How to take care of infant eczema?

  Infantile eczema is a very common skin condition in dermatology and the incidence of this disease is very high, with more than half of the children having had infantile eczema at one time or another. Regarding the need for early treatment of infantile eczema, some experts believe that the disease is a stage of atopic dermatitis, with the possibility of most atopic dermatitis. Therefore, regardless of the severity of the disease, it needs to be treated as early as possible. If the child is born by caesarean section and one or both parents are allergic, and the patient has dry skin, and also shows eczema on the curved side, especially if the eczema occurs in the elbow fossa, N fossa, etc., which Chinese medicine calls the four fossa wind, then the diagnosis is atopic dermatitis. To try to give him control before the age of one, if the treatment is delayed before the age of one, but also to try to control the disease before the age of three. If it is allowed to develop into adulthood it will be very difficult to control and may recur throughout life.  Regarding the treatment of infantile eczema, the main goal is to restore and skin barrier function. Topical glucocorticoids remain the mainstay of treatment for this condition, but hormonal medications need to be applied under the supervision of an experienced dermatologist. In addition, calcium-regulated neurophosphatase inhibitors have been used clinically with good results. The main drugs are tacrolimus as well as pimecrolimus cream.  If the symptoms are severe and particularly itchy, oral antihistamines are needed, and antibiotic treatment is also needed if there is a tendency of infection. Hormones are not used as routine medication. For particularly severe, conventional drugs are ineffective can be treated with immunosuppressive drugs. In addition, Chinese herbal medicine is also effective in treating this disease. Ultraviolet light therapy is also a good promoter for improving symptoms.  Skin care is very important Regarding skin care, topical emollients are the most basic and important measure. Emollients should be used at least twice a day, and moisturizers and emollients should be applied immediately after bathing. Regarding emollients, it is important to use products that are suitable for the affected children. Emollients can protect the skin, reduce external stimuli, but also to prevent the evaporation of skin moisture, repair the damaged skin. This will reduce the recurrence of the disease.  Regarding bathing, proper bathing can remove skin impurities and microorganisms. It is recommended to bathe at a water temperature of 32°~40° for about ten minutes each time, once a day or once every two days. Try to choose fragrance-free bathing products. Apply moisturizers, emollients immediately after bathing.  For symptom control mainly from the following 3 stages The first stage is in the acute phase, skin exudation is obvious, this stage is the main way of care is to use the wet compress method, if in the absence of infection, only skin exudation is obvious, it is recommended to use saline cold wet compress, the specific method is, the medical gauze folded 6 to 8 layers, dip saline and wring to half dry, put on the lesions, each time About 20 minutes to take down, you can wet compress several times a day, until the rash exudation subsides.  In the second stage, after the skin lesion is not exuding, it is changed to paste sealing package, usually using zinc oxide paste to seal the skin for 2 to 4 hours at a time, and after the wet dressing, the skin is dry and moisturizer is applied.  The third stage is the lesion fading period. The most important measure at this stage is skin moisturization, applying moisturizing cream several times throughout the day to keep the skin moist and prevent recurrence.  Regarding diet, it is recommended to have blood drawn to check for allergens and to avoid contact with allergic things. Some experts believe that the occurrence of infant eczema is related to cesarean section, where babies born by cesarean section are first exposed to the flora of the operating room rather than the flora of the mother, thus causing a dysbiosis of the gastrointestinal flora and the infant’s intolerance to food. Recurrent allergies begin when complementary foods are added. Therefore, while treating infant eczema, probiotics are needed to regulate the intestinal flora, and it is recommended to take probiotics under the guidance of a pediatrician.  Regarding clothing, wear cotton, soft clothes to minimize skin irritation.  In conclusion, with the right medication and proper care measures, most infant eczema can be well controlled.