Eczema

What is atopic dermatitis?

Atopic dermatitis is the most common type of eczema in children. It is a chronic condition often linked to allergies, asthma, and family history of allergic diseases. Children with atopic dermatitis typically have sensitive skin that becomes inflamed easily.

Symptoms may appear in cycles of flare-ups and improvement and often affect the cheeks, scalp, elbows, knees, wrists, and neck. Proper skincare routines, trigger management, and targeted treatments can help control symptoms and reduce flare frequency.

What is contact dermatitis?

Contact dermatitis occurs when the skin reacts to direct contact with an irritating substance or allergen. This type of eczema is triggered by exposure to products or materials such as soaps, detergents, fragrances, metals, plants, or certain fabrics.

Unlike atopic dermatitis, contact dermatitis usually appears only on areas of skin that touched the triggering substance. Identifying and avoiding the source of irritation is a key part of treatment and prevention.

What are the symptoms of eczema?

Eczema symptoms can vary in severity and may include:

• Dry, rough skin
• Intense itching
• Red or inflamed patches
• Rash-like irritation
• Thickened or scaly skin
• Cracked or oozing areas
• Darkened or discolored patches

Eczema commonly affects the face, hands, elbows, knees, wrists, ankles, neck, and behind the ears. In babies and young children, symptoms often appear on the cheeks and scalp. Persistent scratching can increase the risk of infection and lead to skin thickening over time.

What causes eczema?

Several factors may contribute to eczema, including:

• Family history of eczema, asthma, or allergies
• Immune system sensitivity
• Environmental triggers such as pollen, dust, or pet dander
• Harsh soaps, detergents, or fragrances
• Weather changes and dry air

Stress, sweating, and certain fabrics can also worsen symptoms. Eczema is not caused by poor hygiene and cannot be spread from person to person.

How is eczema diagnosed?

Dr. Trager diagnoses eczema by reviewing your child’s symptoms, medical history, and performing a visual skin examination. In most cases, no additional testing is needed. Understanding trigger patterns and symptom history helps guide an effective treatment plan.

How is eczema treated?

Your child’s personalized eczema treatment plan may include:

• Prescription or over-the-counter topical medications
• Medical-grade moisturizers and barrier repair creams
• Anti-inflammatory treatments
• Gentle bathing and skincare routines
• Education on trigger avoidance

Consistent treatment and follow-up care help reduce flare-ups, relieve itching, and protect your child’s skin over the long term.

Schedule a telehealth eczema evaluation at TeleDerm Kidz by calling the office or requesting an appointment online today.