. Ask your child's healthcare provider what to use and how often to use it. Use moist bandages if directed. Do not use products that contain alcohol, dyes, or fragrances.
- Give your child warm water baths or showers for 10 minutes or less. Use mild soap. Apply moisturizer to your child's skin when it is damp, right after the bath or shower. Teach your child how to gently pat his or her skin dry.
- Choose cotton clothes. Dress your child in loose-fitting clothes made from cotton or cotton blends. Avoid wool, polyester, or other scratchy material.
- Use a humidifier to add moisture to the air in your home.
- Help your child avoid changes in temperature. For example, activities that cause him or her to sweat a lot. Sweat can cause itching. Remove blankets from your child's bed if he or she gets hot while sleeping.
- Avoid allergens, dust, and skin irritants. Use mild soap, shampoo, and detergent. Do not use fabric softener.
- Ask your child's healthcare provider about allergy testing. Allergy testing may help identify allergens that irritate your child's skin.
Follow up with your child's doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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