Seeking Help for Skin Allergies and Ulcers in Toddlers Under 3 - Pediatrics

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For a child under three years old experiencing skin allergies and ulcers, it is advisable to seek help from a pediatric dermatologist or a pediatrician with experience in dermatological conditions.
If the child has been diagnosed with atopic dermatitis (eczema) and the condition is worsening, it is important to follow up with a specialist who can provide a comprehensive treatment plan.

If there are concerns about bacterial infection due to the ulcers, it is crucial to address this promptly, as secondary infections can complicate the condition.
Some doctors may recommend applying a topical treatment, such as a corticosteroid cream, to reduce inflammation, but it is essential to use it under the guidance of a healthcare professional.

Please consult a pediatric dermatologist for an accurate diagnosis and appropriate treatment options tailored to your child's specific needs.

Liu, 30~39 year old female. Ask Date: 2009/02/05

Dr. Xie Degui reply Pediatrics


Hello: The child has a skin allergy predisposition that leads to atopic dermatitis, characterized by redness and scaling.
It is particularly prone to occur on the child's face, torso, and areas of the arms and legs that can be scratched, causing intense itching which leads to frequent scratching.
Since there are already open sores, it is essential to prevent wound infection by applying a topical ointment or antibiotic cream.
Additionally, regular application of a moisturizing lotion can be beneficial, and probiotics may also help.
If there are symptoms of redness and itching, it is advisable to consult a pediatrician or dermatologist for diagnosis and treatment.

Reply Date: 2009/02/05

More Info


When dealing with skin allergies and ulcers in toddlers under the age of three, it is crucial to seek appropriate medical care to ensure the best outcomes for your child's health. Given the symptoms you've described, including skin allergies and the development of ulcers due to scratching, it is advisable to consult a pediatric dermatologist or a pediatrician who specializes in skin conditions. These specialists have the expertise to accurately diagnose and treat skin issues in young children, including atopic dermatitis (eczema), which is commonly associated with allergic reactions.

Atopic dermatitis is a chronic condition that often manifests in early childhood and can lead to dry, itchy skin. If left untreated, it can result in secondary infections, especially when the skin is broken due to scratching, leading to ulcers. The presence of ulcers raises concerns about potential bacterial infections, which can complicate the condition and require additional treatment.

In your case, since you have already consulted a small clinic and received a diagnosis of atopic dermatitis, it is essential to follow up with a specialist if the condition has not improved. A pediatric dermatologist can provide a comprehensive evaluation and may recommend a tailored treatment plan that could include:
1. Moisturizers: Regular application of emollients or moisturizers is crucial in managing eczema. These help to hydrate the skin and create a barrier to prevent moisture loss. Look for fragrance-free and hypoallergenic products specifically designed for sensitive skin.

2. Topical Steroids: If the eczema is inflamed, a pediatric dermatologist may prescribe topical corticosteroids to reduce inflammation and itching. It's important to use these medications as directed, as overuse can lead to skin thinning, especially in young children.

3. Antibiotics: If there are signs of a bacterial infection (such as increased redness, warmth, or pus), your doctor may prescribe topical or oral antibiotics to treat the infection.

4. Antihistamines: These may be recommended to help alleviate itching, especially at night, which can help reduce scratching and further skin damage.

5. Wet Wrap Therapy: In some cases, wet wrap therapy can be beneficial. This involves applying a damp layer of clothing or bandages over the treated areas to enhance the effectiveness of topical treatments and provide additional moisture.

6. Avoiding Triggers: Identifying and avoiding potential allergens or irritants is essential. Common triggers include certain fabrics, soaps, detergents, and even foods. Keeping a diary of flare-ups can help identify patterns and triggers.

7. Education and Support: Educating yourself about atopic dermatitis and its management can empower you to take an active role in your child's care. Support groups or resources from dermatology associations can provide valuable information and community support.

Regarding the use of "優點" (which translates to "advantages" or "benefits"), it is unclear what specific product or treatment this refers to. If it is a topical treatment or medication, it is essential to consult with a healthcare provider to determine its appropriateness for your child's condition.

In summary, for toddlers with skin allergies and ulcers, seeking care from a pediatric dermatologist is the best course of action. They can provide a thorough assessment and develop a comprehensive treatment plan tailored to your child's needs. Early intervention is key to preventing complications and ensuring the best possible outcome for your child's skin health.

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