Children with eczema must bathe daily and have moisturisers applied at least twice per day top-to-toe . This should continue even when the skin is clear. seborrhoeic eczema – a type of eczema where red, scaly patches develop on the sides of the nose, eyebrows, ears and scalp Steroids should be applied generously underneath the moisturiser. Steroid dosage can be calculated using the " Fingertip Unit" method There is concern that the child’s carers are not able to provide appropriate eczema treatments and are unable to access outpatient supports The usual dose is 1 or 2 drops in your eye every 1 or 2 hours. Once the redness, itching and soreness starts to feel better, the drops can be used less often.

varicose eczema – a type of eczema that most often affects the lower legs and is caused by problems with the flow of blood through the leg veins Food allergies: Allergy testing is usually not required. As food allergy is not commonly responsible for eczema flares, parents are encouraged to discuss the initiation of restrictive diets with a Dermatologist or General Paediatrician. Keep skin intact: Avoid skin trauma caused by abrasions (eg rough fabrics, sand) and chemicals (eg soaps). Keep fingernails short. Mittens or night-time hand splints may help prevent scratching when asleep. changes in your sense of smell and taste a few minutes after your dose – rinse your mouth with water or have a drink of water.

2. Key facts

Bepanthene ® Eczema παρέχει στο δέρμα λιπίδια παρόμοια με εκείνα της κεράτινης στοιβάδας. Με αυτόν τον τρόπο εξομαλύνει τη δομή των πεταλοειδών λιπιδίων της επιδερμίδας, βελτιώνει την ξηρότητα, και εν συνεχεία τον κνησμό, συμβάλλοντας ουσιαστικά στη βελτίωση της λειτουργίας του επιδερμικού φραγμού 1,6,7. Η προβιταμίνη Β5, ή δεξπανθενόλη, μετά την απορρόφησή της από το δέρμα, μετατρέπεται σε φαρμακολογικά δραστικό παντοθενικό οξύ το οποίο είναι απαραίτητο για τη βιοσύνθεση των λιπιδίων του δέρματος. Με αυτόν τον τρόπο αυξάνεται η ενυδάτωση της κεράτινης στοιβάδας και ελαττώνεται η διαδερμική απώλεια νερού, με αποτέλεσμα το δέρμα να διατηρείται ενυδατωμένο 8-11. Τέλος, η γλυκερίνη συσσωρεύεται σε όλο το πάχος της κεράτινης στιβάδας, δεσμεύοντας και συγκρατώντας το νερό σε αυτή, και με αυτόν τον τρόπο εξασφαλίζει ενυδάτωση μακράς διάρκειας. 12 Rehydrating the skin and repairing the barrier function of the skin can be achieved during the day with the routine application of unscented moisturizers. This includes application of moisturizers immediately following baths or showers. Bathing or showering should be short and use warm (not hot) water, and cleaning should be done with the least amount of non-irritating soaps or non-soap cleansers (pH balanced to the skin). Associated symptoms (reduced sleep, itch, irritability, poor feeding, failure to thrive and developmental delay) Signs of infected eczema (eg crusted, vesicular, satellite, pustular, erosive, tender, scabbed or weeping lesions on eczematous skin)

Always follow your doctor's instructions, or the leaflet that comes with your medicine. How to use the eye ointment Typically, you or your child will be diagnosed with atopic eczema if you, or they, have an itchy skin condition and 3 or more of the following: Avoid contaminating the moisturiser with bacteria from the hands. With tubs use a tool such as a spatula ( not hands) to remove it and place it onto clean paper. Moisturiser from the paper can then be applied by hand to the child’s skin. Antihistamines may help ameliorate eczema pruritus. Avoid long-term antihistamine use, manage with eczema flare treatment insteadirritation, burning, stinging and itching in your eye – if you get these symptoms after putting in the eye drops, they should go after a few minutes as your eye gets used to the medicine. If they last longer and do not improve, stop using the eye drops or ointment and tell your doctor. Children who are unwell or who have severe infections may require admission and intravenous antibiotics