Baby Or Infant Eczema: Causes, Symptoms, Treatment

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An Essential Guide to Baby Eczema: Causes, Symptoms, Treatment, and More
Adobe StockByJoseph Bennington-CastroUpdated on January 28, 2022Medically Reviewed byJacquelyn Dosal, MDON THIS PAGE
  • Causes
  • Risk Factors
  • Symptoms
  • Progression
  • Triggers
  • Treatment
ON THIS PAGE
  • Causes
  • Risk Factors
  • Symptoms
  • Progression
  • Triggers
  • Treatment

Although eczema affects many adults, it is more common in children.

Eczema is a general term to describe a number of inflammatory skin conditions. Aside from atopic dermatitis (the most prevalent), other types of eczema that commonly affect children include contact dermatitis, dyshidrotic eczema (foot-and-hand eczema), seborrheic dermatitis, and scalp eczema (known as cradle cap in infants).

Nearly 13 percent of children younger than 18 in the United States have eczema, including atopic dermatitis, according to research published in JAMA Dermatology.

[1]

What’s more, 90 percent of people with eczema experience it before age 5. An estimated 60 percent of people with atopic dermatitis develop it before age 1, according to the American Academy of Dermatology Association (AAD).

[2]

This so-called baby eczema, or infantile eczema, can persist through childhood and adolescence — and even adulthood in some cases.

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What Causes Eczema in Children?

Researchers don’t know exactly what causes baby eczema, but they believe it’s most likely due to a combination of genetic and environmental factors. Eczema is not contagious, according to Cleveland Clinic.

[3]

Infants are more likely to develop eczema if family members have a history of eczema, hay fever, or asthma, according to the National Eczema Association (NEA).

[4]

While these conditions don’t cause one another, the AAD notes that infants are more likely to develop hay fever or asthma if they already have baby eczema.

[5]

And, according to the NEA, a baby with atopic dermatitis has an increased risk of other atopic (allergic) conditions, including asthma, hay fever, and food allergies.

[6]

According to Cleveland Clinic, scientists believe eczema results from an immune system dysfunction that affects the skin barrier and its ability to hold in moisture.

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Baby Eczema Risk Factors and the Environment

Although baby eczema is the result of immune system dysfunction, likely from a genetic predisposition, studies have found a number of risk factors.

For example, one study suggested that children have a higher risk of developing eczema if their mothers experienced high-stress situations during pregnancy.

[7]

There also appear to be differences in atopic dermatitis risk by ethnicity, with Black American children more likely to develop the condition than white children in the US, according to a review.

[8]

The outdoor environment — specifically, air pollutants and meteorological conditions — may also have an impact on eczema risk in children. One study concluded that high levels of carbon monoxide, ammonia, formaldehyde, lead, ozone, and particulate matter may all affect the development of infantile eczema.

[9]

And a review found evidence of a link between exposure to air pollution and atopic dermatitis.

[10]

Weather may also play a role in eczema management. According to the NEA, there is some evidence that a hot and sunny climate may help improve eczema symptoms. And in one study, hot weather improved eczema symptoms or reduced flares, which the authors noted is consistent with previous research findings.

[11]

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Baby Eczema and Cradle Cap Symptoms

Baby eczema causes symptoms such as a rash that makes the skin dry, itchy, and scaly. The rash can also have small bumps, which may ooze or weep fluid, according to the University of Rochester Medical Center.

[12]

Other symptoms may include:
  • Thickened skin
  • Discoloration and swelling
  • Darkened skin on the eyelids and around the eyes
  • Changes to the skin around the mouth, eyes, or ears

Cradle cap causes symptoms not commonly seen in other types of infantile eczema, such as greasy yellow scales on the scalp that sometimes appear in a thick layer covering the entire top of the head. Over time, the scales become flaky and can rub off.

Most babies do not appear to be bothered by cradle cap, though it sometimes itches, according to the AAD.

[13]

A Guide to the Different Types of Eczema

Atopic dermatitis is the most common type of eczema, but there are others to be aware of, too. Find photos of seborrheic dermatitis, contact dermatitis, and more.

ArticleArticle

Progression of Eczema in Infants and Children

Baby eczema is most prominent on the cheeks, forehead, and scalp of an infant within the first few months of life. It often makes the skin look more irritated and “weepy” than at other ages, according to the NEA.

The eczema can appear on other parts of the body, as well, though usually not the diaper area.

When the infant begins to crawl, usually between 6 and 12 months, eczema will typically affect the elbows and knees, which rub on the ground. The eczema rash can become infected, resulting in a yellowish crust or tiny bumps of pus, notes the NEA.

When the child is around age 2, eczema may begin to appear on the insides of the elbows and behind the knees, as well as on the wrists, ankles, and hands. It may also appear around the mouth and eyelids, according to the NEA. This eczema tends to be drier, scalier, and thicker (known as lichenification).

What Are the Triggers of Eczema Symptoms?

Eczema usually isn’t a persistent condition, but rather one marked by long, symptom-free periods, followed by flare-ups.

Environmental factors may cause the immune system to respond as if the body has encountered a harmful substance, resulting in inflammation and worsening eczema symptoms, according to the NEA.

