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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Is Having Itchy Eruptions Around Neck And Legs. Applied Ritch Cream And Atarax Syrup. Advise?

hello doctor,
My baby is 9 months old, she is having eruptions(its itching) around the neck and legs from 20 days.early they are 3 to 4 now they became more. we consulted doctor she has given one ointment (Ritch cream) to apply and one syrup(Atarax) to give orally.we used for a couple of days,now baby is having rash around the neck (like pricklyheats) along with erutions . we dont know what to do now.please suggest us why they came, and good medician for those rash and erruptions. otherwise we have to meet skin doc?. Thankyou
Fri, 30 Aug 2013
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Pediatrician 's  Response
Hi I am Dr.kadhir

The symptoms you mention correlate with atopic eczema. It is a red , itchy, scaly eruption commonly seen in infants. the common sites are neck,legs,arms (especially in folds)

Still it would be better to have look at it before staring treatment, as some times bacterial infections over the skin can also present in similar way.The treatment is completely different in both conditions.

Atopic eczema is usually treated will application of emoliants (eg: emoderm) over the skin (generous use) after bath , during bedtime .The bath time should be shorter even wiping with warm water will suffice.

The baby is usually well in case of atopic eczema (but has itching), but in case of infection the babies would generally be sick. Soaps like dove are better as they are more acidic and less alkaline and suits babies skin . Do not use baby oils.

Topical steroid, such as .5 to 1 percent hydrocortisone cream can also help when not controlled by above means. Unlike bacterial infections antibiotic cream has no role in eczema and may aggravate the problems by destroying the flora of the skin. Itching usually settles as the eruptions are cured , drugs like atarax also help.

Hand hygiene of those handling her and trimming her nails are also important in management. Eczema also improves as the child grows ad when the skin thickens.

Better to consult a dermatologist before staring the treatment.

Thank you for the consultation in health care magic.


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Child Is Having Itchy Eruptions Around Neck And Legs. Applied Ritch Cream And Atarax Syrup. Advise?

Hi I am Dr.kadhir The symptoms you mention correlate with atopic eczema. It is a red , itchy, scaly eruption commonly seen in infants. the common sites are neck,legs,arms (especially in folds) Still it would be better to have look at it before staring treatment, as some times bacterial infections over the skin can also present in similar way.The treatment is completely different in both conditions. Atopic eczema is usually treated will application of emoliants (eg: emoderm) over the skin (generous use) after bath , during bedtime .The bath time should be shorter even wiping with warm water will suffice. The baby is usually well in case of atopic eczema (but has itching), but in case of infection the babies would generally be sick. Soaps like dove are better as they are more acidic and less alkaline and suits babies skin . Do not use baby oils. Topical steroid, such as .5 to 1 percent hydrocortisone cream can also help when not controlled by above means. Unlike bacterial infections antibiotic cream has no role in eczema and may aggravate the problems by destroying the flora of the skin. Itching usually settles as the eruptions are cured , drugs like atarax also help. Hand hygiene of those handling her and trimming her nails are also important in management. Eczema also improves as the child grows ad when the skin thickens. Better to consult a dermatologist before staring the treatment. Thank you for the consultation in health care magic.