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Thursday, August 27, 2009

Hafizah and her eczema problem.


Hafizah, my youngest daughter was born here inHamilton, New Zealand about two years ago. (22 June 2007). Like many other kiwi kids, she suffers from eczema. Some are mild and some are quite serious. She will scratch when she feels itchy and she had few funny places where the skin looks so red and sometimes she scrathes until it is bleeding. It has become her habit to scratch all over her body before she goes to sleep at night. Her problem started off when she was a few months old when we discovered that she had lactose intolerant problem. Luckily, I could breasfeed her until she turned 2 in last June.

For those who don't know what is eczema, I can explain it in my own word first. It's a skin disease where there are few places that become red and itchy due to few reasons. The most obvious reason is allergies.

Here are some explanation that I have found from the internet:

Atopic dermatitis (eczema) is a common, recurring skin condition characterized by a dry, flaky, itchy rash. Eczema can appear on different parts of the body depending on your age. Its appearance may also vary depending on its severity and location on the body.
Following are pictures of four of the most common features of the rash of eczema:
Pathcy Skin (Erythema)-skin redness

Patchy Skin (Erythema) — skin redness

MILD
faintly detectable erythema; very light pink

MODERATE
dull red; clearly distinguishable

SEVERE
deep/dark red

Bumpy Skin (Papulation) — appearance of bumps
Bumpy Skin (Papulation) — appearance of bumps
MILD
barely perceptible elevated papules

MODERATE
clearly perceptible papules but not extensive

SEVERE
marked and extensive discrete papules

Red Open Sores (Excoriation) — lesions caused by scratching
Red Open Sores (Excoriation) — lesions caused by scratching
MILD
scant evidence of excoriations with no signs of deeper skin damage (erosion, crust)

MODERATE
several linear marks of skin with showing evidence of deeper skin injury (erosion, crust)

SEVERE
many erosive or crusty lesions

Scaly Skin (Lichenification) — lines in skin caused by chronic inflammation
Scaly Skin (Lichenification) — lines in skin caused by chronic inflammation
MILD
slight thickening of the skin discernible only by touch and with skin markings minimally exaggerated

MODERATE
definite thickening of the skin; skin markings exaggerated so that they form a visible criss-cross pattern

SEVERE
thickened or indurated skin with skin markings visibly portraying an exaggerated criss-cross pattern

Eczema may include one or a combination of the symptoms mentioned above. Here are some examples of people with an eczema flare-up.

Eczema examples on the back, arms, and face.
If the affected skin becomes very inflamed, open sores, called ulcers (UHL-sirs), may occur. A clear, sticky fluid may even weep from the affected skin. This can make it hard for the healthcare provider to decide if the skin is affected by eczema or by a skin infection. In fact, both can occur at the same time. When the skin has been affected for a long time, it can become thick and leathery. The good news is that the rash can be controlled.
Where does eczema appear? In older children and adults, eczema appears less often on the face and more commonly on the hands, neck, inner elbows, back of knees, and ankles. In younger children, eczema usually appears on the face, elbows, or knees, and possibly on other areas.



In older children and adults, eczema appears less often on the face and more commonly on the hands, neck, inner elbows, backs of the knees, and ankles. In younger children, eczema usually appears on the face, elbows, knees, and possibly on other areas.

Important Note:
Only your doctor can diagnose eczema. The features described above can appear in many types of skin rashes. Diagnosis is based on a combination of the patient's recent medical history and family history, in addition to a physical examination. Therefore, to help you find out whether that itchy rash is actually eczema, we've developed a skin rash questionnaire for you to share with your doctor.


Managing Eczema
Take care of your skin and prevent future flare-ups. Manage eczema.


Skin Rash Questionnaire
Help your doctor help you. Take the Skin Rash Questionnaire



Prescribing information

We have tried many kinds of lotion and medicine but once it was healed, the would be other places that would be affected. Hafizah always cry whenever I wash her or put her in the bath. As her mother, I wish that I could have done something more. It hurts me when she cries. I know that eczema is also a heridatary problem. She could get this from me. I suffered from mild eczema when I was little but it was not as bad as hers. I can't wear any metal, silver or any other fake jewelleries or watches. I will get some rashes and it will be worse if I sweat a lot. I used the brand called "Sebamed" before. However, we couldn't find the same brand here. So, we just use "Vaseline" as her moisturizer. She always get worse during winter as the air gets so dry.

