Eczema, also known as atopic dermatitis, is a genetic allergic disease that occurs in young children under 5 years of age. There is no medication that can cure eczema, but more than 50 percent of children with eczema can heal on their own as they get older. What parents can do during this process is to control the recurrence of eczema through care as well as medication to reduce the impact of eczema on the child’s quality of life and growth and development.
Since eczema cannot be cured, it is important to care for and control eczema flare-ups. Parents need to obtain expertise through regular channels and not to delay their baby’s treatment by listening to various prescriptions and recipes. Clinical experience both at home and abroad shows that topical hormone creams are preferred for the treatment of moderate to severe eczema. However, when you search for “eczema hormone” on Baidu with keywords, the vast majority of information shown is not to use hormones, which can easily mislead parents and delay the treatment of baby eczema.
A. What causes baby eczema?
There are many causes of baby eczema, which are usually considered to be twofold.
1, genetic, for example, people with allergic diseases in the family (such as asthma, allergic rhinitis, eczema, etc.).
2, related to the immaturity of the baby’s own immune system.
The baby is 11 months old, eczema from birth to now has been constantly, with medication is better without medication is worse, now the baby body is full of itching scratching blood is very poor, please ask what care and treatment strategy there is no? How old will the baby get better?
Usually there is relief at the age of 2 years or older and 50% of babies will heal on their own at the age of 5 years or older. For mild eczema, keeping the skin moist often with hypoallergenic skin creams can control eczema; for moderate to severe eczema, moisturizing along with weak topical hormones is needed, and for eczema with ruptures combined with bacterial or fungal infections, anti-infective creams such as Bactrim or Paregoric are needed, and oral antihistamines such as paracetamol or loratadine can be taken to stop itching.
What is the difference between the antihistamines paracetamol and loratadine?
Both paracetamol (chlorpheniramine) and loratadine are antihistamines and antiallergic drugs. The difference is that paracetamol belongs to the first generation of antihistamines and has a slightly stronger effect on itching. However, the first generation antihistamines have adverse effects such as drowsiness and weakness, and are suitable to be taken at bedtime. Second-generation antihistamines, such as loratadine, were developed to eliminate these adverse reactions. In addition, the second generation also has a long-acting effect, usually only need to take once a day.
The baby’s arms and legs suddenly have a lot of eczema, the worst at night, but the situation is better in the morning, is it easy to get eczema in hot weather now?
The sudden change in temperature is a stimulus for eczema. As the weather gets hotter, the baby’s body surface temperature becomes higher and water evaporates, which can easily dry out the skin and trigger eczema. You should pay attention to proper clothing reduction, less covers at night, room temperature to keep cool, and often apply moisturizer developed specifically for sensitive skin.
The actual fact is that you can get a lot more than just a few of these. What is the best way to get a complete cure?
There is no complete cure for eczema, parents should be prepared to fight a long battle with eczema. It is often said that mother and child are linked, the parents’ anxiety state can easily affect the baby, avoid causing mental stress to the baby, mental tension is also one of the causes of eczema, parents must be calm in the face of eczema, to create a pleasant and healthy family atmosphere will be more conducive to the control of baby eczema.
The actual fact is that you can find a lot of people who have been in the business for a long time. The hormone can not be used for a long time, right?
Eczema itself is a recurring disease. Euthyrox is a weak hormone and will not cause serious adverse reactions when used intermittently on small areas. The side effects of hormone creams are often overestimated, and many mothers choose to let their babies carry on rather than choose hormone creams to relieve their babies’ pain, resulting in a small area of eczema that may be easily controlled at first being dragged into a large area of difficult to control eczema. Generally, it is the long-term use of large doses of oral hormones that inhibits the growth of young children. The adverse effects of long-term use of topical hormones are limited to the skin, including thinning or hyperpigmentation of the skin.
In addition, even if hormone creams are not used, the skin of eczema will cause changes in skin pigmentation during the recovery period, which is a change in skin color caused by the disease itself, not necessarily the discoloration caused by hormones, and the discoloration will slowly fade away with the passage of time.
