Can infantile eczema heal itself after crusting?

Written by Yan Xin Liang
Pediatrics
Updated on March 15, 2025
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Infant eczema is a type of skin allergy. If an eczema patient develops crusty skin, it often indicates that the condition is improving. In this case, it is important to keep the skin clean and hygienic, avoid scratching the crusted areas with hands, and also ensure that the local skin is well-moisturized to prevent infections. However, this does not mean that eczema will stop occurring once it crusts over. Eczema is a recurrent disease, so even if it heals this time, it may still reappear in the same areas in the future.

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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 Dong Xian Yan
Pediatrics
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Will pediatric allergic eczema be contagious?

Childhood allergic eczema is not a contagious disease, so it is not transmissible. Eczema is a common skin allergic disease during infancy and early childhood, characterized by rashes and skin itching. The rash mostly appears on the neck, the perineum, and other areas, often recurring. The onset in some children is related to family genetics. When children develop eczema, they can apply calamine lotion topically or take antihistamine medication orally under the guidance of a doctor to relieve symptoms of skin itching. In terms of diet, it is advisable to avoid allergenic foods such as fish, shrimp, eggs, and seafood.

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Written by Yao Li Qin
Pediatrics
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Can infantile eczema be contagious?

Pediatric eczema, which is not contagious, is also known as atopic dermatitis. It is a chronic, recurrent inflammatory skin disease. Most children develop this condition in infancy and it can persist into childhood and adulthood, indicating a significant hereditary component that can impact quality of life. Contact with a child who has eczema will not transmit the condition to another person or child, as it is non-infectious. The occurrence of eczema is not due to exposure to someone with the condition, but rather due to individual factors and is definitely unrelated to contagion. Although the exact mechanisms triggering eczema are still unclear, they are primarily associated with genetics, environmental immunity, and biological factors, not with infectious disease. Eczema is non-contagious.

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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
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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.