What medicine to use for children's eczema symptoms

It is very common for children to suffer from eczema. Some children even have allergic constitutions and eczema will recur repeatedly, causing great distress to both parents and children. When childhood eczema occurs, the child will become irritable and restless, and the itching will worsen and the child will scratch the skin, leading to more serious blisters, etc. Therefore, timely treatment is necessary. What medicine is good for the symptoms of childhood eczema? You can choose to apply external ointment and take some anti-inflammatory drugs orally.

1. Clinical manifestations of eczema in children

The main symptoms are chronic recurrent itching, which affects sleep. It is often characterized by chronic recurrent dermatitis in flexural areas such as the elbows and popliteal fossa. The initial lesions are dense millet-sized papules, papulovesicles or blisters on an erythematous basis. After the blisters rupture, erosive surfaces are formed with serous exudation and crusting. If acute eczema is not treated properly, it may turn into subacute or chronic eczema. If treated promptly and appropriately, it may gradually improve, but it is prone to relapse. In severe cases, large areas of erythema may occur, covered with groups of papules, papulovesicles, blisters, erosions and exudates, with thick crusts on the surface, and may also extend to the entire head and face or head and neck. Erythematous papules, papulovesicles, blisters and pruritus appear around the lesions. Abrasions may cause erosion and scabs, with pus oozing under the scabs, small pustules on the edges, and local lymph nodes enlargement and tenderness. Parallel linear erythema, papules and blisters caused by scratching may also occur in nearby or distant areas.

2. Drugs for the treatment of eczema in children

1. Topical medications

(1) Corticosteroid cream is the drug of choice. Different strengths of corticosteroid creams should be selected according to the child’s age, location, nature, and area of ​​lesions, and attention should be paid to side effects.

(2) Calcineurin inhibitors include tacrolimus ointment and pimecrolimus cream, which are new non-hormonal therapeutic drugs with proven efficacy and no side effects of hormones.

(3) Antibiotics are mainly used for critically ill patients and those with obvious exudation;

(4) Astringent and antipruritic agents are mainly used for symptomatic treatment.

2. Oral medication

(1) Antihistamines mainly have antipruritic and anti-inflammatory effects. Sedative and non-sedative antihistamines can be selected according to the needs of the patient, such as using non-sedative antihistamines during the day and sedative antihistamines at night;

(2) Antibiotics are mainly used for critically ill patients and those with obvious exudation. Pay attention to the dosage and course of treatment and do not abuse them.

(3) Hormone therapy should be used with caution and only for severe attacks that are difficult to control with other drugs. For patients with acute and widespread disease or those who do not respond well to multiple treatments, short-term use of corticosteroids, such as oral prednisone, may be considered, but not long-term use.

(4) Immunosuppressants and anti-inflammatory mediator drugs should be selected appropriately according to the situation.