eczema in children
Introduction
Introduction Pediatric eczema is an allergic skin disease, which is commonly called allergic skin disease. The main cause is intolerance or allergies to food, inhalation or contact. Children with eczema initially have red skin, a rash, followed by rough skin and scaling, and the skin of the child is like touching the sandpaper. Eczema can be noticeable when exposed to heat or humidity. Should be treated with hormone-free external supplies.
Cause
Cause
Direct cause
The cause of baby eczema is complicated, and allergic factors are the most important, so there is a family history of allergies (such as father, mother, grandfather, grandmother, grandfather, grandmother, brothers and sisters and other family members have had eczema, allergic rhinitis, allergies Children with dermatitis, allergic conjunctivitis, asthma, food allergies and drug allergies are prone to eczema.
About 20% of babies have varying degrees of intolerance to milk proteins, often with varying degrees of eczema, and severe cases of diarrhea or even blood in the stool. In general, babies are only intolerant to milk protein, but individual children are not tolerant to breast milk proteins. This intolerance is more intense than the beginning of January to February. It usually reaches a peak around 4 months after birth. With the addition of complementary foods, the situation has begun to improve, and it generally disappears around 2 years old. However, some children will get more and more rashes, and food allergies, allergic rhinitis, and even allergic asthma will appear in the future.
Predisposing factor
In the case of eczema, many substances can induce or aggravate the symptoms of eczema, such as protein in food, especially fish, shrimp, eggs and milk, contact with chemicals (skin care products, toiletries, detergents, etc.), wool products, Chemical fiber products, plants (various plant pollen), animal leather and feathers, infection (virus infection, bacterial infection, etc.), sun exposure, high ambient temperature or wearing too warm, cold, etc., can stimulate the baby's eczema recurrence or Aggravated. There is a special type of pediatric eczema that happens around the child's anus, often accompanied by a tapeworm infection called aphid eczema.
Examine
an examination
Related inspection
Physical examination of skin diseases
Disease diagnosis
Diagnostic criteria for Chinese medicine: infant eczema is also known as milk thistle, wet sore. It is characterized by erythematous miliary papules, acne rashes or blister rupture, which are characterized by punctate erosion, exudation, scarring and severe itching.
Skin damage characteristics:
1, skin lesions occur in the face first from the cheeks and then extended to the scalp can also be spread throughout the body, often severe itching, accompanied by restless sleep, look irritated, and prolonged.
2, skin lesions have wet, dry points, wet people with erythema, blisters, erosion, diagnosis of the main performance, more common in 1-3 years old, dry skin dry, desquamation-based no diagnosis, more common in Thinner children over 1 year old.
3, skin lesions light and heavy, when the time is on, often in fever, diarrhea, the symptoms suddenly disappeared, to be hot, diarrhea, the symptoms suddenly disappeared, after the diarrhea stopped, the skin lesions appeared.
4. Some children and other families have a history of asthma.
Western diagnostic criteria: common allergic rash, various skin lesions, various forms, accompanied by itching and sputum Liu Zi knot symptoms of skin itching, according to symptoms can be divided into diagnosis of bleeding, dry, seborrheic, eczema.
Diagnosis
Differential diagnosis
Differential diagnosis
Baby eczema: baby eczema Chinese medicine called milk thistle. It usually begins in the second or third month after birth. Occasionally on the face and skin wrinkles, but also affect the whole body. Generally, it gradually reduces to recovery as the age increases. However, a small number of cases continue to progress to childhood or even adulthood.
The disease is longer, the rash is more complicated than the baby eczema, in addition to erythema, blisters, erosion, scarring, as well as papules, small nodules, small winds and moss.
The rash is more itchy, bloody, and scratches. The rash is mostly dry, and it is easy to merge with purulent infection after scratching.
The predilection site is often not in the face but in the flexor and wrinkles of the extremities, such as the armpits, elbow fossa, and groin.
