Eczema (atopic dermatitis)
Eczema is an inflammatory skin condition that causes dry, itchy, and often sore skin. It is very common in children and frequently occurs alongside asthma, hay fever, and food allergy as part of the atopic march.
What is atopic eczema?
Atopic eczema is a long-term skin condition caused by a combination of a defective skin barrier and an overactive immune response. The affected skin becomes dry, inflamed, and intensely itchy. In infants it often affects the face and scalp; in older children the creases of elbows and knees are most commonly affected.
Management
Good skin care is the foundation of eczema management: regular emollients to repair the skin barrier, combined with topical corticosteroids or other anti-inflammatory treatments during flares. Dr Sood assesses the severity of eczema and its interaction with any underlying allergic conditions, and works with families to develop a clear treatment plan.
If your child is having a severe allergic reaction, call 999 immediately or go to your nearest A&E. Do not wait. Always carry prescribed emergency medication as directed by your doctor.
Frequently asked questions
In some children, particularly those with severe or early-onset eczema, food allergy can be an important factor. An assessment for food allergy may be appropriate, especially if eczema is difficult to control with standard treatment. Food allergy does not cause eczema but makes it difficult to treat unless allergenic food is excluded from the diet.
Many children see significant improvement as they get older. Around half of children with moderate eczema are largely symptom-free by their teenage years, though some continue to have dry or sensitive skin.
Atopic eczema is caused by a combination of genetic and immune factors. Contact dermatitis is a localised reaction to a specific substance (such as nickel, fragrance, or rubber) that comes into contact with the skin.
Concerned about your child?
Book a consultation with Dr Sood to discuss your child's symptoms and get a clear diagnosis.