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Eczema (also known as atopic dermatitis) is a pruritic (aka itchy), inflammatory skin condition. It often begins in infancy and is one of the most common skin presentations seen in children.

In young ones, we understand that eczema—particularly when chronic or poorly controlled—may interfere with normal growth and development, reduce quality of life, and impact the whole family with disrupted sleep (and plenty of worry for parents).

Development of eczema in childhood often precedes progression to other allergic conditions such as food allergy, allergic rhinitis and asthma. This is termed the ‘atopic march’… but we have the chance to intervene and rewrite the story.

A roadmap to improvement is rarely one-dimensional. Eczema is complex, and each child will have a unique constellation of contributing factors. Some areas we may explore include:

  • Assessing environmental irritants or toxins
    (e.g. bubble baths, lotions, household cleaners)
  • Supporting the body’s natural detoxification pathways
    The skin is one of our largest organs and plays a role in elimination. Supporting other detoxification organs—such as the bowels, liver, kidneys and lymphatic system—may help the skin do its job more effectively.
  • Nurturing gastrointestinal health
    The gut and skin communicate closely via the gut–skin axis. Beneficial bacteria and overall gut function can influence skin integrity and immune responses.
  • Balancing immune activity
    Assisting the immune system to find balance, avoiding hyper-reactivity.
  • Identifying true food allergies (when relevant)
    I strongly caution against restrictive diets for young children and/or breastfeeding mothers unless a food has been *clearly* identified as causing adverse reactions. In those cases, temporary removal may be helpful.
  • Reviewing nutritional intake
    Adequate protein, minerals and essential fatty acids provide the building blocks needed for skin repair and resilience.
  • Supporting the nervous system
    Our inner world often shows up on our outer world. Supporting a child’s (and family’s) stress regulation can play a role in overall health.
  • Improving the skin barrier with age-appropriate topical care
    The skin is an organ in its own right and deserves direct support, even while we address internal contributors.

Pulling it all together

Eczema is shaped by a network of influences: environmental triggers, detoxification efficiency, nutritional status, gut health, immune balance and the strength of the skin barrier.

With thoughtful support, we can help even our youngest loved ones through this season, nurturing their resilience and overall health—reflected both inside and out.