Severe Eczema in a 20-month-old Child 严重幼儿湿疹

The majority of patients with eczema will present with symptoms in childhood, it may starts at any age, even 2 months old. The itch comes with a chronic fluctuating rash with a range of features, eg., erythema, papulovsicles, excoriation and secondary infection. Itch may cause sleep disturbances, irritability and distress. The itch can be aggravated by warmth, sweating, bathing, excercise, emotional upset and woollen clothes worn against the skin, The skin is inflamed and painful.

A 20-month-old baby with a 10 months history of atopic eczema treated with topical steroids and tacrolimus (protopic) presented with confluent reddish rashes, microvesiculation, scaling and crusting on the face, with similar involvement of the trunk and arms. The hand, feet and facial area are more severe due to easier access to scratching. Blood investigation revealed mildly elevated IgE level.

63 Severe child A2

Parents are frustrated with conventional immunosuppressant treatment and desire to try more natural treatment. 14 months after the completion of herbal TCM therapy, the face eczema had healed with healthy skin tone, and the eczematous lesions on the arms and hands were healed completely.

63 Severe child B3

大多数湿疹患者在童年时都会出现症状，可能始于任何年龄，甚至2个月大。瘙痒伴有慢性波动性皮疹，具有一系列特征，例如红斑、丘疹水疱、表皮脱落和继发感染。发痒可能会导致睡眠障碍、烦躁和精神紧张。炎热、出汗、洗澡、运动、情绪低落和羊毛衣物都可能会使瘙痒加剧。皮肤干裂疼痛并且发炎。

一名20个月大的异位性湿疹幼儿，患病10个月，经局部类固醇激素和他克莫司(普特皮)乳膏治疗，出现混合性红疹、微细水疱、皮肤红肿干裂和渗出，躯干和手臂受累程度相似。由于容易刮擦，因此手脚面部区域更加严重。血液检查显示IgE水平轻度升高。

父母对常规免疫抑制剂治疗感到沮丧，并希望尝试更自然的中医中药治疗方法。中草药治疗结束后14个月，面部湿疹已恢复健康且肤色均匀，手臂和手部的湿疹已完全消退。