What should I do about my baby's dry eczema?

Written by Yao Li Qin
Pediatrics
Updated on January 05, 2025
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Babies with dry eczema still need proactive treatment, as dry eczema can cause local skin flaking and itching, leading to extreme discomfort for the child. The primary treatment for dry eczema consists largely of moisturizing; using a baby-specific moisturizing cream applied thickly three to four times a day typically controls most cases of dry eczema effectively. If this approach doesn't manage the condition, under the guidance of a hospital doctor, the use of mild corticosteroid creams can be considered, alongside dietary controls for the child. If the baby is breastfed, the mother should avoid consuming beef, mutton, nuts, and seafood. If the baby is formula-fed, depending on the severity of the eczema, an amino acid-based formula or a hydrolyzed protein formula can be chosen.

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Is milk crust eczema?

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Symptoms of eczema

Eczema is an intensely itchy skin inflammation reaction caused by various internal and external factors. It is categorized into three phases: acute, subacute, and chronic. 1. Acute eczema: Initially, the skin lesions appear as numerous, densely packed millet-sized papules, vesicopapules, or small vesicles with a reddish base that gradually merge into patches. Due to scratching, the tops of the papules, vesicopapules, or vesicles break open, leading to distinctive punctate exudation and minor erosion with unclear margins. If secondary infection occurs, the inflammation becomes more pronounced, possibly forming pustules, crusts, folliculitis, and boils. There is severe itching. Commonly affected areas include the head, face, behind the ears, extremities, scrotum, and perianal region, often symmetrically distributed. 2. Subacute eczema: Following the reduction of acute eczema inflammation, skin lesions primarily consist of small papules, crusts, and scales, with only a few vesicopapules and erosions, yet intense itching persists. 3. Chronic eczema: Often, chronic eczema results from reoccurring episodes of acute and subacute eczema that do not resolve, or it may start as chronic eczema. Characteristics include thickened, infiltrated skin at the affected sites, which tend to be brownish-red or have pigmentation, a rough surface covered with scales, or crusting caused by scratching. There is severe itching. Common sites include the lower legs, hands, feet, elbows, knees, genitals, and anus. The duration of the disease is variable, it is prone to relapse, and is often long-lasting without resolution.