Child Eczema Treatment

Child Eczema Treatment Dubai | These 4 Strategies Can Prevent And Treat Eczema

Child eczema treatment Dubai: Prevention in pregnancy, infancy, childhood. Treatment by rehydration, emollients, and medication

Child eczema treatment Dubai: Eczema, recurrent itchy rash, is a common occurrence of childhood, which runs in family and is associated with allergies and asthma. Many grow out of it but some continue to have problems as adults. Almost 10 to 20% children suffer from it. It usually starts in early infancy and is common until age 5 years.

Child eczema treatment is divided into prevention and treatment

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Child eczema treatment Dubai: Prevention

Prevention is always better than cure as the old adage goes.

Antenatal and infancy

Period

If there is a family history of allergies, the mother has to be very careful during the pregnancy.

  • She should take probiotics in the last trimester
  • Vaginal delivery is preferred
  • Breastfeeding is advocated. If not possible use hypoallergenic formulas or better still rice milk for babies
  • Probiotics drops in baby especially if not breastfed
  • Avoid allergenic food in baby and mother
  • Expose baby to environment- not too hygienic
  • Avoid scented soaps and oils
  • Prohibit smoking in the room

Later age

  • Test for allergens and avoid them
  • Dust free room- use dust mite–proof plastic cases around pillows and mattresses. Wash bedding in hot water weekly to remove dust mites. Remove carpets and drapes from the bedroom
  • Avoid milk, wheat, and other common allergens
  • Prohibit smoking
  • Avoid irritants that trigger the itch-scratch-itch cycle (eg, soaps, detergents, chemicals, abrasive clothing, extremes of temperature and humidity).
  • Use pH-neutral soaps
  • Launder new clothes before wearing to remove manufacturing chemicals. Use liquid detergent rather than powder detergent and add a second rinse cycle to remove all residual detergent.
  • Wear loose fitting open-weave cotton or cotton-blend clothing; avoid wool
  • Use a humidifier in the winter to prevent excessive skin dryness and an air conditioner in the summer to prevent sweating. Decreased humidity indoors helps prevent the growth of mold
  • Use of probiotics

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Child eczema treatment Dubai: Treatment

Rehydration

The most important step is rehydration of the upper layer of the skin. This reduces the direct effects of irritants and allergens on the skin and improves response to topical creams thus decreasing the need for topical steroids.

How
  • Lukewarm soaking baths lasting 10-20 minutes with non-scented bath oils or olive or coconut oil (be careful about slipping)
  • Avoid or minimize use of soaps
  • Hydrophobic lotions and creams have excellent cleansing properties and low potential for irritation. They are applied without water and wiped away gently. They behind a protective film of stearyl alcohol and propylene glycol.
Emollients
  • Baths should be immediately followed by application of an emollient all over the body to seal in the water. This should be done within 3 minutes as evaporating water can dry the skin.
  • The recommended emollients are vegetable oils, vaseline. These are preferred to creams but maybe more greasy.
  • Creams containing ceramides and lanolin help skin repair like TriCeram
  • Urea-containing products soften and moisturize dry skin
  • Wet dressings over eczema patches are cooling and reduce inflammation and improve effects of other creams
Medications
  • Topical steroid should be used sparingly to prevent side effects. Low potency creams are preferred especially for the face, axilla, and groin. They should be used for flare-ups. Rarely oral steroids may be needed
  • Topical calcineurin inhibitors (eg, tacrolimus, pimecrolimus) help by reducing eczema. They can be used long term but intermittently in children over 2 years
  • Antihistamines both oral and topical reduce itching
  • Doxepin cream is very good for reducing severe itching
  • Antimicrobial creams are used when there is a secondary bacterial infection

To conclude, eczema treatment requires both prevention and treatment. Rehydration and emollients are the mainstays of treatment. Breastfeeding, reducing allergenic load, controlling environmental humidity are some preventative strategies.

Child Eczema Treatment Dubai | These 4 Strategies Can Prevent And Treat Eczema

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Child Eczema Treatment was last modified: February 14th, 2018 by Wilma Gervacio

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