Pediatric eczema

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Written by Yan Xin Liang
Pediatrics
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How to treat infant eczema

Eczema is an intensely itchy skin inflammation reaction caused by a variety of factors, including both external and internal causes. External factors include environmental climate changes, sunlight exposure, animal fur, cosmetics, etc. Internal factors mainly involve food, endocrine disorders, stress, and more. Treatment primarily targets these causes. If caused by external factors, efforts should be made to avoid them. If related to food allergies, such as milk or eggs, these allergenic foods should be avoided. Treatment can also include the use of anti-allergic ointments, commonly corticosteroid ointments, as well as oral anti-allergy medications to assist in treatment.

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Written by Yao Li Qin
Pediatrics
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Can children with eczema take cephalosporins?

Children with eczema can take cephalosporin antibiotics, provided that the child is not allergic to cephalosporins. As long as there is no allergy to cephalosporins, it will not cause any issue. However, some children with eczema are also of an allergic constitution, and in such cases, many medications are not suitable. If it is necessary for a child to take cephalosporins for the first time due to a medical condition, a skin test must be conducted. Only if the skin test shows no problems, then cephalosporins can be administered to the child. During the course of taking cephalosporins, it is crucial to closely monitor the child to see if an allergic rash, like hives, appears. Eczema in children is not directly related to cephalosporins, so as long as there is no allergy to cephalosporins and there is a bacterial infection that the doctor advises to treat with this medication, it can be used under the doctor's guidance.

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Written by Yao Li Qin
Pediatrics
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Pediatric eczema should be treated in which department?

Children with eczema primarily exhibit symptoms of red, oozing plaques on the facial skin and the skin throughout the body, and even a seborrheic dermatitis-like appearance. Pediatric eczema is classified into dry eczema and the common exudative eczema. Once a child has eczema, the general treatment involves moisturizing care, and attention should be paid to the child's diet. For severe cases of eczema, medical consultation is necessary. Pediatric eczema falls under pediatric dermatology, so visiting the pediatric dermatology department at a children's hospital is appropriate. If a general hospital lacks a pediatric dermatology department, pediatricians also have extensive experience in treating pediatric eczema, so visiting a pediatric outpatient clinic is also advisable.

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Written by Yan Xin Liang
Pediatrics
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Can baby eczema cause fever?

Does infant eczema cause fever? Generally, this is not the case. Eczema is an allergic disease, characterized by the appearance of rashes on the skin due to an allergic reaction; fever typically does not occur in this case. If a baby develops a fever, the first consideration should be whether it is a cold. The second consideration should be whether there are any other infections present. Fever is generally considered to be caused by infectious factors, such as bacteria, viruses, mycoplasma, chlamydia, etc. Therefore, it is essential to identify the pathogen and determine the cause of the fever.

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Written by Yao Li Qin
Pediatrics
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Where does eczema occur in children?

Infant eczema, also known as atopic dermatitis, is a common type of skin lesion in children. It mainly manifests as proliferative and exudative, and it is inflammatory. Infant eczema can appear all over the body. However, most children have it on their faces, and some children have it on their chests, particularly severe cases can have eczema all over their bodies. Once eczema is diagnosed, it is essential to first moisturize the affected skin areas to relieve the child's discomfort, and then use mild corticosteroid creams under the guidance of a doctor. For facial eczema, parents must apply a thick layer of baby moisturizer. Additionally, eczema in the ear area, especially inside the external auditory canal, might sometimes discharge yellowish fluid. Therefore, it is crucial to apply moisturizer thickly in these areas. These areas can cause significant discomfort for the child, so proactive treatment is very important.

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Written by Yao Li Qin
Pediatrics
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What medicine should be used for infant eczema?

Infant eczema, also known as atopic dermatitis, is a chronic, recurrent, inflammatory skin disease that is fairly common in infants and young children. When eczema occurs, the affected area typically shows skin redness, followed by rashes and rough skin. Some may experience scaling and exudation, and the itching can be quite intense for the child. Eczema, as the name might suggest, is not caused by moist skin but rather by dry skin in the affected area, hence moisturizing makes up a significant part of the treatment. A thick layer of moisturizer specifically designed for infants should be applied to the child, three to four times a day. Based on the severity of the eczema, mild steroid creams can be used to effectively control the condition. For breastfed children, the mother should avoid consuming beef, lamb, nuts, seafood, and fermented rice wine, as these might exacerbate the condition. For children on formula, depending on the severity of the eczema, amino acid-based formulas or extensively hydrolyzed protein formulas should be given.

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Written by Yao Li Qin
Pediatrics
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Is infantile eczema contagious?

Infant eczema is not contagious because it is the most common skin disease among children, especially babies and young children, also known as atopic dermatitis. It primarily presents as local proliferative and exudative changes, and it is not an infectious disease, so it is not contagious. Therefore, infant eczema is ultimately caused by intrinsic reasons. Consequently, when a child comes into contact with another child who has eczema, they will not contract eczema. Parents should note this; it is only a skin condition and is not contagious because it is not an infectious disease. Therefore, when a child has eczema, we must treat it actively, primarily focusing on moisturizing and using mild topical corticosteroid creams. (The use of medications should be under the guidance of a doctor.)

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Written by Yao Li Qin
Pediatrics
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Is infantile eczema contagious?

Pediatric eczema is a chronic, recurrent inflammatory skin condition that typically presents during infancy and early childhood. Some children may continue to experience symptoms into childhood and even adulthood. It is characterized by skin damage but is not infectious; thus, pediatric eczema is not contagious, which should reassure parents. The causes of pediatric eczema are complex and relate to immune dysfunction or deficiency, and nutritional disorders. External factors also play a role, such as allergies to milk, fish, shrimp, or eggs, as well as mechanical irritation or improper care, all of which can lead to eczema. However, it is not contagious. Poor care can lead to local bacterial infections of the skin, which parents must be careful to avoid.

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Written by Yao Li Qin
Pediatrics
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Can children with eczema drink fish soup?

Infant eczema, a common skin disease in infants and young children, is also known as atopic dermatitis. Whether children with eczema can drink fish soup needs detailed analysis. In most cases, we do not recommend giving fish soup to children because, in practical terms, fish soup can worsen eczema for many children. However, some children may not be so sensitive to fish soup, and in such cases, they can drink a little. It is essential for children with eczema to maintain a daily life diary, noting which items they have been in contact with and which foods they have consumed that may exacerbate the condition. If the eczema worsens, it is typically best to avoid these foods and items as much as possible.

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Written by Yao Li Qin
Pediatrics
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Can olive oil be used for infant eczema?

It is not recommended to apply olive oil for baby eczema, also known as atopic dermatitis. The treatment of eczema includes two aspects. The first is localized moisturizing, and the second is the use of mild corticosteroid creams under the guidance of a doctor. Olive oil, being an oily substance, is not suitable for eczema. Moisturizing for eczema should be done with a baby-specific moisturizer, which can effectively alleviate the dryness of the skin. Additionally, if olive oil is used, it can make the skin particularly greasy and impede skin breathability, hence it is not advised for use on children. It is very important to use a baby moisturizer.