What are the misconceptions about “tinea cruris”?

  Nowadays, there are more and more babies with ringworm, and I often get asked, “Doctor, if my baby doesn’t eat milk, will ringworm not come back?” “Doctor, I’ve stopped eating eggs, fish, shrimp and seafood, but why is ringworm coming back?” “Doctor, don’t prescribe hormone ointment, it has side effects”, these questions are the most concerned content of baby parents, and at the same time there are many misconceptions about these perceptions of ringworm, and with these in mind, I have written the following article.  Ringworm is the common name for what is medically known as infantile eczema, which is the most common skin condition in children. It occurs in infants from 1 to 2 months of age, but there are a few who develop it after 5 to 6 months of age. It is usually found in obese infants, and the condition can be mild or severe, with recurrent attacks. Most of them can be cured gradually by the age of two. It mainly occurs in the cheeks, forehead, between the eyebrows and head, and in severe cases, the trunk and limbs.  Misconception 1: “Ringworm” is related to breastfeeding.  Some parents often mistakenly believe that ‘ringworm’ is related to breastfeeding and take the approach of early weaning. The result is often counterproductive, as not only does the eczema grow, but the baby’s resistance decreases due to insufficient intake of breast milk. The best food for your little one is always breast milk, not only is it nutritious and easy to digest and absorb, but breast milk contains a lot of immunoglobulins, which can enhance your baby’s immunity, improve your body’s resistance to disease and promote your child’s growth and development, which is irreplaceable by any other food, so it is important to extend breastfeeding as long as possible for babies suffering from eczema. However, if mothers eat certain foods that they are allergic to, these allergenic substances can enter the child’s body through the breast milk and may trigger the occurrence of tinea cruris or aggravate the symptoms of tinea cruris. Therefore, mothers should pay attention to what foods may aggravate eczema, if the baby’s eczema is very serious, mothers should temporarily stop eating eggs, fish, shrimp, crab and other allergic foods, and do not eat food with irritants. If your baby is not getting enough breast milk to eat formula, you can use special formula (such as hydrolyzed protein formula, goat milk, etc.) to feed your baby.  Myth #2: As long as you eat and drink, you won’t get “milk fever”.  Most babies’ eczema will clear up by age 2, but it can recur during this time. In addition to food that can cause allergic skin reactions, sudden changes in temperature, air humidity, and clothing rubbing irritation are also important triggers for infant eczema. Some babies and children are allergic themselves, eczema is prone to recurring attacks, do not pursue a one-time cure, should be under the guidance of a doctor’s medication, baby parents should try to find allergic factors in life, once found, pay attention to avoid contact, do not just avoid the mouth, so as not to affect the baby’s growth and development. When eating eggs, try to eat the yolk alone, not the egg white, and if necessary, use plant protein foods; when adding supplementary foods, add them one by one from less to more, so that the baby can slowly adapt. Babies should use moisturizers after bathing, and medical skin care products if available. Dress in cotton, soft, loose clothing.  Myth 3: Resolutely do not use hormones, talk about the tiger.  Infant eczema can be mild or severe, and the mild ones only need to apply skin care products or topical non-hormonal drugs, and pay attention to improving feeding methods, and some can even be well without treatment, but severe cases will have vesicles and oozing, secondary infections and even scars, and so on, and hormones must be applied to control the condition. However, hormonal ointments can have side effects when applied over a large area or for a long period of time. As the skin of small babies is relatively tender, there are rules about which hormonal ointment to apply, how long to use and how to apply the ointment, which must be treated under the guidance of a physician.  There are also some parents who believe in the so-called prescriptions and use drugs with unknown ingredients, thinking that there are no side effects in the prescriptions, but in fact, many prescriptions are used by doctors or some unscrupulous businesses, often adding hormones to them in pursuit of efficacy. The specific composition of these hormones is unknown, and its side effects are not within our control. The short term effect will be very fast, but soon after stopping the drug relapse, long-term use will appear a variety of side effects, a few years ago the media exposure of an eczema cream caused precocious puberty is a painful lesson.