[14]

These triggers may include a variety of allergens and irritants, such as:

  • Pet dander, dust mites, mold, and pollen
  • Allergenic foods (such as eggs, peanuts, and soy)
  • Clothing made of wool or synthetic fibers
  • Cigarette smoke
  • Scented products, such as laundry detergents, perfume, and air fresheners, especially ones that contain alcohol
  • Excessive heat or dryness
  • Dry winter air with little moisture
  • Skin infections
  • Sweating
  • Stress

Additionally, drool can irritate a baby’s cheeks, chin, and neck.

Treatment for Baby Eczema

There’s no cure for baby eczema, but the severity usually lessens over time.

Treatment focuses on managing skin dryness to prevent flare-ups and reducing skin inflammation.

According to the NEA and AAD, doctors recommend the following strategies:

[15]

[16]

  • Avoid giving your baby long, hot baths (use cool or lukewarm water instead) or rubbing your baby’s skin too much, especially with rough washcloths, loofahs, or towels.
  • Consider twice-weekly diluted-bleach baths, which can help babies older than three months with eczema that gets infected frequently. But discuss it with the doctor first.
  • Moisturize your baby’s skin frequently with fragrance- and dye-free creams, lotions, and ointments, especially right after a bath.
  • Dress your baby in soft, breathable cotton clothing.
  • Avoid using scented products.
  • Keep your baby’s fingernails short to prevent scratching, which can damage the skin and lead to further inflammation and infection.
  • Remove irritants and known allergens from the house as much as possible.
  • Keep your baby cool to avoid excessive sweating, possibly by using cool compresses (a wet, cool, soft washcloth), especially on irritated areas.
  • Consider putting mittens on your small child’s hands if you need to leave them alone for a short period of time, such as when you’re using the bathroom. This will help prevent the child from scratching their skin when you are out of sight.
According to the Nemours Foundation and the American Academy of Pediatrics, your doctor may also recommend other eczema treatments for your child, including:

[17]

[18]

  • Topical corticosteroids
  • Antihistamines
  • Antibiotic, antifungal, or antiviral drugs for skin infections
  • Oral medication that suppresses the immune system
  • Topical calcineurin inhibitors, which are nonsteroidal drugs that control inflammation
  • Topical crisaborole, another nonsteroid medication approved for ages 3 months and up
  • The biologic dupilumab, an injection that is approved for ages 6 months and up for more severe atopic dermatitis
EDITORIAL SOURCESEveryday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.SourcesResources
  1. Choragudi S et al. Trends in the Prevalence of Eczema Among US Children by Age, Sex, Race, and Ethnicity From 1997 to 2018. JAMA Dermatology. February 2023.
  2. Skin Conditions by the Numbers. American Academy of Dermatology Association.
  3. Baby Eczema. Cleveland Clinic. July 5, 2022.
  4. Causes, Symptoms, Treatment and More. National Eczema Association.
  5. Can Eczema Increase Risk of Asthma, Hay Fever, and Food Allergies? American Academy of Dermatology Association.
  6. Atopic Dermatitis in Children. National Eczema Association.
  7. Chan CWH et al. The Association Between Maternal Stress and Childhood Eczema: A Systematic Review. International Journal of Environmental Research and Public Health. February 25, 2018.
  8. Brunner PM et al. Racial Differences in Atopic Dermatitis. Annals of Allergy, Asthma & Immunology. May 2019.
  9. Belugina IN et al. Outdoor Environment, Ozone, Radionuclide-Associated Aerosols and Incidences of Infantile Eczema in Minsk, Belarus. Journal of the European Academy of Dermatology and Venereology. November 2018.
  10. Fadadu RP et al. Air Pollution and Atopic Dermatitis, From Molecular Mechanisms to Population-Level Evidence: A Review.  International Journal of Environmental Research and Public Health. February 2023.
  11. Chan J et al. Do Temperature Changes Cause Eczema Flares? An English Cohort Study. Clinical and Experimental Dermatology. September 2023.
  12. Atopic Dermatitis in Children. University of Rochester Medical Center.
  13. Spearman D et al. Seborrheic Dermatitis: Signs and Symptoms. American Academy of Dermatology Association. December 6, 2022.
  14. Eczema Causes and Triggers. National Eczema Association.
  15. 8 Survival Tips for Caring for an Eczema Baby. National Eczema Association. July 15, 2021.
  16. Atopic Dermatitis: Self-Care. American Academy of Dermatology Association.
  17. Eczema (Atopic Dermatitis). Nemours Children’s Health. May 2023.
  18. Stein S et al. How to Treat & Control Eczema Rashes in Children. American Academy of Pediatrics HealthyChildren.org. November 2, 2023.
Additional Sources
  • Silverberg J et al. Associations of Childhood Eczema Severity: A US Population Based Study. Dermatitis. May–June 2014.
  • Kathuria P et al. Association of Pollution and Climate With Atopic Eczema in US Children. Pediatric Allergy and Immunology. August 2016.
  • Rueter K et al. Direct Infant UV Light Exposure Is Associated with Eczema and Immune Development. The Journal of Allergy and Clinical Immunology. March 2019.
  • Eczema. Nemours KidsHealth. May 2023.
  • Lyons J et al. Atopic Dermatitis in Children: Clinical Features, Pathophysiology and Treatment. Immunology and Allergy Clinics of North America. February 2015.
  • AskDrSears.com.
  • Geddes JK. How to Care for Newborn Skin. What to Expect. March 31, 2023.
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