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Expert Q&A:
How can I help heal my son's eczema?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


My son is 2 1/2 years old. He has really bad eczema, and the doctor says we can't do anything but keep it moist. My son is always scratching. It's all over his face, in his armpits, and on his back and legs. I feel so helpless.

Answer


If what your child has is truly eczema, there is plenty that can be done for him. Keeping the skin well moisturized is one of the most important parts of both the treatment and prevention of eczema, but there are many other components of a successful program. These include the use of topical steroid ointments, which help control the itch as well as decrease inflammation in the skin, and oral antihistamines, which also help to control the itching. Sometimes antibiotics are also necessary if a secondary infection (usually caused by scratching) is present. I would recommend you have your son evaluated by a pediatric dermatologist (or a general dermatologist comfortable with the treatment of eczema). In the meantime, keep daily baths short (no longer than 10 minutes) and apply a thick moisturizing cream immediately after he finishes bathing. Also keep your son's nails trimmed, as they are the single most important source of bacteria in children with infected eczema. Good luck.

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Member comments
There is way more that you can do!
My own son's problems with eczema started at 4 months old. At 6 months he was scratching to the poi..

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