My baby has eczema. What should I do?
Learn about the signs, causes and treatment options for baby eczema to help your little one feel better fast.
In this article:
What is eczema in babies?
Is your baby fussy and constantly rubbing their cheeks? Your little one might be suffering from baby eczema, which goes by the medical name “infantile atopic dermatitis.” While not contagious, atopic dermatitis is an inflammatory skin condition that often causes dry, itchy skin. Eczema can occur any time in a person’s life, but studies suggest that it’s more common in children. In fact, 60 percent of eczema cases develop within the first year of life.
If your baby is suffering from eczema, it can be stressful for all involved, especially as you watch your little one experience discomfort. Unfortunately, there’s no known cure for eczema, so the goal in treatment is to choose the right remedy to reduce symptoms and bring your baby — and you! — some much-needed relief.
What does baby eczema look like?
“In babies, eczema often looks like pink scaly patches on the cheeks, neck and hands,” says Elizabeth Lebrun Nestor, MD, FAAD, a board-certified dermatologist at Siperstein Dermatology Group based in Boca Raton, Florida. “In older children, however, it’s more often present in the skin folds, such as elbow creases or behind the knees.”
According to the American Academy of Dermatology, eczema on a baby’s face and elsewhere looks like dry, scaly and raw skin, and it may develop into a bubbly rash that leaks fluid. These uncomfortable rashes can turn painful during periods of flare-ups when the skin can crack and even bleed, says Dr. Nestor. Additionally, the itching sensation of eczema may cause babies to scratch the area, thereby increasing the inflammation, redness, oozing and crusting.
What causes baby eczema?
Eczema doesn’t have one specific cause — it’s brought on by a mix of genetic and environmental factors. Some studies suggest these common causes:
Food allergies (an egg sensitivity, for example) may be related to baby eczema.
If a parent has eczema, their children are two to three times more likely to develop eczema than other children.
About half of people with eczema have less of the skin protein filaggrin, which can lead to a weakened skin barrier.
Keep in mind, eczema is not contagious, so babies can’t catch it from other children or adults.
What causes eczema to flare up?
“When people have a genetic predisposition for eczema, there is often a trigger that causes an eczema flare in their skin,” says Dr. Nestor. “These triggers may be emotional, such as stress, or environmental, such as exposure to certain irritants, chemicals or fragrances.” Heat and humidity can serve as additional triggers for a baby’s eczema as can dry, cold or windy weather. These conditions irritate the skin and disrupt the skin barrier and can aggravate rashes, according to Tsippora Shainhouse, MD, FAAD, a board-certified adult and pediatric dermatologist at SkinSafe Dermatology and Skin Care in Beverly Hills, California.
How long does baby eczema last?
Wondering if your baby will grow out of this itchy condition? The good news is that some children start experiencing fewer flare-ups as they get older — and eczema may go away completely by age four. For others, this is a lifetime condition that extends into adulthood.
When a baby is experiencing a flare-up, it may take a few weeks for the skin eruption to subside. Your doctor may recommend sticking with a new treatment for at least two weeks to see if it has a positive effect.
Baby eczema treatment
It’s best to first visit your child’s pediatrician or a pediatric dermatologist to receive a definitive diagnosis and to develop a treatment plan. Typical treatment for baby eczema involves daily bathing and moisturizing.
When bathing your baby, Dr. Shainhouse encourages the use of warm — not hot — baths, limited to 5 to 10 minutes, and recommends the following regimen:
Choose a non-soap liquid wash. Eucerin Baby Eczema Relief Cream Body Wash and Aveeno Baby Cleansing Therapy moisturizing and soothing wash are free of fragrance and soap — all common triggers, according to the American Academy of Dermatology. When you’re on the go, wipes like Aveeno Baby Sensitive All Over Wipes will work in a pinch.
Pat skin dry after bathing.
Moisturize skin with lotion within three minutes of patting dry to help lock in moisture.
Baby eczema creams
“Choose a moisturizer with hyaluronic acid, a natural moisturizing factor, or glycerin to attract water into the top layers of the skin, and ceramides to repair and strengthen the skin barrier,” instructs Dr. Shainhouse. “Look for ingredients such as dimethicone, panthenol, sunflower oil or petrolatum to act as a barrier to help lock in that moisture.” Moisturizers that meet these guidelines and are formulated for babies include Aveeno Baby Eczema Therapy Moisturizing Cream and Eucerin Baby Eczema Relief Body Creme.
How can I stop my baby from scratching?
It can be especially hard to keep babies from scratching — you can’t reason with them to stop, after all. Dr. Nestor recommends keeping your baby’s nails short, which will minimize damage. “Some parents may put mittens on their babies to prevent scratching, as well,” she adds.
By learning to care early on for your baby’s skin, you’ll have the tools to manage flare-ups as your children get older, helping to keep future eczema issues as infrequent — and painless — as possible.
Baby eczema versus acne
While you might associate acne more with middle school than the baby stage, acne is common in the first few weeks of life, with about 20 percent of newborns experiencing neonatal acne. Baby eczema and acne can look pretty similar — both often occur around the facial cheeks and show up as red, bumpy and rash-like. What can look like eczema on a baby’s scalp can actually be seborrheic dermatitis (“cradle cap”). If your baby is experiencing any of these conditions or you’re not sure, it’s best to see a health care professional to get a diagnosis and start on the proper treatment path.
*This content is for informational purposes only and is not medical advice. Consult with your health care provider before taking any vitamins or supplement, and prior to beginning or changing any health care practices.