Understanding Baby Eczema: A Paediatrician Answers Parents’ Top Five Questions

If your baby struggles with red, itchy, and dry skin, you’re not alone. Baby eczema, or atopic dermatitis, is a common condition that affects many infants, according the most loved Hong Kong clinic among expats OT&P Healthcare, which says many children come in with this problem with varying severity.

As a parent, you may have many questions about eczema, such as what causes it, how you can treat it, and whether steroid creams are safe?

To help allay these concerns, paediatrician Dr. Chantel Ng has answered the five most commonly-asked questions on baby eczema management, so you can confidently care for your little one’s delicate skin.

1. What Are The Early Signs Of Baby Eczema?

Red, irritated patches, commonly on the cheeks, forehead, and chin. Dry, rough, or flaky skin, Excessive scratching, especially at night. Cracked or oozing skin in severe cases.

Dr. Ng advises parents to monitor these symptoms closely and differentiate eczema from other common baby skin conditions like heat rash or cradle cap. If uncertain, a paediatric consultation can help with an accurate diagnosis.

2. What Causes Baby Eczema?

A family history of eczema, asthma, or allergies increases the likelihood. Harsh soaps, fragrances, dust, and weather changes can worsen symptoms. During Hong Kong’s spring and summer months, sweat buildup, heat, and allergens can further aggravate itching and irritation. A weakened skin barrier can also be a cause: infant skin loses moisture faster, leading to dryness and irritation.

To manage eczema effectively, Dr. Ng recommends gentle skincare routines and avoiding potential irritants like soaps.

3. Does Baby Eczema Always Require Steroid Treatment?

Not necessarily. Dr. Ng suggests keeping skin moisturized with fragrance-free creams multiple times a day. Use lukewarm baths with mild, non-soap cleansers. Dress your baby in soft, breathable fabrics (avoid wool or synthetic materials).

However, if eczema becomes severe, steroid creams may become necessary.

4. Are Steroid Creams Safe For Babies?

Many parents worry about the side effects of steroids. Dr. Ng says steroid creams have been used for decades and have a very good safety profile. So, what are the different types of steroid creams and when should you use them? There are mild steroids for sensitive areas like the face (Hydrocortisone 1%); moderate steroids for persistent eczema (Clobetasone butyrate 0.05%); and potent steroids reserved for severe cases (Betamethasone valerate 0.1%).

Dr. Ng emphasizes the importance of following prescribed instructions and continuing treatment until the skin fully heals, not just when symptoms improve, to prevent early recurrence.

5. When Should I Take My Baby To A Doctor?

Dr. Ng advises seeking medical attention at first occurrence and subsequently if eczema doesn’t improve with home care, or if the skin shows signs of infection (yellow crusts, pus, or excessive redness). Constant scratching that disrupts sleep, makes your baby irritable or even have decreased intake and activity should warrant a consultation with a a doctor.

Get the help your baby needs with skincare problems with Dr Chantel Ng.