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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Red Spots On Skin. Reduces Applying Aveeno Lotion, But Reappears. Eczema?

Hello, my sixteen month old son has some red spots on his skin....its not chicken pox. It comes and goes, it starts to calm down after i apply Aveeno Baby Daily Moisture Lotion on the areas. I thought it would have been dry skin from the cold, since a few weeks ago we just had snow in st louis. But now since its warmer, its still there. Now i believe that it might be eczema. Am i on the right track?
Wed, 10 Apr 2013
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Dermatologist 's  Response
Hello,
Welcome to healthcare Magic
Your son might be suffering from Atopic dermatitis. It could also be insect bite allergy as you described it as spots. Site of the rash and whether or not it is itchy was an additional history which could help. Atopic eczema is associated with red itchy rash usually over limbs,face, neck(mostly over skin folds). Atopic individuals have sensitive skin which will develop eczema due to a lot of external and internal triggers. The triggers might be dust, extreme heat or cold, certain food stuffs, woolen clothes etc. The barrier function of the skin is not normal. A moisturizing lotion is a must on a daily basis and reapply it 2-3 times according to the dryness. It helps to restore barrier function. Use very mild cleanser for bath like cetaphil sensitive cleanser. Give him an antihistamine at night like cetrizine or hydroxyzine if it is itchy. Topical steroids should be used under supervision of dermatologist and it is not over the counter medication. Topical steroid cream might be indicated to bring the eczema down if it is severe.
Hope this helped
Take care.
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Child Has Red Spots On Skin. Reduces Applying Aveeno Lotion, But Reappears. Eczema?

Hello, Welcome to healthcare Magic Your son might be suffering from Atopic dermatitis. It could also be insect bite allergy as you described it as spots. Site of the rash and whether or not it is itchy was an additional history which could help. Atopic eczema is associated with red itchy rash usually over limbs,face, neck(mostly over skin folds). Atopic individuals have sensitive skin which will develop eczema due to a lot of external and internal triggers. The triggers might be dust, extreme heat or cold, certain food stuffs, woolen clothes etc. The barrier function of the skin is not normal. A moisturizing lotion is a must on a daily basis and reapply it 2-3 times according to the dryness. It helps to restore barrier function. Use very mild cleanser for bath like cetaphil sensitive cleanser. Give him an antihistamine at night like cetrizine or hydroxyzine if it is itchy. Topical steroids should be used under supervision of dermatologist and it is not over the counter medication. Topical steroid cream might be indicated to bring the eczema down if it is severe. Hope this helped Take care.