This image displays dry skin with prominent hair follicles and inflamed areas of skin typical of atopic dermatitis (eczema) on a person with darker skin. This image displays multiple small, dark brown bumps typical of atopic dermatitis (eczema) in a person with darker skin. Atopic dermatitis (eczema) typically involves the folds of the elbows and knees (flexures) in children. This image displays atopic dermatitis (eczema) in the body folds of the back of the legs coupled with staph bacteria. In atopic dermatitis (eczema), the rash often is seen as scaly bumps over each hair follicle. Eczema in people with darker skin can cause lighter skin areas (hypopigmentation) as seen on the arms of this patient. Inflammation around the hair follicles, giving a dotted appearance, is typical to follicular eczema. This image displays atopic dermatitis involving the cheeks and neck. Children with atopic dermatitis (eczema) often have very dry skin and prominent skin folds just below the eyes. This image displays scratched skin lesions of a severe case of atopic dermatitis (eczema) in a young child. Atopic dermatitis (eczema) frequently affects the face in children. Look for red or pink scaling areas and dry-appearing skin. Atopic dermatitis (eczema) that has been present for an extended period of time begins to looks thickened and darker. Atopic dermatitis (eczema) frequently affects skin folds, such as the front of the ankles. This image displays atopic dermatitis (eczema) on the back of the legs with erosions from scratching. This image displays severe atopic dermatitis (eczema) on a child's eyelids. Red or pink, scaling lesions and dry-appearing skin are typical in atopic dermatitis (eczema). Atopic dermatitis (eczema) in darker-skinned children is often accentuated around hair follicles, giving a bumpy appearance.
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Eczema (Atopic Dermatitis)  A parent's guide to condition and treatment information

Picture of Eczema (Atopic Dermatitis): This image displays dry skin with prominent hair follicles and inflamed areas of skin typical of atopic dermatitis (eczema) on a person with darker skin. Divider line
This image displays dry skin with prominent hair follicles and inflamed areas of skin typical of atopic dermatitis (eczema) on a person with darker skin.
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Self-Care Guidelines
Maintaining adequate moisture in the skin is very important.

Self-care measures include the following:
  • Use non-soap cleansers such as Cetaphil®, or moisturizing soaps such as Dove®.
  • Apply thick moisturizers such as petroleum jelly (Vaseline®), Aquaphor® ointment, Eucerin® cream, CeraVe® cream, and Cetaphil cream to damp skin after daily bathing.
  • Try to reduce exposure to heat, humidity, detergents/soaps, abrasive clothing, chemicals, smoke, and stress.
  • Use fragrance-free laundry detergent.
  • Keep your home air moist (humid) with a humidifier or by setting out bowls of water, especially in the bedroom.
  • Treat areas with redness and itching with over-the-counter hydrocortisone cream or ointment, 0.5–1%, twice daily. Avoid using steroid cream on the eyelid area for more than a few days, as it may increase the risk for cataract formation.
  • Apply lotions containing menthol or phenol (such as Sarna® lotion) for itching.
When to Seek Medical Care
See your child's doctor for evaluation if you see no improvement with self-care measures or the eczema gets worse.

Also see the doctor if you see areas of pus or large numbers of crusty areas (scabs), as this might be caused by infection with bacteria.
Last Modified: 23 Jul 2009