Here are some actions that we have taken to contain her problem (hopefully if your children suffer from this disease, you can try these methods too):

  1. Make sure you always change her nappy. (don't wait for more than 4 hours)
  2. Use hydro cortisone acetate cream (can only be prescribe by doctor)
  3. Use non-fragrance moisturizer or body lotion all over her body.
  4. Use non-fragrance soap or baby bath.
  5. Check if she allergic to certain food like seafood, eggs or other kind of food.
  6. Always check with your doctor to get the best advice (A MUST!).
All right I think this entry is a rather long one. I couldn't help but to share what I know about this as it may affect other children as well.

Ka Ki Te Ano.
Assalamualaikum.

6 comments:

amiechomel said...

masa 1st time aku bwk ammar jumpa skin specialist kat KT tu, he explained why gatal2 tu tak pandai nak baik2 walaupun dah bagi antibiotik. aku tak reti lak nak explain, tapi dlm bahasa simple nyer, antibiotik yg doc biasa bagi tu cuma bunuh sikit virus (eh virus ke, apa ek term dia...) eczema tu, tp at d same time yg tak terbunuh tu still multiply themselves. He gave my son 2 bottles of antibiotic. habis 1 botol, sambung lagi botol kedua (katanya utk bunuh semua "virus" tu la). It worked! Lepas tu ammar dah jarang sgt2 kena eczema. tapi ubat sapu (cream) tu memang sentiasa ada la...

nurad, sebamed tu medicated soap ke, doc tak advise yg berubat mcm protex, dettol, etc tu. dia suruh pakai mandian baby je... Pastu jgn bagi dia dok tempat terlalu panas dan terlalu sejuk, kena suhu biasa.

as u mentioned earlier, memang berpunca dari keturunan juga, doc tu kata biasanya ada dlm family yg ada asthma dan resdung! I have both - package! Anak sedara aku lagi teruk kena, tapi lepas jumpa skin specialist kat KL, dah kurang sikit.

Moral of the story, kalau anak selalu gatal2, jgn la bawak jumpa doc biasa, jumpala skin specialist. Doctor tu kata lagi, kalau kena masa kecik2 mcm ni, ada harapan utk sembuh sepenuhnya bila dia umur 6, 7 tahun. Mintak2 lah...

Huhu, my comment nak sama panjang dgn entry ko nurad!

Mama Adam said...

Kesian hafizah. Alhamdulillah, setakat ni Adam tak penah lagi kena alergi, apatah lagi skin prob. Mtk2 Hafizah cepat sembuh.. :(

smilinggreenmom said...

I see that a lot of this language is not Engish, so I hope you can understand my words? Our son had severe Eczema too and I know how hard it is to see them so miserable. After many types of treatments, there has been on thing to really really help him with amazing results. We believe it is our miracle! Our son takes Vidazorb kids chewable probiotics and not only does he love them- he hardly has any Eczema anymore. I hope this helps you- probiotics are really being shown to help with certain conditions such as Eczema!

Nur,Nura, Nurad, Yani said...

Amie,
thanks for your suggestions. Takpe komen ko pjg2 pun. Kami mmg dah cuba mcm2 dah. Skrg cuba pulak Oatmeal moisturizer. My hubby pun ada resdung, tu yg anak2 kena sakit kulit ni. Cma yg sulung tak teruk.

Nur,Nura, Nurad, Yani said...

Mama Adam,
Thanks. Dr ada cakap yg bila besar sikit, sakit ni akan semakin kurang. Cuma skrg la kesian tengok dia.

Nur,Nura, Nurad, Yani said...

smillinggreenmom,
thanks for your suggestions. We will try the prebiotics that you have suggested. Well, in my entry there were some medical terms that's why it doesn't really look like English.