Which one of the three types of hormones is weaker, Liyendra, Eudragit and 1% hydrocortisone cream? We went to the hospital and the doctor prescribed a homemade cream with dexamethasone and ice chips as ingredients, is dexamethasone a weak hormone? How should I gradually withdraw the hormonal medication after the eczema has improved?
The strength of 1% hydrocortisone and Eudragitol is comparable and relatively weak. The active ingredient of Ligandrol is 0.05% denuded, which is a medium strength hormone.
The topical hormone creams commonly used in the market are ordered from weak to strong: 1% hydrocortisone, 0.1% hydrocortisone butyrate (Eudragol) → 0.1% mometasone furoate (Eloson), 0.05% Denide → betamethasone → clobetasol, for the treatment of young children’s eczema, the latter two are usually not used, often 1% hydrocortisone is fine, unfortunately 1% hydrocortisone is not available in the Chinese market. Unfortunately, 1% hydrocortisone is not available in the Chinese market, so we often use Eudragitol, which is comparable in strength to it. When a weaker hormone than Eudragitol is needed, the pharmacy needs to prepare it themselves. For patients who have difficulty accessing medical care, Eudragel can be diluted with a mild, non-irritating emollient cream, either 1:1 or as low as 4:1.
Usually, homemade topical dexamethasone creams made in hospitals are weak hormones, but oral or intravenous dexamethasone is a medium to strong hormone. When young children use weak-acting topical hormones, they can stop the medication once their symptoms disappear and do not need to gradually withdraw it. In addition, the well-known 0.025% fluphenazine acetate is a medium-strength hormone containing fluoride and is not recommended for babies. The fluoride hormone is also not recommended for use on the face, as it will make it easier for pigmentation to stay discolored.
The actual fact is that you will be able to get a lot more than just a couple of days to get a lot more than just a couple of days. The actual fact is that you will be able to get a lot more than just a couple of days to get a lot more. The actual fact is that you can find a lot of people who have been in the business for a long time. Now I’m applying eczema cream to her and she’ll be fine soon. But I am worried that eczema cream will not be good for children.
One of the principles of medication is to use it externally and not orally. The fact that you can choose to give your baby herbal water instead of using a topical cream is a misconception in itself. It is recommended to use ointments to control eczema under the guidance of a doctor.
Nine, what moisturizer is good for moisturizing eczema? Can I bathe my eczema skin? Is there a recommended bathing product?
Eczema is translated as “eczema” in Chinese, which leads many people to believe that eczema is caused by too wet skin, but in fact, on the contrary, eczema skin is afraid of dryness and must be moisturized regularly. I know there are a lot of parents who are looking for moisturizer, and I would like to remind you to try to find Oinment or Cream formulations to avoid Lotion.
The actual lotion is too big and the water evaporates to make the skin drier, so the eczema skin should use Cream or Ointment with some oil. eczema skin care moisturizing is the foundation, good moisturizing can be half the battle. The moisturizer that we commonly use for eczema is Stave moisturizer. Cetaphil is a brand developed for sensitive skin and has a range of products including Cetaphil Cream, Cetaphil Lotion and Cetaphil Face Wash.
This brand is readily available in drugstores and supermarkets in the United States, and is a very well-established brand that makes hypoallergenic products. Eczema skin can be bathed, the water temperature is slightly lowered, the bath time is controlled within 15 minutes, not excessive washing, do not use irritating body wash, I generally recommend that eczema babies use Stave face wash instead of ordinary baby body wash to take a bath, to avoid skin irritation.
Dry your body immediately after bathing and apply moisturizer promptly. If your baby’s skin is just a little red, peeling, or has a few small rashes of mild eczema, you can control it with just moisturizing cream care. Some dermatologists recommend Yumeazin skin cream, which should also play the same role of skin moisturizing.
Can I give my eczema baby silk clothes because of the summer heat?
