Eczema in Children

Discover everything you need to know about managing your child’s eczema, including its causes, signs, and symptoms, and how it can be effectively managed. You’ll learn about common triggers that can lead to flare-ups, whether food allergies play a role, and the best strategies to treat eczema and keep your child’s skin healthy. 

For personalized care and expert advice, the team at Bootin and Savrick Pediatric Associates in Houston, Texas, is here to support you and your child. Read on to gain valuable insights and find out how you can ensure your child receives the best possible care for their eczema.

A child with eczema on his body in Houston, Texas.

What is Eczema?

Eczema, also known as atopic dermatitis, is a common skin condition in children that causes itchy, red, and inflamed skin. It often appears in patches and can be quite uncomfortable for your child. Understanding eczema and how to manage it can help keep your child’s skin healthy and comfortable.

Children with eczema typically have sensitive skin that reacts to various triggers, such as certain fabrics, soaps, or even weather changes. It’s not contagious, so you don’t have to worry about it spreading to other family members.

What Causes Eczema?

While the exact cause of eczema isn’t fully understood, several factors play a role in its development. One key factor is the immune system. Children with eczema often have an overactive immune response, which means their bodies react more strongly to irritants and allergens than most people do. This overreaction can lead to inflammation and itching in the skin. This is the reason that viral illnesses often trigger eczema flares, especially in younger children.

Genetics also contribute to eczema. If a parent has eczema or other allergic conditions like asthma or hay fever, their child may be more likely to develop it as well. This genetic link means that eczema can run in families, although it can still occur in children without a family history.

Environmental factors play a significant role too. Exposure to certain triggers, such as harsh soaps, allergens, or changes in weather, can exacerbate eczema symptoms. For instance, dry, cold air or excessive heat can irritate the skin and worsen atopic eczema.

When Does Eczema Develop?

The exact timing of when eczema develops can differ from child to child, influenced by genetics, environmental factors, and immune system responses. 

Eczema often begins in early childhood, and many cases develop before a child’s first birthday. It commonly starts as dry, itchy patches on a baby’s delicate skin, particularly on the face, scalp, and behind the knees. The condition can vary in severity and might appear differently as a child grows. 

While eczema can start at any age, it is most frequently diagnosed in babies and young children. Some children may outgrow eczema as they get older, but for others, it can persist into adolescence and even adulthood.

Signs of Eczema

The most common symptom of eczema is itchy skin, which can be intense and uncomfortable for your child.

An eczema rash typically appears as red, inflamed patches on the skin. In infants, it often starts on the face and scalp, but as children grow, it can appear on the areas behind the elbows and knees. The rash can be dry and scaly, or, in more severe eczema, it may become weepy and crusty.

Severe eczema can lead to more pronounced symptoms, including thickened skin due to frequent scratching and potential changes in skin color. The constant itching can cause your child to scratch, which may further irritate the skin and increase the risk of a skin infection. Scratching can break the skin’s surface, allowing bacteria or viruses to enter, leading to skin infections.

In addition to itching and rashes, eczema may make your child’s skin appear very dry and sensitive. This dryness can, in turn, make the skin more susceptible to irritants and allergens, exacerbating the symptoms.

What Triggers Eczema Flare-Ups?

Common eczema triggers include environmental factors like dry or cold weather, which can lead to skin dryness and irritation. Harsh soaps, detergents, or certain fabrics, such as wool, can also irritate the skin and worsen eczema symptoms.

Allergens, such as pollen, pet dander, and dust mites, are another common trigger. These allergens can cause the immune system to react, leading to increased inflammation and itching in the skin. Additionally, sweating from excessive heat or physical activity can exacerbate eczema, making the skin more prone to flare-ups.

Food allergies can also play a role in eczema flare-ups, though they are not the sole cause. Certain foods, such as dairy products, eggs, or nuts, may trigger eczema symptoms in some children. If you suspect that specific foods might be contributing to your child’s eczema, it’s helpful to keep a food diary and consult with a healthcare provider for appropriate testing and advice.

Treating Eczema

Treating eczema in children involves a combination of approaches aimed at reducing symptoms, managing flare-ups, and keeping the skin healthy. Here’s how you can effectively treat eczema and support your child’s skin health.

  1. Moisturize Regularly: Keeping your child’s skin well-moisturized is crucial. Use gentle, fragrance-free moisturizers and apply them several times a day, especially after bathing. This helps to maintain the skin’s natural barrier and prevent dryness.
  2. Use Gentle Skin Care Products: Choose mild, soap-free cleansers for baths and avoid products with fragrances or harsh chemicals. Lukewarm baths are preferable to hot ones, as hot water can dry out the skin. It’s also important to use laundry detergents specifically made for sensitive skin. Dreft is particularly problematic for many babies with sensitive skin.
  3. Avoid Triggers: Identify and avoid known triggers that can worsen eczema. This might include certain foods, allergens, or irritants like rough fabrics. Keeping a diary of your child’s symptoms and exposures can help in pinpointing these triggers.
  4. Apply Topical Medications: For more severe eczema, your healthcare provider might recommend topical corticosteroids or other prescription creams to reduce inflammation and itching. Always use these medications as directed by your doctor.
  5. Manage Itching and Scratching: Help your child manage itching by keeping their nails trimmed and using anti-itch lotions or medications as prescribed. Encourage them to avoid scratching, which can lead to further irritation and potential skin infections.
  6. Consider Allergy Testing: If food allergies or environmental allergens are suspected triggers, allergy testing might be beneficial. Your doctor can guide you on this and help in creating a tailored management plan.

Finding Relief and Support for Your Child’s Eczema

Managing eczema can be challenging, but with the right strategies and support, you can effectively treat eczema and help your child lead a more comfortable life.

If you’re looking for expert advice and compassionate care, the team at Bootin and Savrick Pediatric Associates in Houston, TX, is here to help. Our experienced pediatricians are dedicated to providing tailored treatments and support for your child’s specific needs.

Don’t wait to get the care your child deserves—schedule an appointment with us today and take the first step towards managing eczema effectively. Let us guide you in finding the best solutions for your child’s skin health.

Medically reviewed by Dr. Patti Savrick

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