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Eczema Treatment for Children: A Comprehensive Medical Approach to Skin Care

Dr. Adele Chedraoui, Consultant Dermatology at Al-Ahli Hospital/Qatar

Eczema is one of the most common skin conditions among children, characterized by skin irritation, dryness, and intense itching, which can impact the quality of life for both the child and their family.

Effective treatment requires a holistic medical plan that includes deep hydration, medication, and daily adjustments to avoid triggers. This article outlines the recommended medical treatments and practical tips to manage eczema symptoms effectively.

Hydration: The Foundation of Prevention and Treatment

Daily deep hydration of the skin is a cornerstone in managing eczema and preventing flare-ups. Using the right medical-grade moisturizers helps maintain the skin’s natural barrier, reducing irritation and dryness.

Frequency and Timing

  • Hydrate the skin at least once or twice daily during stable periods.
  • During flare-ups, increase hydration frequency and focus on dry and irritated areas.
  • Features of Ideal Moisturizers: Thick creams or ointments free from fragrances and irritants.
  • Apply moisturizers immediately after bathing or washing hands to lock in moisture.

Corticosteroid Creams: Effective and Safe When Needed

Corticosteroid creams are among the most commonly prescribed treatments for eczema flare-ups. They effectively reduce inflammation and itching when used appropriately and for short durations.

How to Use 

Apply once or twice daily as per the doctor’s instructions.

Treatment usually begins with mild corticosteroids, such as hydrocortisone (0.5% or 1%), for mild cases.

The doctor may recommend stronger options like mometasone (Elocom) in severe cases.

Correct Dosage

The quantity can be measured using the “Finger Tip Unit” method. Squeeze the cream to cover an adult’s fingertip from the first crease to the tip, which is sufficient to cover an area the size of two adult palms.

Additional Treatment Options for Advanced Cases

In some cases, additional medications may be required to manage symptoms more effectively:

  • Topical Antibiotics: Prescribed when bacterial infection signs are present, such as severe redness, oozing, or crusting.
  • Antihistamines: Recommended to alleviate intense itching, particularly if it disrupts the child’s sleep.
  • Calcineurin Inhibitors: Topical treatments like tacrolimus (Protopic) or pimecrolimus (Elidel) may be prescribed for moderate to severe cases in children over two years old. These are often used as alternatives or alongside corticosteroids.

Daily Skin Care Guidelines

Daily skin care plays a vital role in managing eczema and reducing the frequency of flare-ups.

Bathing

  • Use lukewarm water for short baths (5-10 minutes).
  • Opt for soap-free, gentle cleansers designed for sensitive skin.

Clothing

  • Avoid irritating fabrics like wool or synthetic materials.
  • Choose soft, loose-fitting, cotton clothing.

Laundry Detergents

Use hypoallergenic detergents and avoid fabric softeners.

Avoid Triggers

Monitor environmental and dietary triggers, such as pet dander, dust, and specific foods.

Adhere to Treatment

Use prescribed medications and maintain a daily hydration routine, even during symptom-free periods.

The Role of Parents in Managing Eczema

Effectively managing eczema requires full cooperation from parents to ensure adherence to treatment and medical advice. Monitoring changes in the child’s skin and consulting the doctor promptly when complications arise is essential.

Comprehensive Care at Al-Ahli Hospital

At Al-Ahli Hospital, we provide holistic and specialized care for children with eczema. Our dermatology experts are committed to delivering the best treatment plans tailored to your child’s needs, ensuring their comfort and well-being. For the best care for your child’s skin, book your appointment with our experts today.

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