(Disclaimer: This article is for scientific use only, and the information in the following content has been processed to protect patient privacy)
Abstract: The baby was a 6-month-old boy who was brought to the hospital by his parents. The parents indicated that the baby had been wriggling around and scratching his body with his hands during sleep for the past 2 days. After examination, the baby was found to have a lot of white fine bumps, the skin was rough and rough to the touch with some peeling, and the temperature of the skin was also on the hot side. The rash was diagnosed as dry eczema in infants based on its cosmetic characteristics. The symptoms improved after the parents adjusted the home environment according to medical advice and applied emollient lotion to the baby.
Basic information】Male, 6 months old
Type of disease】Dry eczema in infants
Hospital】Shanghai Sixth People’s Hospital
Date of Consultation】December 2020
Treatment Plan】Adjust the room temperature and humidity + apply emollient lotion (Vaseline cream + Urea Vitamin E cream + Vitamin E cream) + reduce clothing + hydrate
Treatment Period】7 days of home treatment
Effect】The rash subsided significantly, and the baby’s mental state and sleep condition improved.
I. Initial consultation
The baby was brought to the hospital by his parents in December 2020. The parents said that the baby was fidgety at night recently and always scratched his hands on his body, which resulted in a lot of white, fine rashes. After examining the baby’s body, it was found that the baby’s skin was rough and hairy, covered with a fine corn-like white rash with molting and flaking, and the skin temperature was a little warmer. At the same time, the baby also wears more, although it is winter, but clothes, cotton jacket added up to seven or eight layers, in response to this careful questioning, the baby’s parents said that because the family’s elderly fear of baby cold, indoor temperature has been 30 ℃, usually also try to wear more clothes. According to the above situation, the disease is considered to be dry eczema in infants caused by improper home care.
Second, the treatment process
After communicating with the parents about the baby’s condition, it was suggested that the home environment should be adjusted first, such as turning down the air conditioner temperature to about 26℃ and controlling the humidity in the room to about 60% through an indoor humidifier. At the same time, apply some emollient lotion to the baby, such as Vaseline emollient cream, urea vitamin E cream, vitamin E milk, etc., especially after each bath, or after coming back from outdoors. Pay attention to reducing the clothes on your baby’s body, so that your baby is in a more comfortable state. In addition, pay attention to more hydration and monitor temperature changes. The parents indicated that they actively followed the medical advice.
After returning home, the baby’s parents conveyed the medical advice to other relatives, and people at home expressed understanding. As a result, the air conditioner was lowered, a room humidifier was installed, clothing was reduced appropriately, and attention was paid to properly hydrating the baby at all times, and emollient lotion was applied regularly.
III. Treatment effect
After 7 days of treatment, the baby came to the follow-up clinic led by the parents. At this time, the rash on the baby’s body had basically disappeared, the skin felt fine and smooth, the temperature was normal, and there was no longer flaking performance. The parents indicated that the baby was now recovering better and was no longer twisting and turning when sleeping, and his appetite was gradually improving and returning to the state before the disease. The parents expressed their satisfaction with the treatment effect.
IV. Notes
We are glad that after the baby’s parents adjusted the room temperature and humidity, helped the baby to apply emollient lotion and other actions, the baby’s discomfort disappeared and the health gradually recovered. During the recovery process, the baby’s parents should let the baby pay attention to avoiding factors that trigger eczema, pay attention to keeping the air clean and fresh, pay attention to choosing the right bathing products when the baby takes a bath to avoid damaging the affected area, and apply non-irritating emollient lotion after washing. In terms of diet, since babies have started to add supplementary food, they can consume some nutritious supplementary food in appropriate amounts, such as pumpkin puree, to ensure that they have sufficient nutrition.
V. Personal Insights
Dry eczema in infants is very common in clinical practice and generally does not require too much stress. There are many reasons for this disease, for example, in this case, the baby may be living in an overly dry environment and wearing too much clothing. Usually, it can be improved by avoiding the triggering factors, such as improving the ambient temperature, environmental humidity, clothing and the application of emollient lotion.