Most children’s atopic dermatitis, often called eczema, does not have a clear cause, such as an allergy. According to the American Academy of Dermatology, research shows that most eczema will improve with good skin care.
“With eczema, the skin can become very dry, itchy and crack, which lets in germs that can cause skin infections,” said Amanda Friedrichs, M.D., FAAD, a board-certified dermatologist in private practice. “With treatment, the protective barrier of the skin can be restored. Good skin care can go a long way in helping the skin heal and prevent infection.”
To reduce the severity of and frequency of eczema flare-ups in children, the American Academy of Dermatology offers the following recommendations.
• Bathe your child in warm – not hot – water.
• Limit your child’s time in the bath to five or 10 minutes.
• Use cleanser only when needed and make sure the cleanser is mild and fragrance-free. Do not use bubble bath.
• If your child’s eczema is frequently infected, twice-weekly bleach baths may be beneficial. Discuss this option with your child’s dermatologist.
• After bathing, gently pat your child’s skin partially dry.
• If your child has medicine that you apply to the skin, apply it when your child’s skin is almost dry and use the medicine as directed.
• Apply moisturizer on top of the medicine and to the rest of your child’s skin.
• When selecting a moisturizer, consider choosing a thick cream or ointment.
• Some children do better with fragrance-free products, so consider petroleum jelly –an inexpensive, fragrance-free product that works well for many children.
• When selecting a product, trial-and-error sampling of different types may identify the best moisturizer for your child.
• For best results, apply moisturizer at least twice a day. This prevents dryness and cracking and can decrease the need for eczema medications.
• If your child has severe itching and scratching, ask a dermatologist about wet wrap therapy, which can reduce swelling and lessen the desire to scratch.
• Keep your child’s fingernails short and smooth. This decreases the likelihood that scratching will puncture the skin. Putting cotton gloves on your child’s hands at night may help prevent scratching during sleep.
• Keep temperature and humidity levels comfortable. Avoid situations in which the air is extremely dry, or where your child may sweat and overheat. This is the most common trigger of the itch/scratch cycle.
• Using a laundry detergent made for sensitive skin may be beneficial. Scented fabric softener or dryer sheets may contribute to irritation.
• Use only the recommended amount of detergent.
• Use enough water for adequate rinsing.
• Remove tags from clothing, because tags can rub against the skin, causing irritation.
• Wash your child’s new clothes before wearing. This will remove excess dyes and fabric finishers, which can irritate the skin.
To view the academy’s video “Eczema: Tips to Help Your Child Feel Better,” visit www.aad.org/skin-conditions/dermatology-a-to-z/atopic-dermatitis/tips/atopic-dermatitis-tips-for-managing.