When you finally identify those dry, red, itchy patches on your baby’s skin as eczema or atopic dermatitis, a lot of your worry and stress goes away. That’s because this form of eczema is very common (it affects one in every five children, ref: gosh.nhs.uk) and can be very easily treated without a prescription.
But often, knowing your baby has eczema (atopic dermatitis) can raise even more questions, like:
- Can eczema (atopic dermatitis) be cured?
- Can your baby’s eczema (atopic dermatitis) improve or even disappear?
- What factors affect eczema (atopic dermatitis) flare-ups?
- When will eczema (atopic dermatitis) first appear?
- What is the best treatment for this skin condition?
Mustela is here to help. This article will answer those questions and help you see why, if you treat it correctly, eczema (atopic dermatitis) isn’t anything to worry about.
Can Eczema (Atopic Dermatitis) Be Cured?
The simple answer is no, eczema (atopic dermatitis) cannot be cured. This form of eczema is encoded in your baby’s genetic makeup and can never be removed completely. The red, itchy patches that flare up on your baby’s skin are caused by a combination of:
- Atopic-prone (dry) skin
- A reaction to some allergen(s) in your baby’s environment
As bad as that may sound, eczema does not pose a threat to your baby’s long-term health or happiness. Because eczema (atopic dermatitis) is essentially an allergy like the hay fever that most adults suffer from, that means there is relief that can improve your baby’s comfort level and temperament.
Unlike you, your baby can’t take an allergy pill. Instead, they just need a little TLC in the form of a daily application of an emollient cream. When your baby’s body reacts to the allergens, it’s with inflamed, itchy skin instead of with sneezing and a runny nose. When put that way, it doesn’t seem like such a major thing anymore, does it?
Can Your Baby’s (Eczema) Atopic Dermatitis Improve or Even Disappear?
Yes! Your baby’s eczema (atopic dermatitis) will get better, and will even disappear completely if treated properly. Again, that doesn’t mean your baby is cured.
Your child will always be prone to eczema (atopic dermatitis) outbreaks, even into adulthood, because of their atopic-prone skin. And those flare-ups will come and go from time to time depending on their environment and how much care is put into preventing them.
Before we talk about treatment options, it’s important to understand what factors can lead to an eczema (atopic dermatitis) flare-up, and when those flare-ups can first appear.
What Factors Affect Eczema (Atopic Dermatitis) Flare-Ups?
One of the major factors that can affect eczema (atopic dermatitis) flare-ups is your baby’s skin itself. The genetic condition mentioned earlier can result in what’s called atopic-prone skin. This is really just a fancy term for skin that is dry and easily irritated.
On a more technical note, atopic-prone skin is characterized by “holes” in the protective layer of water and oil (hydrolipidic barrier) on your baby’s skin. Those holes allow moisture to escape and allergens to get in. This combination of dry skin and irritation leads to flare-ups when conditions are right. What makes the conditions “just right”?
It all depends on the sensitivity of your child’s skin. If they suffer from extreme atopic-prone skin, every little thing may cause a flare-up. If they suffer from mild atopic-prone skin, only a very specific set of circumstances may cause a flare-up.
And those “just right” conditions also depend on your child’s environment and activities. They may be allergic to certain fabrics, the pet dander from your dog, or even something they ate. That’s why it’s so important to consult a physician to help you identify the triggers that set off your baby’s eczema (atopic dermatitis).
Another major factor that affects eczema (atopic dermatitis) flare-ups is regular daily care. As you’ll see in the care and prevention section below, the diligence with which you treat your baby’s skin goes a long way toward minimizing the itchiness and swelling of flare-ups and even keeping them at bay.
Now that we know what can lead to an eczema (atopic dermatitis) flare-up, let’s discuss when those flare-ups may first appear.
When Will Eczema (Atopic Dermatitis) First Appear?
The first signs of atopic-prone (dry) skin can appear at birth. Dry, even scaly, patches of skin can indicate that your baby may be suffering from an eczema (atopic dermatitis) flare-up.
Those flare-ups usually begin to occur when your baby is two months old, although they can appear even earlier. Flare-ups are nothing to get worked up or worried about. They will not cause any lasting damage to your baby’s skin unless they are left untreated and get infected.
From two months to one year of age, flare-ups will mostly appear on the chubby areas of your baby’s body, such as their:
Keep in mind that stress can also set off an eczema (atopic dermatitis) flare-up. So even if you treat your baby’s skin daily and haven’t seen an outbreak in months, when they start teething around six months, a flare-up may appear despite your best efforts.
This, in itself, is nothing to worry about. It doesn’t mean that the condition has worsened or that you did something wrong. It merely means that the stress of teething caused an extreme reaction on your little one’s skin. Keep up the treatment as we outline below, and when that initial teething pain goes away, so too will their eczema (atopic dermatitis) flare-up.
After the age of one, eczema (atopic dermatitis) may appear less on the chubby areas of your baby’s skin and more on the skin folds, such as elbows, neck, back of the knees, wrists, and even behind the ears (a particularly atopic-prone part of the body).
By the age of three or four, flare-ups will continue to appear on skin folds but will also appear on hands and around the mouth and eyes. By five or six, eczema (atopic dermatitis) usually goes away. This is thanks to a combination of treatment and your child’s development.
