ABSTRACT

This chapter provides a case study of a 26-week-old baby boy. He has developed a generalized dry, red, itchy rash over the past seven weeks. His mother has been applying a regular emollient diligently and using a bath emollient. He is the first baby of his parents; his mother had asthma in childhood and his father is allergic to shellfish. He has generally dry skin, with widespread low-grade erythema and raised poorly defined patches of active eczema; there are widespread excoriations and no clinical evidence of impetiginization. He has low-grade generalized shotty lymphadenopathy. Low-grade exposure to allergenic proteins through maternal milk might be contributing to skin signs and his static growth parameters. Regular use of topical emollients and avoidance of detergents are essential for maintaining the skin barrier function of infants with eczema.