Sandy Crest 24 Hour Medical Centre, Holetown, St. James, Barbados


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Sandy Crest Medical Centre - Health Tips

 

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Atopic Dermatitis/Eczema

 

Often begins between ages 2 to 6 months. Initially a very dry, sensitive and itchy forehead, cheeks and scalp rash is noted; later spreads to trunk, creases of elbows, knees, wrists. Often a family history of asthma, allergies or eczema.

 

There is no cure; however, most children “grow out of it”. Steroid creams are the main treatments for eczema flare ups; in severe cases steroid ointments are used. Application of prescription strength steroid cream/ointment to the face and diaper area should be avoided, unless specifically instructed to do so.

 

After eczema settles, it is best to taper steroid use by applying every other day for 2 to 3 weeks before completely stopping. Oral antihistamines helps control itching. Daily bath for 15-20 minutes helps moisturize the skin. Use a mild, nondrying soap, (e.g. Dove) and avoid vigorous scrubbing, use a soft towel to pat the skin dry. A doctor recommended lubricating cream or ointment should be liberally applied to the skin within 3 minutes of bathing (and after the steroid cream/ ointment) and throughout the day as needed; this should be used every day, even when the eczema isn't flaring-up.

 

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