Symptoms
- Dry, itchy, red, inflamed skin
- Common areas: face and scalp (babies); elbow/knee creases (older children)
- Scratching leads to thickened, leathery skin (lichenification)
- Weeping or crusting if infected
The Complete Skincare Routine
| Step | What to Do |
|---|---|
| Bathing | Lukewarm water, 5–10 minutes, avoid soap — use emollient wash |
| Emollient (moisturiser) | Apply liberally, 2–3× daily, even when skin looks clear — this is maintenance |
| Topical steroid (during flares) | Apply thinly to active eczema only, as directed by doctor |
| Order of application | Emollient first, wait 20–30 min, then steroid cream on active areas |
Common Triggers to Identify
- Soaps, bubble bath, and fragranced products
- Wool and synthetic fabrics — choose cotton
- Overheating (especially at night)
- Food allergies in some infants — especially with severe, early eczema
- House dust mites
- Stress (in older children)
Signs of InfectionYellow crusting, weeping, pus-filled spots, fever, or rapidly worsening eczema may indicate bacterial (usually Staphylococcus) or, rarely, viral (eczema herpeticum) infection. Eczema herpeticum is an emergency — seek urgent medical review if painful blisters develop.
Steroid PhobiaMany parents under-treat eczema due to fear of steroid creams. Used correctly (thin layer, on active eczema, as prescribed), topical steroids are very safe in children and prevent the skin damage caused by chronic scratching.
How much emollient should we use?
Generous amounts — 250–500g per week for a child with moderate eczema. Most families under-use emollients. There's no such thing as 'too much' emollient.
Does diet cause eczema?
In a minority of infants with severe eczema, food allergy (especially egg, milk) contributes. Don't eliminate foods without medical guidance — unsupervised exclusion diets can cause nutritional deficiencies and new allergies.
Will my child always have eczema?
Most children improve significantly by their teenage years. Some have completely clear skin as adults, though many retain sensitive, dry skin.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.