Is milk crust eczema?

Written by Wu Ben Rong
Pediatrics
Updated on March 25, 2025
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Milk cradle cap specifically refers to eczema on an infant's face, which is a facial skin inflammation that appears during the breastfeeding period. Therefore, some people call it milk cradle cap. From this perspective, milk cradle cap and eczema are the same, merely a specific type of eczema. There are many possible causes for this type of eczema in infants. It could be caused by parents overdressing the child, leading to overheated skin and localized inflammatory damage. It might also be due to improper daily care resulting in epidermal damage, or the child could be allergic to formula, or the mother might have consumed foods during breastfeeding that can cause allergies in the baby. It is recommended that parents take their child to a legitimate hospital for examination and treatment.

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Written by Tong Peng
Pediatrics
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What to do if a child's eczema does not improve?

If childhood eczema is not improving, then it is crucial to actively search for the cause, rather than merely treating the symptoms. The care for childhood eczema mainly involves moisturizing and applying eczema ointment, but treating the primary cause is most important. The causes of eczema are varied, with common factors including genetics. If a child's parents have allergic rhinitis, eczema, or asthma, it suggests that the baby might have an allergic constitution, which can lead to recurrent episodes of eczema. Additionally, diet plays a role; consuming foods that are allergens can also trigger eczema flare-ups, especially foods containing proteins such as dairy products, eggs, and seafood products. Furthermore, contact with allergenic substances like animal dander and plant pollen can also induce eczema. Moreover, certain specific pathogens colonize on the surface of eczema-affected skin, leading to repeated outbreaks. These factors make the treatment of eczema less than ideal, so it is essential to understand the specific reasons behind the baby's eczema to tailor the treatment effectively.

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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 baby eczema?

Infant eczema is a common type of skin allergic inflammation in children, with a higher incidence in infants and young children. General care for infant eczema primarily involves skin care, focusing on moisturizing the skin. Children who are allergic in nature are more susceptible to eczema triggered by allergens, hence it is crucial to avoid allergens. It is advisable to wear cotton clothing, preferably in light colors, which are soft and comfortable. It is best to avoid synthetic fibers or animal fur clothing, as these can easily cause allergies. Additionally, skin moisturizing is important; it is recommended to keep bath times under ten minutes and the water not too hot. Avoid using alkaline bath products, which can scrub the baby's skin and potentially damage the skin barrier, worsening the eczema. The recommended water temperature is around 38 degrees Celsius, and bathing time should not exceed ten minutes. Room temperature should not be too warm. The room's air humidity should be maintained between 50% to 70%. It is advisable for infants not to be overly full when feeding, as excessive food intake can burden their digestive system and potentially exacerbate eczema. Mothers should be cautious with their diet, avoiding spicy, stimulating foods or allergenic foods like seafood. For baby rashes, moisturizers, predominantly those with a simple composition like mineral oil and free of dyes and fragrances, are recommended. Avoid using diluted lotions with a high water content. Applying moisturizer within about 3 minutes after bathing can optimize moisture retention. If the eczema is extensive with noticeable exudation or redness, and the baby is noticeably distressed, further medical consultation should be sought at a hospital. Dermatologists can prescribe appropriate medication based on the baby’s condition. It is generally not recommended for parents to use corticosteroid ointments on their own due to potential side effects and risks of improper use.

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What should I do if eczema is caused by excessive dampness?

For patients suffering from eczema caused by excessive dampness, initially, using a warm towel compress can help alleviate symptoms. It is also important to bathe frequently, maintain cleanliness, and keep dry to effectively prevent and improve the condition. Alternatively, spending more time in the sun, using a sauna, or soaking feet in warm water can also provide some relief. These methods can effectively prevent and treat the condition. Excessive dampness is often related to habitual overexertion and improper diet.

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Written by Zhu Zhu
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The difference between prickly heat and eczema

Prickly heat and eczema, although both are skin-related diseases, have significant differences. Firstly, looking at the causes, prickly heat mainly results from excessive sweat due to overheating and high temperatures which cannot escape. Eczema, on the other hand, is caused by a variety of internal and external factors such as allergies, seasons, and weather, leading to an allergic skin disease. Regarding treatment, prickly heat can be addressed with prickly heat powder or some cooling ointments, which often result in a cure. In contrast, eczema is typically treated with antihistamines or astringent medications. (Please use medication under the guidance of a doctor)