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Suggest Treatment For Rashes On The Chest And Hands In A Child

Posted on Tue, 17 Jan 2017

Question: my baby is 18 months old and suddenly he started having these rashes on his chest and hands below elbow. It's have been a month now. I tried MMSone ointment and coconut oil as well. t's not itchy but the rashes are not clearing. Please advice.

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Seems to be endogenous eczema, answer few questions

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have reviewed the attached photographs and it seems to be endogenous eczema.
I need to ask you few questions:
Is there any personal or family history of eczema, allergic rhinitis or asthma?
Is there any personal or family history of dry skin?
For how long are you using MMsone cream?
Is the child having dryness?
Is anyone in the family having rashes and itching?
Kindly revert with the answers.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Asmeet Kaur Sawhney (29 minutes later)

yes.. i have eczema... n my eczema is very dry, itchy and skin dores out like flakes... but these rashes of baby r not itchy...
excema is supposed to be itchy na.. moreover he was drooling a lot due to teething since few days and used to wet his hands and chest completely with saliva... i have a doubt that even drooling can be the reason...
and his pediatrician saod that it's atopic... and so he prescribed cetrizine and MMSone...
i used MMSone for 3-4 days but the rashes showed no signs of recovery... i applied coconut oil in hands and there was mild positive effect.. but i m afraid to apply it on chest as he might catch cold...

Answered by Dr. Asmeet Kaur Sawhney (53 minutes later)

Brief Answer:
Seems to be endogenous eczema, mild steroid and moisturising lotion

Detailed Answer:
According to your complaints it seems to be endogenous eczema and atopic dermatitis is a variety of endogenous eczema.
Sometimes itching is not very obvious in little children.
Saliva can definitely worsen eczema and 4 days is too less a time to see the efficacy of drugs.
If I was his treating doctor I would recommend you to apply a mild steroid like clobetasone cream on the affected area twice daily along with frequent and liberal application of a moisturising lotion like cetaphil restoraderm lotion on this entire body.
Besides this use a mild soap like moisturex syndet bar or nusoft for bathing him.
Also use lukewarm water for bathing him instead of hot water, avoid direct contact of woollen clothes, avoid heaters , avoid dust and pets and keep his body as much moisturised as possible.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Asmeet Kaur Sawhney (43 minutes later)

can you pls tell me a trustworthy ointment for the chemical composition of steroid cream you have mentioned which is safe and mild for a baby?

Answered by Dr. Asmeet Kaur Sawhney (9 minutes later)

Brief Answer:
Can apply eumosone M cream

Detailed Answer:
You can apply eumosone M cream on the affected areas twice daily .

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. Remy Koshy