This post is sponsored by University Health.
Eczema is a common, chronic skin condition that affects many children. It causes itchy, red, and scaly patches of skin, and often, a lot of concern for parents.
Allison Swanson, MD, a University Health pediatric dermatologist, answers some of the most common questions parents have about treating childhood eczema.
To schedule an appointment with Dr. Swanson in our dermatology clinic at University Health 1 located downtown at 2101 Charlotte Street, Suite 110, call (816) 307-0997.
What causes my child’s eczema, and did I do something to bring it on?
Eczema, also known as atopic dermatitis, affects 15-20% of children in the US and usually starts before 2 years of age. Eczema is influenced by many factors including environmental and genetic causes. Most infants and children with eczema have an impaired skin barrier making their skin more likely to be dry and prone to irritation from external triggers. The allergic pathway in the bloodstream makes children with eczema feel itchy often leading to scratching and worsening of rash. 
How can I relieve my child’s itching and keep them comfortable?
Treatment is targeted at minimizing environmental triggers and use of hypoallergenic products. Avoid any products (soaps, detergents, lotions) that contain fragrance. Look for labels that say “fragrance free” or “free and clear”. Parents can also look for products labeled with a seal from the National Eczema Association which are usually safe to use. Keep bath times short and always moisturize with thick moisturizers such as petroleum-based products (eg Vaseline, Aquaphor) or cream-based moisturizers (eg Cerave cream, Vanicream, Cetaphil cream).
What treatments are safe for children, and when should stronger medicines (like steroid creams) be used?
There are many topical medications, steroid and non-steroid, that are available by prescription for infants and children with eczema. Consulting with a pediatric dermatologist to ensure the amount and potency is appropriate for your child’s age and size is important but these prescription topical steroids can alleviate itch and be used safely as needed for eczema flares.
Are there specific foods, allergens, or environmental factors that make eczema worse?
Most infants and children with eczema do not have food allergies and do not need to avoid any certain foods. If your child develops a rash within 30 minutes of eating a food or consistently has worsening eczema with a certain food group, allergy testing can be performed. Difficulty breathing after eating a certain food is a serious allergy sign and needs immediate treatment. Many changes in the environment can trigger eczema flares such as new animals, air pollution, fragrances in air fresheners or weather changes. Rehoming pets is often not needed if your child has eczema and your doctor can guide you on allergy testing and how to eliminate potential irritants.
Will my child outgrow eczema, or is this a lifelong condition?
Children can outgrow eczema but often not before age 3-5 and for many children it can be
persistent or recurrent throughout life. New treatment options targeting the immune pathway responsible for eczema have provided immense benefit for children with severe or persistent disease.
How do I schedule an appointment?
UH Dermatology does not require a referral, call today for your appointment! (816) 307-0997.
