Pediatric eczema affects the sleep growth and development of children, and for adults is also accompanied by poor sleep suffering, as a dermatologist to see too many eczema children due to untimely treatment or wrong treatment led to aggravation of the disease, here on some common problems of parents of eczema a more comprehensive summary, I hope to help children with eczema.
Pediatric eczema symptoms
The rash is mostly seen on the head and face, gradually spreading to the neck, shoulders, trunk and limbs.
The lesions are polymorphic, initially erythematous or erythematous papules, which can gradually increase as the disease progresses, with papules, small blisters, vesicles, crusts, etc., which are sometimes good and sometimes bad, with repeated attacks. There is a strange itch, the child cries at night, restlessness. It can be secondary to infection due to scratching, causing local lymph node enlargement, and very few children can develop systemic infection.
Causes of pediatric eczema
Atopic eczema is a genetic dysfunction resulting in hypersensitivity of the skin (presence of defective skin barrier function). Relatives of affected children often suffer from eczema and asthma, but the probability of occurrence is not very high. Many external factors in daily life can influence the development of eczema.
What is the root cause of recurrent pediatric eczema? Will eczema get better when the child grows up?
The hyper-sensitive skin condition in children may continue into their teenage years. Most children’s eczema gets better as they get older. The age at which eczema gets better, varies from child to child. Many children will show significant improvement by age 5, and most may still have some occasional symptoms in their teens. Only a small percentage will have severe eczema well into adulthood.
Daily life considerations for children with eczema
I. The medicine prescribed by the doctor has hormones, go to the pharmacy to buy natural Chinese medicine, Tibetan medicine, Miao medicine safer?
1. This “hormone” is not the other “hormone”
Parents are scared of hormones mainly because there are often children in the news drinking drinks containing hormones and eating snacks with hormones that lead to precocious puberty and other adverse reactions.
There are many reasons for precocious puberty, including abnormal function of hypothalamus-pituitary-gonadal axis and excessive intake of sex hormones from outside the body. Fast food, especially fried food, is high in calories, and too many calories will be converted into body fat, triggering endocrine disorders in children, which can lead to precocious puberty. In addition there are also growth-boosting children’s nutritional oral solution can also lead to precocious sexual maturity, and of course there are some film and television media of unhealthy related information.
2, eczema with glucocorticoid drugs, the correct view and use of hormonal drugs.
Our patients generally have “hormone fear”, in fact, the proper use of topical hormone drugs can not only treat the disease, but also avoid adverse reactions, the absorption of topical hormones is at best about 1%, the system absorption is minimal, the face and mucous membranes and other thin skin parts should be coated with a thin layer, generally not more than 1 week, the rest of the site is generally not more than two weeks. The rest of the body should not exceed two weeks.
Are glucocorticoid ointments dangerous?
They are safe when used properly under the supervision of a dermatologist. Topical glucocorticoid ointments vary greatly in potency (weak, moderate, strong, super potent, etc.). Topical glucocorticosteroids of weak or moderate potency are very safe when used topically under medical supervision. Many parents are concerned about the topical use of hormones, when in fact only the misuse of strong glucocorticosteroids can cause the problems they fear, such as thinning of the skin. Strong glucocorticosteroids are not routinely used in children. Topical rubbing of a weak hormone, such as 1% hydrocortisone ointment, on the eczema rash once or twice a day is safe even for long-term use. However, continuous daily use of hormones on the face and face of children (and adults as well) for more than 1 week is not acceptable.
How much topical hormonal ointment should be used on the skin?
Apply the ointment to the surface of the eczema area (at the red or pink rash skin area) in an even, thin layer (a shiny layer of skin can be seen in the evening light). A fingertip-length amount of ointment is sufficient to apply to the entire arm or leg. Usually apply the ointment or cream in a downward direction so that it forms a thin layer on the surface of the skin. Be careful not to repeatedly apply and rub until the cream is not visible. It is necessary to use sufficient amount of hormone ointment to achieve satisfactory results.
3.Is the natural, non-irritating cream recommended by drugstore guides good?
Genuine drugs are marked with ingredients, and the instructions will also detail the usage and possible adverse reactions.
When you go to the pharmacy to buy the so-called natural Chinese medicine, Tibetan medicine, Miao medicine, they are actually only some of the “consumer”, “health” products, especially the so-called pure plant or Chinese medicine ointment will secretly add hormones, is the “hormone” disaster area. Hormones” is the hardest hit area, many will add hormones. In the uninformed case of long-term use will cause adverse reactions.
4, so many magical folk remedies, which really works?
A: One is useless
1, honeysuckle water bath.
2, potato slices wipe.
3, eucalyptus fruit soaked wine applied externally.
These folk remedies for eczema are also endless, there are individual differences and chance factors in the treatment of prescriptions, patients can not be trusted, especially for babies, irritating prescriptions are a minefield, not only ineffective and will stimulate the baby’s delicate skin, and breakage and ulceration after the baby to use will aggravate the rash.
The actual fact is that the baby has eczema because the moisture is too heavy? The actual fact is that the actual fact is that the particulars of the actuals are not really a lot of.
The actual fact is that you can’t use the powder, instead you need to moisturize
There is no single treatment that can cure eczema, but for most children, under the guidance of a doctor, there are some easy treatment options that can effectively treat and control eczema.
Moisturizers and emollients these products can keep the skin moisturized and soft, can restore the elasticity and flexibility of the skin, is conducive to the repair of the skin barrier function of children with eczema, help reduce itching and scratching, moisturizing emollients are safe and should be used as the first line of treatment options, often topical.
