Also known as atopic dermatitis, eczema often is termed " the itch that rashes" starting out as dry skin that itches so we scratch it and then the red rash appears creating a cycle of itch-scratch-rash-itch-scratch-rash.
Common Triggers for eczema include
- Cold, dry air
- Sweating
- Prolonged water exposure
- Many botanical and fragrance-containing products that are marketed as eczema treatment
- Rough or scratchy clothing like wool
- Some foods
Prevention is aimed at keeping skin hydrated
- Bathe/shower using hypoallergenic, fragrance-free, dye-free body washes
- Bathe every other day and limit bath time. Use lukewarm water as hot water can be irritating
- Pat dry with cotton towel rather than rub
- Drink water!
- Apply moisturizer after bath while skin is still damp
Moisturizers
There are many products on the market for skin moisturization - it can be confusing to choose which one is best for your child with eczema.
Some key tips
- Ointments are the best for moisturizing super dry skin - although a drawback is the greasy feeling it leaves. We recommend applying to the "hot spots" rather than the entire body. (Vaseline)
- Creams are the next best and better tolerated than ointments and can be applied all over the body. Typically, they come in a jar. Creams are often better tolerated in the summer months more so than ointments (CereVe, Cetaphil (typically comes in a jar)
- Lotions are the least effect at keeping skin hydrated although they are the easiest to apply. If you use a lotion, be aware frequent applications will be necessary to keep skin moisturized. (Cetaphil, Aveeno).
- Avoid products containing fragrance and botanicals as these can sometimes be irritating to skin
- A list of products approved by The National Eczema Association is available on their website
Treatmentt - is aimed at calming the inflamed rashy skin by using a topically applied steroid cream or ointment.
- Steroid creams come in varying strengths and thus have varying side effects. A good rule of thumb is to apply the smallest amount possible, rub in thoroughly and do not use for more than 14 days in a row (unless directed by your provider)
- Hydrocortisone 1% cream is a safe and effective over-the-counter product
- Your provider may prescribe a stronger steroid cream depending on the severity of your child's eczema
Good and reputable resources include:
- National Eczema Association - www.nationaleczema.org
- American Academy of Dermatology - https://www.aad.org/public/diseases/eczema
- Dermatitis Academy - www.dermatitisacademy.com
