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Baby with Eczema

by Dr Howard Lee

question
I have a four-month-old baby girl who suffers from eczema all over her body.
It drives her mad and she has to wear scratch mitts most of the time.
Her symptoms are worse in the heat and when she gets agitated. Being two weeks overdue, she was born with paper dry skin which my GP has diagnosed as eczema.

We don't use detergent; we clothe her in cotton and bathe her in Oilatum every day. I have tried Aqueous cream but have since switched to calendula to moisturise her skin. These treatments only provide short-term relief. We live in a hard water area, and will also be investing in a water softener soon.

Can you suggest anything else (preferably without resorting to steroids) that we could do to help her, or do we just have to keep her skin moisturised with the current regime?

answer

I assume from the description that there may be some allergy history in the family. Eczema, to the degree that you indicate, is just one of the allergic diseases that tend to be genetically linked.

It does seem that you are doing all the right things and if emollients etc. are effective, then continue using them. You may find some useful information in our article about treating childhood eczema.

This is quite a common condition - 20% of British children between the ages of 7-18 suffer atopic eczema. The rise in allergic diseases has been attributed to the lack of exposure to infectious diseases because of cleaner houses, antibiotics, vaccinations etc. It is thought that these 'exposures' helped to develop the immune system, and without them, the immune system can develop an abnormal response to environmental agents like pollen and house dust.

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