Pediatric Skin / Eczema Support

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Pediatric Skin / Eczema Support

The objective of this page is to help parents to understand more about common skin conditions in children and seek early medical attention when necessary.

By Dr Oh Hoey Hoey, Pediatric Dermatologist Penang

27/11/2020

Can my child with eczema swim?

Pool chemical can irritate the skin. However, your child with eczema still can enjoy swimming in the pool if his or her skin condition is under controlled.

27/11/2020

How much steroid should I apply?

Finger-tip unit (FTU) is a useful measurement.

One finger-tip unit (FTU) is measured as a thin line of cream squeezed from the nozzle from the tip to the first crease of your index (second) finger.

This amount is sufficient to cover an area that is double the size of an adult palm.

Oh Hoey Hoey
Pediatric Dermatologist Penang

13/11/2020

Is topical steroid safe?
Yes, if it is used correctly.

Topical steroids are identified by their strength (potency), ranging from low potency, eg 1% hydrocortisone cream, to very potent cream.

Your doctor will prescribe the appropriate strength depending on the
-site
-severity of the lesions
-age of your child

For example, only mild topical steroid is prescribed for lesions over the face as the skin is thin.

Always follow the instruction by your doctor. Topical steroid can bring unwanted side effects if you use them incorrectly.

13/11/2020

Can you recommend the BEST emolllient?
Well, there is no head to head comparison.

Choose the one which
-works best for your child
-your child will frequently apply
- is affordable

Where to apply?
Whole body

When to apply?
-Immediately after bath ( within 3 min)
-Whenever your skin is dry
-regardless of presence of active dermatitis

May choose some which contain
-ceramides, anti-itch & anti bacterial property eg licochalcone, anti-inflammatory property eg glycyrrhetinic acid, oat etc

Oh Hoey Hoey
Pediatric Dermatologist

04/11/2020

BREAK THE CYCLE OF ITCHING AND SCRATCHING!!

DISTRACTION! DISTRACTION!
Massage or gently pat the skin
Apply cold cream/towel

Hentikan TABIAT menggaru!

Alihkan perhatian anak anda dengan mainan!
Urut atau tepuk kulit
Gunakan pelembap atau tuala sejuk

By Dr Oh Hoey Hoey
Pakar Kulit Kanak-kanak
Pulau Pinang

30/10/2020

Cream? Ointment?
Which is better?

30/10/2020

Moisturising! Moisturising! Moisturising!
Regularly and liberally!
Make it fun! Make it a routine!

Which type? Depends on your child’s preference!

23/10/2020

Good skin care routine = Daily bathing + Moisturizing

Make bathing fun with 🧸 rather than bubbles!

Tips on bathing:
1. Soap substitute / gentle cleanser
2.

16/10/2020

Tips to prevent a flare

1. Remove the sweat with a towel or quick shower after exposure to heat or sweaty activity
2. Avoidance of aeroallergen eg house dust mite
a) Remove carpets & curtains from bedroom
b) Wash bedding and pillow case weekly
c) Keep away stuffed toys
3. Keep fingernails short and filed
4. Stop the itch-scratch habit
5. Use Dye-free & scent-free products
6. Soft breathable fabrics eg 100% cotton. Avoid nylon, wool or polyester.
7. Short bath (

16/10/2020

Food allergy may be considered if your child have previously reacted to a food with immediate symptoms or in children with uncontrolled moderate to severe atopic eczema despite optimal treatment.

To make a diagnosis of food allergy, test results have to be correlated with a detailed history.

If not properly tested, your child may be positive to many foods which may not be a true allergy.

Please consult an expert for accurate evaluation.

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