Third, baby eczema, should we stop breastfeeding?
1, baby eczema and the relationship between breastfeeding
The mother is the best gift to the baby, is the baby’s initial nutritious food. Both to promote the development of the baby, but also to enhance the baby’s resistance.
The mother of the baby eczema should insist on breastfeeding. Although there is no evidence that breastfeeding can stop the development of eczema in children. However, for babies within the first few months of life, breastfeeding has a protective effect reducing the severity of eczema, so breastfeeding should be encouraged. However, extended breastfeeding is not advocated until after 9 months.
2, what to avoid pediatric eczema?
The current generally accepted view is that children with eczema do not need to blindly avoid eating. Many parents believe that their children’s eczema is caused by what food they eat, but regular dietary taboos are usually ineffective. Parents are also generally discouraged from giving their children soy milk feedings.
Parents can actively seek out foods to avoid on their own by keeping a food diary. The actual fact that infants and young children are in a critical period of growth and development, generally does not advocate taboos.
3, pediatric eczema daily life precautions
The most basic approach is the proper use of moisturizers and emollients. These products keep the skin moisturized and soft, restore skin elasticity and flexibility, and help reduce itching and scratching. moisturizing emollients are safe and should be used topically frequently as a first-line treatment option.
Babies should be bathed at most once a day
Use a gentle moisturizing bath product. Moisturizing emollients can be used freely and in larger amounts on all areas of dry skin, at least twice a day, and as often as possible. Just as teeth should be brushed daily, children with eczema need daily moisturization because they have sensitive skin. Moisturizing measures will prevent dry skin and keep it smooth.
When the bath is over, apply moisturizing moisturizer immediately (within 3 minutes) while the skin is still damp. Do not use towels (hair can be used). Do not use regular soap, which is alkaline, irritating and scented (soap with scented fragrances is also an irritant to sensitive skin). It is best to cleanse the skin with a mild body wash (such as the Tamazawa barrier repair series), which is well tolerated by children and easy to use. The temperature of the bath water should be cooler, but the room should be warm to avoid itchy skin caused by sudden temperature changes.
Eczema and sun exposure After sun exposure, eczema usually subsides, especially when going on vacation. When the weather is hotter, children with eczema should wear loose cotton clothing to keep cool. Overheated skin can easily lead to heat rash. It is recommended to prevent sunburn with some proper sunscreen products. On hot days, have your child wear a loose wet T-shirt to lower skin temperature and reduce itching.
Swimming in the sea is very beneficial to relieve eczema. While in the pool, the chlorine in the water can irritate sensitive skin. Preventive measures:Apply a thick layer of moisturizer, such as petroleum jelly, before swimming in the pool and soak for a while in water with added bath oil after swimming. Younger children with severe eczema are better off not swimming in pools. Children over the age of 4 should be encouraged to learn to swim and be active in a variety of sports.
Immunization issues
Children with eczema should receive all routine immunizations as normal children do, and parents need not be concerned. For children with eczema who have a history of egg allergy, the triple measles-mumps-rubella vaccine and the measles vaccine are safe. However, these injections should be administered under close supervision at a local hospital. Any of the immunizations may occur a few days after vaccination to make eczema worse, but the incidence is relatively small and not serious.
What factors can cause eczema to worsen?
Many environmental factors can affect eczema, and treating eczema should take these factors very seriously. This is especially true of those substances that come into direct contact with the surface of the skin.
Aggravating factors include.
1. Man-made fibers or woolen textiles. Children must wear cotton clothing or clothing that contains as much cotton as possible.
2, biological cleaners or clothing softener using non-biological products.
3, irritating foods and drooling lemons, tomatoes and other sour fruits can lead to perioral eczema.
4, licking lips and drooling can aggravate eczema. Applying petroleum jelly around the mouth has a protective effect and is used: 2-3 times a day, before meals. Infants who drool often have chapped skin around the mouth and lips, chest and hands. After cleaning with a soft cloth, apply Vaseline or other emollients to these areas.
5, smoking in a closed room, smoke can irritate the skin, it is best not to smoke in the room.
6, dogs and cats and other pet problems in fact all furry pets have an effect on the skin of children with eczema. Even though the animals themselves are not around, cats and dogs leave dander everywhere, so eczema children are always under the influence of pets. Avoid letting dogs and cats hang out in the room. If you really need a pet, but you can have a goldfish!
7, other practical advice nails should be cut short, avoid overheating, bed sheets with cotton, pillows with non-feather, quilts with cotton. Good room ventilation is also very important. A home room humidifier can be beneficial for eczema. Hard water can irritate the skin; using a soft water processor is also good for eczema.
In summary: clothing, food, housing and transport considerations
Clothing: cotton, light-colored, loose, wash and change frequently.
The actual “food” is not only a good idea, but also a good idea to avoid blind “taboos”, relative “taboos” and phased “taboos”. “Patients can take the initiative to find out the foods to avoid by keeping a food diary. Infants and young children are in a critical period of growth and development, so it is generally not recommended to avoid food.
Live: Try not to live in the basement (humid), no pets, no carpets, not too many flowers, bedding as pure cotton as possible, rooms should often be ventilated.
Walk: observe what environment will aggravate your condition, some places should pay extra attention, such as: botanical gardens (pollen), zoos (more animal hair), home improvement market (more organic volatile substances), etc.
This is especially important to emphasize that the bath is not too much, but not too little, warm water, remember to wash immediately after the external use of moisturizing cream, to maintain the moisture and integrity of the skin is very important to make a habit.
In short, eczema three points of treatment, seven points of nourishment, can do the above points can play a half-hearted effect.