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Suggest Treatment For Eczema In A Child
Question: Hi,
My son is 6 yrs 5 mos old and is suffering from eczema since birth. His condition worsened for the last 6 months. The skin rashes are more in the area behind the knees, back of the neck, and arms. We have been using the following creams and ointments as recommended by a well known dermatologist:
morning
Atoderm lotion, fudic cream, Teczine syrup
afternoon
toderm lotion, picon cream, atarax syp
nighte
Atoderm lotion, fudic.cream, atarax syrup
his condition improved temporarily. but now his problem is the same as before. severe rashes and dry skin.
please let us know if there is an alternative to the current treatment.
My son is 6 yrs 5 mos old and is suffering from eczema since birth. His condition worsened for the last 6 months. The skin rashes are more in the area behind the knees, back of the neck, and arms. We have been using the following creams and ointments as recommended by a well known dermatologist:
morning
Atoderm lotion, fudic cream, Teczine syrup
afternoon
toderm lotion, picon cream, atarax syp
nighte
Atoderm lotion, fudic.cream, atarax syrup
his condition improved temporarily. but now his problem is the same as before. severe rashes and dry skin.
please let us know if there is an alternative to the current treatment.
Brief Answer:
Avoid triggering factors, go for topical steroid along with systemic drugs
Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have gone through your complaints and can understand your concern.
Atopic dermatitis is a chronic eczema which has a tendency towards spontaneous improvement throughout childhood and half of the cases improve by the age of 13 years. Till that time you have to take care of the child.
First of all avoid triggering factors which can aggravate eczema.
Use a body wash for bathing the child instead of soap, avoid contact of wool with the skin and make him wear cotton clothing, don't use central heating, don't keep pets at home, go for regular cleaning of his room and avoid food items which seem to aggravate his eczema.
Lotions containing ceramides are quite effective in keeping this eczema under check. They have to be used frequently and liberally. One such brand available in the market is cetaphil restoraderm lotion.
You can continue rest of the medicines but I don't know the contents of toderm lotion.
If his condition is not responding to the above mentioned medicines I would recommend you to apply some moderately potent steroid like mometasone on the affected area twice daily for 7- 10 days and then reduce the frequency of application to once daily and gradually taper it off.
If the rash is severe he can be given systemic therapy. Oral corticosteroids and ciclosporin are effective in the control of childhood atopic dermatitis.
These are prescription medicines and need to be given under supervision. You have to see the doctor in person to get them.
I hope to have answered your query and would be happy to clarify any further doubts.
Regards
Dr Asmeet
Avoid triggering factors, go for topical steroid along with systemic drugs
Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have gone through your complaints and can understand your concern.
Atopic dermatitis is a chronic eczema which has a tendency towards spontaneous improvement throughout childhood and half of the cases improve by the age of 13 years. Till that time you have to take care of the child.
First of all avoid triggering factors which can aggravate eczema.
Use a body wash for bathing the child instead of soap, avoid contact of wool with the skin and make him wear cotton clothing, don't use central heating, don't keep pets at home, go for regular cleaning of his room and avoid food items which seem to aggravate his eczema.
Lotions containing ceramides are quite effective in keeping this eczema under check. They have to be used frequently and liberally. One such brand available in the market is cetaphil restoraderm lotion.
You can continue rest of the medicines but I don't know the contents of toderm lotion.
If his condition is not responding to the above mentioned medicines I would recommend you to apply some moderately potent steroid like mometasone on the affected area twice daily for 7- 10 days and then reduce the frequency of application to once daily and gradually taper it off.
If the rash is severe he can be given systemic therapy. Oral corticosteroids and ciclosporin are effective in the control of childhood atopic dermatitis.
These are prescription medicines and need to be given under supervision. You have to see the doctor in person to get them.
I hope to have answered your query and would be happy to clarify any further doubts.
Regards
Dr Asmeet
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Prasad
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