Infantile Eczema

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 Infantile eczema :

This occurs in children between the ages of 3 months and 2 years.

It manifests as rosy erythema over the cheeks. There is browny

desquamation, small papule formation and some crusting. The skin folds

behind the ear become fissured and neck creases appear sudden. These

may be secondarily infected with Candida. Extensor surfaces of arms,

legs and wrist may show dryness and scaling. Generally periorbital, per

orbital and nasal regions are spared. Itching is marked. The typical

lesions are characterized by erythema, vesicles, exudation and crusting.

Buttocks generally escape because of protective clothing But in some

cases, on the buttocks and in the groins, napkin rash like dermatitis may

develop. Most children show a resolution by the age of one or 2 years,

but the illness may continue with remissions and exacerbations in few

cases.

The typical lesions are characterized by erythema, vesicles

exudation and crusting, Prurities is a prominent symptom it comes in

spasms. The progress is marked by spontaneous remissions and

exacerbations. Teething digestive upsets change of season, dietetic

indiscretions and tantrums affect the condition adversely and may even

cause flare – ups. To start with, the infants are usually plump. They soon

go off food, have restless days and highs resulting in debility misery and

fretfulness. The general believe is that there are 2 types of infantile

eczemas.

Types of infantile Eczema :

a. The atopic Variety :

With high familial predisposition to allergic disease – These are

rather resistance to treatment. The infant becomes restless and fatigued

very irritable and pruritic. The condition develops later into typical

atopic dermatitis.

b. The Simple Variety :

Without familial predisposition – The infants are plump and good

natured. Itching is moderate. These do well with treatment and the child

recover completely by the age of two.

Infantile eczema is not infectious contact eczemas are rate in

infancy for two reasons. Firstly, sensitivity is extremely uncommon

before puberty and secondly chemical contacts are few.

2. Childhood Atopic Eczema :

This type in which the main lesions are lichenoid and succulent,

polyhedral papules. The eczemas may become generalised on the face,

trunk, flexural folds of the extremitis. It starts at about the age of five

either as such or as continuation of infantile eczema, this goes on till the

age of about twelve Flexural eczema.

As the age of the child advances the lesions become more

pronounced over the flexes of the elbows, knees, neck and front of ankle.

There is redness, scaling and lichenification.

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