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
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
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
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.