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Itchy and Scratchy: Eczema in Kids


Medically Reviewed On: November 12, 2003

When you feel an itch, your first instinct is to scratch it for relief. Sometimes a simple scratch will help right away, and sometimes that itch continues to drive you crazy. For people with eczema, a chronic inflammatory skin condition, scratching won't make the itch go away. In fact, it will only perpetuate the red, itchy, flaky skin caused by eczema.

But try telling that to a kid. Since eczema commonly strikes in young children, it's important to find ways to prevent it from spreading to different parts of the body and to curb the scratching. A number of factors can trigger an eczema flare-up, only some of which can be controlled. If a flare-up occurs, there are two types of medications, steroidal and non-steroidal, that can be applied to help relieve the symptoms of eczema. While the word "steroid" may carry the stigma of dangerous body-building steroids, the steroids used for eczema are a different type of drug.

Doris Day, MD, is a clinical assistant professor of dermatology at the New York University Medical Center. She often treats children with eczema, and has helpful advice on how to approach their treatment, including the advantages and disadvantages of steroidal and non-steroidal treatments.

When do parents seek help for their child's eczema?
I tend to see children after about the age one or two, though sometimes they are as old as five, six or seven. These are children whose parents may have been unable to manage it with their pediatrician. Now they're finding that they need some help.

What triggers eczema in children?
There are so many factors that can precipitate an attack of eczema in a child. It can be change of weather, a cold or viral infection, or it can be clothing that's put on them, which they may not be able to express is uncomfortable.

If children have an itch, they're going to scratch it. That scratching itself will exacerbate the eczema. With a grownup, they're going to have a little bit more control. But with a child, if something is itching them, they are going to go after it, and that creates a whole itch-scratch cycle that has to be stopped in order to help get control of the eczema.

Is there a cure for eczema?
Right now, there is no cure for eczema. As we do more research and we understand it better, we're hoping to find a cure. Fortunately, with a lot of the treatments we have, we're able to control it, and that's where we are right now.

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