Eczema in Children

What is eczema in children?

Eczema, also known as atopic dermatitis, is a common skin condition in children that causes dry, itchy and inflamed skin. It can appear as red, scaly patches on the face, scalp, arms, legs, or body folds. The condition tends to flare up and improve over time, and many children experience symptoms before the age of five.

Why does my child have eczema?

Eczema develops due to a combination of genetic and environmental factors. Children with a family history of eczema, asthma or allergic rhinitis (hay fever) are more likely to develop it. Their skin barrier tends to lose moisture easily, allowing irritants and allergens to trigger inflammation and itching.

How is eczema in children treated?

Treatment aims to repair the skin barrier, control inflammation and reduce itching. Your dermatologist will tailor treatment based on your child’s age, skin sensitivity and disease severity. Common approaches include:

1
Daily moisturisers
to restore hydration and protect the skin barrier
2
Topical medications
(mild corticosteroids or non-steroidal anti-inflammatories) to reduce redness and itching
3
Antihistamines
to relieve itch and aid sleep, if required
4
Antibiotics
or antivirals when secondary infections occur
5
Wet-wrap therapy
to soothe irritation and enhance treatment absorption in more severe cases
6
Education and trigger management
so that parents know how to manage flares, bathing routines and environmental control

What can parents do to manage their child’s eczema at home?

1
Moisturise regularly
Apply fragrance-free emollients several times daily, especially after bathing.
2
Use gentle cleansers
Avoid bubble baths, soaps, and harsh body washes.
3
Dress comfortably
Choose cotton clothing and avoid overheating.
4
Trim nails
Short nails reduce skin injury from scratching.
5
Maintain a consistent skincare routine
Even when the skin looks clear.
6
Follow prescribed treatments closely
Do not stop topical medication abruptly without medical advice.

What can make my child’s eczema worse?

Several common triggers can worsen a child’s eczema:

When should I see a dermatologist?

Consult a dermatologist if:

Frequently Asked Questions

Yes. Eczema is one of the most common skin conditions in children in Singapore. It can affect up to one in five children in Singapore, although severity varies from mild dryness to more persistent, itchy rashes that interfere with sleep and comfort.

No. Eczema is not infectious and cannot be spread through contact or sharing personal items. It is a result of the skin’s overreactive immune response, not bacteria or viruses.

In most cases, food is not the direct cause of eczema. However, certain foods (such as eggs, dairy, soy or nuts) may worsen symptoms in some children who have true food allergies. Food allergy testing should only be done when there is a clear clinical suspicion, as unnecessary food avoidance may lead to poor nutrition.

Many children experience improvement with age, though some may continue to have dry or sensitive skin into adolescence or adulthood. Early management helps prevent complications such as infection, thickened skin, or sleep disruption.