Infantile eczema is a common chronic skin disease in children, and its treatment has become a clinical challenge because of its long duration and recurrent nature. Many parents have come to inquire about the treatment of eczema. Our view is that “three parts depend on treatment, seven parts depend on care”, which means that we advocate the principle of treatment to restore the normal barrier function of the skin, find and remove triggering and/or aggravating factors, and reduce or relieve symptoms as the main goal. Next I will give you a detailed explanation: parents should first fully understand that the disease is caused by a combination of internal and external factors, the course of the disease is long, easy to recur, it is impossible to pursue a one-time cure. In daily life, you need to pay attention to the following points to avoid all triggering or aggravating factors: 1. The actual fact is that you can get a lot more than just a few of these. For children with atopic dermatitis to add complementary foods, the following recommendations are provided: ① the amount of complementary foods added: less than the beginning of the same age infants, the slow incremental way; ② complementary food species: to increase one by one, in a gradual manner; ③ add the total amount of complementary foods: a small number of meals; ④ complementary food processing: adequate steaming; ⑤ feeding tools: spoon should be the right size to avoid food spillage to stimulate the skin around the mouth. It is recommended to avoid foods with clear allergies. 2. Dressing The child’s clothes should be cotton, loose and soft, and slightly thinner than those for infants of the same age (it is crucial for the child to stay cool!). This is crucial! It is recommended to clean the room with a wet mop and rag to avoid the inhalation of house dust, mites and animal hair and other allergens. 4, skin cleaning care The use of soap, shampoo, water temperature too hot and too long for the skin are stimulating factors, it is recommended that the bath time to 5-10 minutes, water temperature 36-38 ℃, the use of pH 5, 5-6, 0 mild body wash is better (such as Avène soap, etc.), immediately after the bath should use emollients. 5, the use of emollients due to eczema children in the epidermis ceramide and intermediate filament-related protein defects lead to defective skin barrier function, and increased transepidermal water loss, dry skin, manifested as itching and inflammation of the skin. Regular topical emollients not only significantly improve the above symptoms, but also maintain the hydration of the skin, which is an important basis for the general treatment of children with eczema. The best emollient should be selected according to the child’s skin condition, season, climate and other conditions, and applied systemically once or twice a day to achieve the best results. What kind of emollient should be chosen? Some scholars suggest that emollients containing petroleum jelly, amino acids and urea, which are commonly used at present, only temporarily alleviate the dryness of the skin, but to a certain extent reduce the barrier function of the skin and delay the repair of the barrier function, while using emollients containing lipids and intermediate filament-related proteins can promote the repair of the barrier function of the skin while moisturizing, and their efficacy is equivalent to that of medium-acting glucocorticoid steroids. It has a broad application prospect. The commercially available ones such as Avène Triple Nourishing Cream, Stavros Lotion, etc. 6, if necessary, you can use glucocorticosteroids topical glucocorticosteroids and with the use of emollients is the main method of treatment of atopic dermatitis. Different types and strengths of preparations should be used according to the age, skin area and severity of the condition of the child. Weak to moderately potent glucocorticosteroid preparations are commonly used in children. In treating the disease, preparations of sufficient strength should be preferred, and the concentration of topical hormones should be gradually reduced or the strength of hormones should be lowered during the course of treatment according to the recovery of the skin lesions. Simply put, the disease should be killed with a single stroke and not allowed to resurface! After the skin inflammation is completely controlled, the skin looks normal, but the skin is actually in a subclinical inflammatory state internally, so it is recommended to continue the “active treatment” method of applying topical hormone preparations twice a week to control the inflammatory reaction and applying emollients at the same time, so as to keep it in a long-term remission state. Note: Weak glucocorticoid hormone preparations (e.g., Eudragol ointment, Denide ointment, Elocon ointment, etc.) should be used on thin skin areas such as the face, neck, axillae, and groin. Strong hormones are rarely used in children, only in very severe localized lesions of mossy skin, and only for a short period of time. Once the lesions have resolved, the hormone is switched to a lower level of intensity. This is to avoid the side effects of topical hormones as much as possible. Although side effects of long-term glucocorticosteroid use include skin atrophy, persistent facial erythema, capillary dilation, hirsutism, increased wrinkles, and glucocorticoid acne, topical weak to moderately potent hormones are rarely seen, especially in pediatric patients under 10 years of age. Long-term large-scale application can sometimes lead to systemic adverse reactions, which are rare in children. 7, other topical treatment Calcium-regulated neurophosphatase inhibitors (such drugs mainly include tacrolimus ointment and pimecrolimus cream. For non-hormonal drugs, has a good anti-inflammatory effect, does not cause skin atrophy and other side effects of hormone therapy, can be applied to the face and neck and skin folds for a long time. Although it is a good medicine, it is generally suitable for children over 2 years old (not recommended for children under 2 years old). So for the clinical treatment of eczema topical topical drugs in the second line of drugs.) The topical anti-infective agents (eczema children’s skin can easily Staphylococcus aureus colonize the skin surface, and its secreted toxins then act as super-antigens to further aggravate the inflammatory response of the skin, so topical topical antibiotics can significantly reduce the number of skin Staphylococcus aureus and improve skin symptoms, short-term use is recommended for a 2-week course of treatment. (Commercially available antibiotics such as Bactroban, fusidic acid, compound polymyxin B, etc.) 8, physical therapy Light therapy can inhibit the inflammatory response by inhibiting lymphocytes and regulating the production of cytokines, thus reducing the patient’s inflammation and itching symptoms. uva and uvb have therapeutic effects on skin lesions, but narrow-spectrum medium-wave uv and uva1 are more effective, and uv combined with topical glucocorticosteroids is more effective. Although safe, there is no evidence of inquisitorial medicine for children under 12 years of age, use as appropriate. After all, the most important thing is still 1-5, in the end: very good care can prevent the occurrence of eczema, and even 50% of children with very good care eczema can be self-healing, so “infant eczema, three points rely on treatment, seven points rely on care”, than treatment, eczema care moisturizing more important!