What are the external medicines for pediatric eczema?

Eczema is a common allergic skin disease in our lives. It often occurs in infancy and childhood, but most people don’t know much about eczema. When our children’s skin suffers from this kind of disease, what medicines should we use? Let’s take a look at what are the topical medicines for childhood eczema.

Clear the wound secretions, eliminate chemical irritation, and control the infection, and the condition can improve rapidly.

1. Eliminate the cause of the disease. Parents should pay close attention to the internal and external factors that are likely to cause the disease, try to find possible pathogenic factors and eliminate them, actively cooperate with the treatment, keep the skin clean, restore and maintain the skin barrier function, and insist on using moisturizing emollients as the basic treatment. You can choose 5% to 10% Coptis chinensis ointment, compound snake fat ointment, etc.

2. External treatment: External medication is the main drug treatment method: (1) Corticosteroid cream is the first choice. Different strengths of corticosteroid ointments should be selected according to the age, location, nature and area of ​​the lesions, and attention should be paid to side effects; (2) Calcineurin inhibitors include tacrolimus ointment and pimecrolimus cream. They are new non-hormonal therapeutic drugs with proven efficacy and no hormonal side effects; (3) Antibiotics are mainly used for critically ill patients and those with obvious exudation; (4) Astringents and antipruritic agents are mainly used for symptomatic treatment.

3. Oral medication (1) Antihistamines mainly have antipruritic and anti-inflammatory effects. Sedative and non-sedative antihistamines can be selected according to the needs of the patient, such as non-sedative antihistamines during the day and sedative antihistamines at night; (2) Antibiotics are mainly used for severe patients and those with obvious exudation. Pay attention to the dosage and course of treatment and do not abuse them; (3) Hormone therapy should be used with caution and only for severe attacks that are difficult to control with other drugs. For acute generalized attacks and those who are not responsive to multiple treatments, short-term use of corticosteroids, such as oral prednisone, can be considered, but not for long-term use; (4) Immunosuppressants and anti-inflammatory mediator drugs can be appropriately selected according to the situation; (5) Traditional Chinese medicine and Chinese medicine syndrome differentiation and treatment ① Treatment principle for heart and spleen heat accumulation syndrome: Qingxin Daochi. Main prescription: Sanxin Daochi Yin plus or minus. ② Treatment principle for heart fire and spleen deficiency syndrome: Qingxin Peitu. Main prescription: Qingxin Peitu prescription plus or minus. ③ Treatment principle for spleen deficiency and dampness accumulation syndrome: Jianpi Shenshi. Main prescription: Xiaoer Huashi Decoction plus or minus. ④Treatment principle for blood deficiency and wind dryness syndrome: nourish blood and dispel wind. Main prescription: Danggui Yinzi plus or minus.

4. Physical therapy is mainly based on medium-wave ultraviolet (UVB) therapy, among which narrow-band UVB has better efficacy and higher safety. It should be used with caution in children under 12 years old.