How to treat eczema with broken skin in children?

Written by Tong Peng
Pediatrics
Updated on January 01, 2025
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In cases of eczema in children, if there is broken skin, it is necessary to enhance skin care to prevent infection. Disinfectant solutions can be used to clean the skin, followed by the application of anti-inflammatory ointments to prevent infection of the wound. Additionally, attention should be paid to the fact that the skin in areas affected by eczema is sensitive and has lower self-immune capabilities, which can lead to worsening of the condition after infection, causing symptoms such as fever and sepsis. Therefore, once there is broken skin in the area affected by eczema, it is important to clean the wound promptly. If there are signs of pus formation, a specialist should examine and clean the wound, and oral anti-inflammatory medications may be necessary to prevent worsening of the infection. Also, dietary considerations should include avoiding spicy foods and those likely to cause allergies.

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Anal eczema can be treated with oral medication and topical application. If there is a primary disease, it should be actively treated. Additionally, it is important to improve the living environment; consume less spicy and irritating food; exercise to enhance physical fitness; and keep the anal area clean and dry. It is advised to seek medical treatment promptly and avoid the misuse of topical medications.

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Baby eczema treatment methods

Eczema in babies is a common problem, generally caused by allergies. To address allergies, it's important to identify the cause. Common triggers in babies include food, with cow's milk allergies being frequent, as well as contact with certain substances. Some babies who often spit up milk can develop eczema around the lips. If the allergen is identified, it is best to avoid contact with it. Topical medications can also be used, with commonly prescribed treatments including Desonide ointment (use medications under the guidance of a doctor). Desonide is a steroid medication. If you prefer to avoid steroids, other options like Dandiphen ointment (use medications under the guidance of a doctor) are available, though they might not be as effective. As the child grows older, the eczema will gradually disappear, so parents need not worry overly.

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Does baby eczema spread?

Babies with eczema indicate that the child has skin damage. Eczema is a common skin disease in infants and is not contagious, so eczema does not spread as only infectious diseases are contagious. When a child has eczema, the first step is to ensure proper moisturizing. On this basis, under the guidance of a doctor, some mild corticosteroids can be used. Normally, if we come into contact with a child who has eczema, we will not contract it ourselves. Parents can be reassured about this, as this is an inherent immune response of the child and is not spread through contact or the respiratory or digestive tracts.

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How to treat baby eczema?

Infant eczema, also known as atopic dermatitis, is mainly caused by an allergy to milk protein, so it is important to pay attention to the child's diet. Nursing mothers should avoid consuming beef, lamb, nuts, and seafood. Additionally, for children who are formula-fed, depending on the severity of the eczema, choose either amino acid formula or hydrolyzed protein formula. The treatment of eczema primarily involves moisturizing the skin. Therefore, applying a thick layer of moisturizer specifically designed for babies on the affected areas can be very effective in treatment. Furthermore, on top of moisturizing, under the guidance of a doctor in a hospital, a weak steroid cream can be used. With the above management, eczema can generally be controlled quickly.

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How to treat infantile seborrheic dermatitis?

Infantile seborrheic dermatitis is also a type of eczema, which is a common skin condition in children and is categorized as atopic dermatitis. The treatment principles for seborrheic dermatitis are the same as for other types of eczema: first, the affected skin must be cleaned thoroughly, and then a thick layer of moisturizer should be applied. For severe cases of seborrheic dermatitis, it is recommended to use about 250g of moisturizer per week, so a thick layer should be applied daily to keep the skin moist. Additionally, depending on the situation, medications such as topical creams for treating pediatric eczema, like desonide cream, may be used. In instances where the infantile seborrheic dermatitis has formed a thick, yellow crust, local application of tea oil or olive oil can be helpful. This should be left on the affected area for about an hour before washing off with a shower gel, followed by moisturizing the cleaned area. With the aforementioned treatments, seborrheic dermatitis can generally be well-controlled. Furthermore, infants who consume formula might need amino acid formula or hydrolyzed protein formula depending on the condition. If the child is breastfed, the mother should avoid dairy, meat, nuts, seafood, and alcoholic beverages.