What kind of examinations do children with pediatric eczema need to undergo? Nowadays, many infants and young children have eczema on their faces or bodies, which makes mothers particularly worried. Because of the existence of eczema, the harmony of our family is affected, and most importantly, the health of the baby is threatened. In fact, if we want to completely cure the baby's eczema, we must first learn some relevant knowledge about infant eczema. Let me share it with mothers. Related examinations: Laboratory examinations may be accompanied by increased eosinophils in the peripheral blood, high serum total IgE, and increased serum specific IgE. Related diagnosis: Diagnosis is mainly based on clinical manifestations. Currently, the Williams diagnostic criteria are generally recommended: there must be a history of skin itching and 3 or more of the following criteria: 1. History of skin involvement on the flexor side, including the cubital fossa, axilla, anterior ankle, and neck (including cheeks for children under 10 years old); 2. Personal history of asthma or allergic rhinitis (or history of atopic disease in first-degree relatives of children under 4 years old); 3. History of dry skin all over the body; 4. Visible flexural dermatitis (or visible eczema on the cheeks/forehead and extensor sides of the limbs in children under 4 years of age); 5. Onset before the age of 2 (applicable to patients over 4 years old). Related treatment: Clear wound secretions, eliminate chemical stimulation, control infection, and the condition can improve rapidly. To eliminate the cause of the disease, parents should pay close attention to the internal and external factors that are easy to induce, and try to find possible pathogenic factors to eliminate them, actively cooperate with treatment, keep the skin clean, restore and maintain the skin barrier function, and insist on using moisturizing emollients as basic treatment. 5% to 10% Coptis chinensis ointment, compound snake fat ointment, etc. can be used. Corticosteroid cream is the drug of choice. Different strengths of hormone ointments should be selected according to the child's age, location, nature, and area of lesions, and attention should be paid to side effects. Calcineurin inhibitors include tacrolimus ointment and pimecrolimus cream, which are new non-hormonal therapeutic drugs with definite efficacy and no hormonal side effects. |
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