Atopic dermatitis, or eczema, is the most common chronic skin condition of childhood. It usually starts in infancy and in many children improves significantly over the years. Although it is not contagious, the itching can affect the child’s sleep and mood. From our practice – pediatrician Thessaloniki, pediatrician Evosmos – some practical advice.
How it shows up
- Dry skin with red, rough patches that cause itching.
- In babies, often on the cheeks, scalp and outer surfaces of the arms and legs.
- In older children, in skin folds: elbows, backs of the knees, wrists, neck.
- Periods of remission and periods of flare-ups.
Why it happens
It is due to a combination of a weakened skin barrier and immune system sensitivity, with a hereditary predisposition. It often occurs alongside other allergic conditions, such as allergic rhinitis, asthma or food allergies. Irritants such as sweat, woollen clothes, fragranced products and dry weather can trigger flare-ups.
Everyday care
- Moisturise with a fragrance-free emollient at least twice a day, all over the body.
- Short baths in lukewarm water with a gentle soap-free cleanser.
- Pat the skin dry and apply the cream immediately afterwards.
- Cotton clothing, short nails, a cool room.
- Avoid fragranced products and fabric softeners.
Treating flare-ups
During flare-ups the pediatrician may recommend topical corticosteroids of appropriate strength for a short period, or other topical anti-inflammatory treatments. When used correctly, as directed, they are safe and effective. In severe cases, cooperation with a pediatric dermatologist or pediatric allergist may be needed.
When to see the pediatrician
- When the itching affects sleep.
- When the skin has weeping sores, crusts or pus (possible infection).
- When there are blisters or fever.
- When there is no improvement with everyday care.
Educating parents properly is the key to controlling eczema. Giannis Ritsas, pediatrician Thessaloniki, will help you set up a skin-care plan for your child.
For appointments and information, contact Dr. Giannis Ritsas, pediatrician Thessaloniki and pediatrician Evosmos.