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Are skin conditions common in newborns?
Yes, these may be divided into two categories. There are skin conditions that
represent normal variations, meaning that lots of babies get them and there are
no long term health consequences. Then there are other skin conditions that will
persist and require evaluation and treatment.
What should routine skin care involve?
Parents should be aware that there is no one way of caring for your baby's skin.
Many of the skin care recommendations rely on common-sense regimen. There is
some science behind recommendations, and then there's a lot of personal
preference. For example, a baby—a newborn, in particular—may not need a bath
every day, and therefore it's not necessary to give one. Obviously you're
cleansing the diaper area, which gets dirty on a regular basis. There may be
times, for example, during the winter in colder climates, when a baby's skin
becomes dry and a moisturizer might be useful. It may be applied after bathing
and at other times during the day, if needed.
Baby powders are often used, but they are not routinely needed. Some people
apply them in areas where there's moisture, like in the diaper area or in the
folds of the neck. The difficulty with powders is that they can be inhaled.
Generally doctors recommend that parents stay away from them if they can. If
you're going to use power, choose one that contains cornstarch not talcum power.
Dispense a small amount on your hand, well away from the baby, and then just
gently rub that on the area of skin you wish to treat.
In general, it's wise to choose products that are designed for infants, which
often do not contain alcohol or fragrances that may be irritating to the
infant's skin.
What is cradle cap?
Cradle cap is a form of seborrheic dermatitis that causes flaking or scaling of
the skin. It most commonly appears on the scalp. It can be mild or it can be
fairly widespread. Seborrheic dermatitis is a self-limited condition, so by the
time a baby gets to be 8 or 9 months of age, typically, it's quieting down.
If cradle
cap is mild, a standard baby shampoo may be sufficient to help remove the scale.
Some parents find that if they, when shampooing, use a soft brush designed for
the scalps of babies, that will help lift off some of that scale. Some people
prefer to apply a small amount of mineral oil to the scalp and then use the
brush to loosen the scale. An antiseborrheic shampoo—that's one of the
dandruff shampoos—could be used to help lift off the scale if other measures
weren't effective. Generally, if you're at this point, it might be worth talking
to your health care provider about selecting of one of these shampoos. Parents
should use the shampoo on an as-needed basis. Once the scale is gone you can
return to your infant's routine scalp care.
Do parents need to treat the flaky skin some infants are born with?
Flaking skin is a normal and temporary finding. No treatment is necessary. If
the skin seems excessively dry or there's a little bit of cracking, which
sometimes can happen in the skin folds, then, a moisturizer may be helpful.
What is infant acne?
Neonatal acne is the acne that typically appears in the first few weeks of life.
It is very common and it's caused in the same way that teenage acne: by
hormones. It's caused by male hormones called androgens, which are actually
quite high in both male and female babies at around the time of delivery, and
then tend to diminish over time. As those hormone levels decline the acne tends
to disappear. If the acne seems to be lasting longer or is particularly severe,
meaning that somebody's seeing lots of red bumps or scars, then you'd want to
talk to your doctor.
What is erythema toxicum?
Erythema toxicum is a common skin rash and not a cause for any concern. It
typically shows up in the first few days of life as little red blotches on the
skin, and in the middle of the red blotch there can be a little bump. No one
knows why this rash happens but it's absolutely harmless, it tends to go away in
several days, and no treatment is needed.
What is prickly heat?
Heat rash often is called prickly heat but its technical name is miliaria.
Nobody really understands exactly why babies have heat rashes, except that the
sweat glands in the skin seem to become blocked up. You then get a little leak
of the sweat outside of the duct, and that creates irritation or inflammation
that results in a tiny red spot or bump about a millimeter or so in size.
Those spots tend to appear in areas where there are skin folds such as in the
folds of the neck. They are more likely to happen if a baby becomes overheated.
So heat rashes can occur in the summer months in warm climates, or if a baby is
a bit too heavily dressed for the surrounding temperature. Sometimes heat rashes
can be made worse if parents are applying thick moisturizers or other products.
Once a
heat rash is established, if you have a fan or you have the option of air
conditioning that may help it disappear and prevent it from returning. It also
helps to not overly dress infants. Remember that most infants are going to feel
comfortable dressed in a way that you would feel comfortable.
What is diaper rash?
Diaper rash is very common, though much less so now since most people use
disposable diapers. The things that cause diaper rash are moisture, typically
from urine, coupled with rubbing of the diaper on the skin. When your skin is
moist over long periods of time, its ability to withstand the forces of friction
from the diaper is reduced. You add to that the effects of enzymes that are
present in stool that act as irritating factors on the skin, and diaper rash may
occur.
To prevent diaper rash make sure that you change the diaper often and if you
need to, gently cleanse the area either with a hypoallergenic wipe or tap water
on a soft wash cloth, and then pat the area dry and apply a new diaper. If a
diaper is left on for too long usually it's going cause irritation, so parents
should apply some sort of a barrier preparation that's designed to keep moisture
away from the skin. Everyone has their favorite preparation. Many people favor
products that contain zinc oxide because they create a more or less impenetrable
barrier for moisture. Other products such as A+D ointment and Desitin are also
designed to create a barrier on the skin against moisture and help the skin
heal.
Some pediatricians will prescribe a barrier preparation, but most are
available over-the-counter.
Can babies get yeast infections on their skin?
If what parents thought was just an irritation diaper rash isn't going away
after several days of treatment, it might be worth talking to your provider,
because a yeast infection may have developed. The tip-off to a yeast infection
is that usually it's fairly bright red in color, and it involves the areas of
the skin creases as well as the thighs and the lower tummy, whereas a typical
irritation rash usually doesn't involve the creases. In yeast infections, you
might also see some bright red bumps that look like pimples a little bit beyond
the main area of involvement.
Your provider can recommend anti-yeast over-the-counter products like
clotrimazole or miconazole, or a prescription called nystatin. It depends a
little bit on how severe the situation is, but usually within several days to a
week or so of beginning treatment things have improved.
When can a skin condition be a sign of allergy?
If a baby gets hives, it is usually an allergic response to something, such as
to a medication. If an infant or a child gets hives it may be caused by an
allergy to certain foods. Also, eczema is a very common skin condition is often
associated with allergies, although in most children it's not caused by an
allergy. Children who have very severe eczema that doesn't seem to respond well
to treatment may have a food allergy that may trigger or worsen the condition.
Reference:
http://www.healthology.com/skin-problems/skin-problems-information/article1667.htm
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