When does infantile dry skin become atopic eczema?

Dry skin, including cradle cap is common in infants - but when does dry skin become atopic eczema? Atopic eczema affects 20% of children, with 60% developing eczema in infancy. This session will look at diagnostic markers for atopic eczema and give an update on the current evidence-base management of infantile atopic eczema. Firstly, the complexity of atopic eczema will be explored, genetics, immunology, and links to allergy. Atopic eczema management will look at the ABC: Avoiding irritants, looking at common triggers (irritants and allergens). Bland emollients, looking at the importance of complete emollient therapy (washing and moisturising) for skin barrier repair. Controlling inflammation, looking at topical treatments (topical corticosteroids and calcineurin inhibitors) and appropriate use of antimicrobials. Finally, red flags and guidance on when to refer to secondary care dermatology/allergy services  will be discussed.

Julie Van Onselen, Dermatology Lecturer Practitioner, Dermatology Education Partnership Ltd and The National Eczema Society