Atopic Dermatitis: Beware Of This Skin Condition That Causes A Lot Of Distress In Newborns

Managing atopic dermatitis in babies is a challenging task that requires a deep understanding of the skin condition, patience, and consistency. But, parents can follow the recommended skincare practices and significantly reduce the impact of this condition on their baby's life.

Atopic dermatitis and paediatric skincare: It is a known fact that newborn babies have delicate skin that needs nurturing. In fact, their thin skin can make them more susceptible to rapid loss of moisture. As a result, atopic dermatitis (AD) can present itself as a persistent inflammatory skin disorder. It is said to be one the most common forms of sensitive skin conditions that affects millions of babies. In fact, the Indian Academy of Pediatrics (IAP) has established standardised guidelines for paediatric skincare, which include recommendations for managing sensitive skin conditions, such as eczema. The guidelines focus on the importance of preserving the natural barrier of the skin using products that are gentle on the baby.

Impact Of Atopic Dermatitis On Babies

Dr Vinay H Joshi, a neonatologist and pediatric intensivist at Cloudnine Hospital, Mumbai, and honorary consultant at Wadia Hospital says AD can impact a baby's skin, causing persistent itching, rashes and flare-ups that cause discomfort, irritability, and disturbed sleep. The constant scratching can result in skin infections, further aggravating the condition.

"The emotional and physical toll on the baby can also affect the parents, leading to stress and anxiety. Moreover, the chronic nature of AD means that babies may experience flare-ups and remissions, requiring ongoing management. This makes it essential to develop a comprehensive skincare routine that can help relieve symptoms and prevent exacerbations," Dr Joshi says.

How To Manage Atopic Dermatitis In Babies?

According to the doctor, the first step lies in early detection of AD, followed by timely intervention with appropriate paediatric skincare practices. The management of atopic dermatitis in babies requires a holistic approach that focuses on protecting the skin barrier, reducing inflammation, and preventing infections, he adds.

1. Gentle bathing: It is important to keep the duration short, no longer than 5-10 minutes in lukewarm water. It is recommended to use a soap-free, pH-balanced liquid cleanser that is gentle on the baby's skin.
2. Choosing the right cleanser: Select a cleanser that is specifically formulated for sensitive skin conditions. Ideally, the cleanser should be clinically proven to cleanse gently and soothe irritated or damaged skin. Look for products that are hypoallergenic, formulated without soap, parabens, sulfates, or phthalates.
3. Daily emollient use: Emollients or moisturisers play a critical role in prevention of atopic dermatitis in high-risk infants. A good moisturiser not only provides hydration, but it also protects against dryness.
4. Choosing the right emollient: Opt for a colloidal oat-based moisturiser that hydrates and protects the baby's skin for 24 hours, the doctor suggests. Moisturisers with colloidal oatmeal are enriched with nourishing lipids that help restore and strengthen the skin's barrier, while also providing relief from signs and symptoms of eczematous skin.