Baby Skin Issues: Rashes, Allergies, and Remedies

Infant skin issues

I would like to ask, since my baby is already two months old, I stopped breastfeeding after the confinement period and have been giving her a hydrolyzed formula from a sample can.
After trying that, I switched to New Angel's Anbu formula.
Recently, I noticed that she has developed large patches of redness on her face, which do not seem to be heat rash as they haven't disappeared.
I also observed that when she is on her stomach, she tends to rub her cheeks vigorously, and she also rubs her face while lying down.
Could this be an allergy? Could it be due to the formula? However, her bowel movements are normal, occurring at least once or twice a day.
I took her to an ENT specialist, and the doctor suspected it might be urticaria.
Is that possible? Should I change her formula? What else should I pay attention to? The rashes seem to slightly subside when she is calm, but her skin feels a bit rough...
Is this atopic dermatitis? However, it is only present on her face...

Le, 20~29 year old female. Ask Date: 2016/06/30

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesions, it is difficult to make a definitive diagnosis.
If you are very concerned, please seek medical attention promptly.
The diagnosis of atopic dermatitis must be based on clinical symptoms, medical history, and family history.
It is too early to diagnose atopic dermatitis in a 2-month-old infant.

Reply Date: 2016/06/30

More Info

When it comes to skin issues in infants, particularly rashes and potential allergies, it can be quite concerning for parents. Your description of your two-month-old baby developing red patches on her face, along with her tendency to rub her cheeks, raises several possibilities, including allergic reactions, eczema (atopic dermatitis), or even conditions like urticaria (hives).

Firstly, it’s important to understand that the skin of infants is particularly sensitive and can react to various stimuli, including environmental factors, food, and even the products used on their skin. The fact that your baby has developed red patches that seem to fluctuate in intensity could suggest a few things:
1. Allergic Reaction: If the rashes appeared after switching to a new formula, it is possible that your baby is experiencing an allergic reaction to one of the ingredients in the new formula. Common allergens in infant formulas can include cow's milk protein, soy, or even certain additives. Although you mentioned that her bowel movements are normal, which is a good sign, allergies can manifest in various ways, including skin reactions.

2. Eczema (Atopic Dermatitis): This is a common condition in infants and is characterized by dry, itchy patches of skin that can become red and inflamed. Eczema can be triggered by allergens, irritants, or even changes in temperature and humidity. The fact that your baby rubs her face could indicate that she is experiencing itching or discomfort, which is typical in cases of eczema.

3. Urticaria (Hives): Urticaria is characterized by raised, itchy welts that can appear suddenly and may be triggered by allergens, medications, or even stress. If the rashes seem to come and go and are associated with itching, this could be a possibility.
Given that you have already consulted an ENT specialist who suggested the possibility of urticaria, it would be prudent to monitor the situation closely. If the rashes persist or worsen, or if your baby shows signs of discomfort, it would be advisable to consult a pediatric dermatologist or allergist for a more thorough evaluation. They may recommend allergy testing to identify any specific triggers.

In terms of formula feeding, if you suspect that the new formula could be contributing to the skin issues, it may be worth discussing with your pediatrician the possibility of switching to a hypoallergenic formula or a different brand altogether. It’s essential to make any changes under medical guidance to ensure that your baby’s nutritional needs are met.

Additionally, maintaining a gentle skincare routine is crucial. Use mild, fragrance-free cleansers and moisturizers to help keep your baby's skin hydrated. Avoid using any harsh soaps or products that could irritate her skin further. Applying a good moisturizer after bathing can help lock in moisture and protect the skin barrier.

Lastly, keep an eye on any other symptoms that may develop, such as gastrointestinal issues, respiratory problems, or changes in behavior, as these could provide further clues about the underlying cause of the skin rashes.
In summary, while it’s possible that your baby’s skin issues could be related to her formula, they could also be indicative of eczema or an allergic reaction. Close monitoring and consultation with a healthcare professional will be key in determining the best course of action for your baby’s health and comfort.

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