Even after the symptoms disappear, continue to treat your child just like you did before to minimize flare-ups from occurring.
A Note About Facial Eczema
Many parents will panic when their baby’s eczema flares up on their face. They’re nervous because the red bumps have appeared in such a prominent place, and they fear that their baby will suffer this way for the rest of their life.
If you feel like this at the first signs of your baby’s eczema face, try to relax. First of all, it’s a normal reaction to be concerned about your baby’s well-being. Second, as we mentioned above, eczema — even facial eczema — won’t cause any lasting damage as long as it’s treated properly.
One of the best ways to treat facial ezcema is with a special cream designed exactly for that, such as Mustela’s Stelatopia Emollient Face Cream.
Care & Prevention Of Eczema (Atopic Dermatitis)
The best method for treating and preventing eczema (atopic dermatitis) flare-ups is to apply an emollient product to your baby’s skin every day. We recommend Mustela’s Stelatopia Emollient Cream or Stelatopia Emollient Balm.
These specially designed formulas are safe enough to start using the day your baby is born and powerful enough to use every day thereafter to prevent atopic-prone skin and eczema (atopic dermatitis) flare-ups.
The Best Way To Apply An Emollient Cream
Even though an emollient cream is specially formulated for eczema-prone skin, the way you use it isn’t really any different than the way you use a regular cream. Simply apply the emollient product twice per day to your little one’s clean, dry skin while paying special attention to particularly dry areas.
Wash your hands to remove any foreign substances like dirt, pollen, adult hand creams, and animal dander. Washing is also a great way to soften and warm your hands so that you don’t irritate your baby’s skin or give them a shock when you apply the emollient.
We recommend avoiding regular liquid or bar soaps and opting instead for a gentle, fragrance-free soap like Mustela’s Stelatopia Cleansing Cream. This will minimize the risk that you transfer an allergen to your little one’s skin.
Remove your jewelry. As an adult, you probably don’t think about how rough and sharp jewelry can be because it doesn’t bother your mature skin. But to your little one’s eczema-prone skin, a small nick or rough edge can feel like a pinprick.
Your baby will wriggle and move while you’re rubbing their skin, so we suggest removing all jewelry from your fingers and wrists before applying an emollient product. This will ensure that nothing comes between you and your little one’s sensitive skin.
Make sure your nails are trimmed. You don’t have to trim your nails every time you apply an emollient cream. That’s unnecessary. You really just need to make sure they’re short enough (so they don’t poke or scratch your baby’s sensitive skin) and that there are no sharp points or jagged edges.
Warm the emollient cream before applying it to your baby’s skin. Cold and heat can trigger an eczema flare-up just like dust, rough fabrics, and other irritants. You don’t want to accidentally cause an eczema flare-up while you’re trying to prevent them.
To warm the emollient cream, squirt a generous amount onto the palm of your hand. Then rub your palms together for about ten seconds (like you would if you were trying to warm them on a cold day). You don’t have to apply the emollient to the backs of your hands like you would a regular hand cream, so resist the urge to rub in a circular motion.
Additionally, before you dismiss this step as unnecessary, think about it this way. Most creams are stored at room temperature. Depending on the time of year and how cool or warm you like to keep your house, that can range anywhere from 65 to 80 degrees Fahrenheit.
Your baby’s normal skin temperature is 86 to 89 degrees Fahrenheit (about six degrees less than their core body temperature). So if you keep your house at 70 degrees Fahrenheit, the emollient cream will be at that temperature too.
Imagine applying a cream that is almost 20 degrees cooler than the temperature of your baby’s skin. That would come as quite a shock to your sensitive little one. You can avoid this shock and keep your baby comfortable (and flare-up-free) by warming the emollient cream before applying it to their skin.
Apply the warm emollient cream all over your baby’s body. Even if your baby’s eczema only flares up in certain areas (like their wrists or cheeks), it’s a good idea to apply the emollient everywhere. This helps strengthen the hydrolipidic layer on your baby’s skin.
Don’t forget especially flare-up-prone areas, like the creases behind your baby’s ears and in their elbows and knees.
Apply An Emollient Multiple Times A Day
We recommend at least twice (morning and evening), but don’t be afraid to apply emollient cream three, four, five or more times per day if that’s what your baby needs to stay comfortable.
You can also prevent eczema (atopic dermatitis) flare-ups during bath time by using Mustela’s Stelatopia Bath Oil to keep irritating chemicals off your baby’s skin.
Expert tip: Because clothing can often irritate your little one's eczema-prone skin and cause a flareup, be careful of the materials you dress them in, especially overnight. Try Mustela's Stelatopia Skin Soothing Pajamas, which deliver soothing moisture while your baby sleeps.
With repeated emollient use and as your baby’s skin begins to repair its hydrolipidic layer, the potential for flare-ups will decrease. That means you’ll eventually be able to reduce the number of emollient applications your baby needs to stay comfortable and avoid flare-ups.
Remember, that doesn’t mean that your baby has been cured — that their atopic dermatitis has gone away completely. It just means that you’ve eliminated the irritants that cause flare-ups and that their sensitive skin has gotten stronger.
But until that happens, continue to keep your little one happy and healthy. For babies with eczema-prone skin, that means fewer irritants and plenty of emollient cream.