Silk clothes should not be given to eczema babies, nor should eczema babies be exposed to silk products, which can stimulate eczema attacks. The clothing that comes in contact with your baby’s skin must be cotton, breathable, non-pilling clothing, including the clothing of caregivers that your baby’s skin can come in contact with should also be cotton clothing. In addition, wool, linen, chemical fiber and other clothing should also be avoided.
Eleven, eczema how to find allergens? How to avoid recurrence? Is it true that mothers should not eat eggs and milk? The elderly in my family say that many children get better after weaning, is that true?
There is a growing body of clinical evidence that food allergies are a widespread problem and avoiding foods that are essential for the growth and development of babies with suspected allergies is not completely effective in preventing the occurrence of eczema in infants. Nursing mothers can try to avoid irritating foods, but do not have to skip milk and eggs altogether.
For mild to moderate eczema, there is also little point in looking for food allergens. Avoiding recurrence is a matter of care. Pay attention to moisturizing and nourishing the skin and avoiding irritation, such as avoiding silk, wool and other items touching the skin, avoiding overheating and sweating, avoiding excessive sun exposure and avoiding alkaline soaps. Don’t wean your child easily, breast milk is the best food for your baby. Baby eczema does not necessarily affect growth and development, but lack of nutrition will definitely affect growth and development.
Twelve, how about Tacrolimus, does it work well?
Hormonal creams are the first line of treatment for eczema, and immunosuppressants like Tacrolimus are the second line option. When severe eczema requires long-term use of strong hormones, to avoid the side effects of hormones, tacrolimus-like drugs are used short-term or intermittently to avoid long-term use of strong hormone creams. For sensitive areas such as eyes and genitals, tacrolimus may also be used for a short time or intermittently to avoid side effects caused by excessive absorption of hormone creams. There is a warning in the tacrolimus product instructions that such drugs have a risk of causing skin cancer, which is a factor that needs to be balanced.
XIII. How to distinguish prickly heat from eczema?
Prickly heat, also known as heat rash, is an inflammation of the skin caused by excessive sweating and poor sweat drainage in hot, muggy environments, resulting in blocked sweat ducts and ruptured sweat ducts that seep out into the surrounding tissue. Heat rash is usually a small, well-defined, grainy red rash with white pus spots on a severe rash. In eczema, the rash is not clearly demarcated and has unclear borders. In severe cases, there are blisters and oozing, and the rash does not have white pus spots on it. Eczema is mostly caused by allergies, but also because the skin is too dry and too hot, in addition to cooling the skin also needs to keep the skin moist. Prickly heat is caused by sweltering heat and humidity, so in addition to cooling down, you need to keep your skin dry.
Can babies with eczema be vaccinated?
Eczema is not a contraindication to vaccination, and vaccination can be given normally if eczema is not severe. Only the acute infection period of severe and persistent eczema requires delayed vaccination.
What are the principles of using hormonal creams to treat baby eczema?
The principles of using topical hormone creams for baby eczema.
1, treatment as far as possible to use low strength creams, unless it is to control the acute flare-ups of moderate to severe eczema (at this time, you can choose a stronger hormone).
2. Hormonal creams are generally applied once or twice a day.
3. When applying to the whole body, try not to use more than 1/3 of the body surface area.
4, the use of time to 5-7 days is appropriate, the same part of the continuous use of no more than 2 weeks.
5, if more than two kinds of creams are used at the same time, the time between the application of each cream should be more than half an hour apart.
To treat baby eczema, you should go to a regular hospital and use medicines according to the treatment guidelines under the guidance of a professional physician. Don’t imagine topical hormone creams as a flooding beast, and don’t believe in the so-called pure Chinese medicine without hormones.
There are reports that in some Chinese medicine clinics in the UK and Hong Kong, so-called hormone-free creams are often detected to contain hormones like dexamethasone. Instead of unknowingly abusing hormone creams, it is better to use hormone creams wisely and clearly.