This article discusses how to recognize eczema in children of all ages.
Atopic Dermatitis Skin Changes
In normal skin, the outer layer of the epidermis—the stratum corneum—contains dry, dead, flattened skin cells that form a barrier that protects the other layers of skin from irritants and keeps them moist. People with atopic dermatitis lose too much moisture from the outer layer, causing the skin to dry and crack, thus decreasing the skin’s protective ability (also known as the skin’s barrier function). A person with atopic dermatitis is more susceptible to recurring infections like bacterial infections, warts, herpes simplex, and molluscum contagiousum.
Symptoms in Infants
The appearance of atopic dermatitis is highly variable among individuals. Different age groups have distinct classic presentations, although some people will have unique features. In infants, the rash is most often seen on the trunk, face, and extensor surfaces. The rash typically consists of red, itchy skin that can ooze and crust over. The diaper area is typically not affected.
Symptoms in Young Children
As children get older, the rash can continue on extensor surfaces, but also becomes more prominent on flexor surfaces, such as in the bend of the arm and behind the knees. Affected skin is typically red and itchy. In some children, it can appear as tiny red bumps, also known as papular eczema.
Symptoms in Older Children and Adults
In older children, adolescents, and adults, a dry, itchy red rash may be seen on the face, neck, flexor surfaces, trunk, hands, or feet. Areas of the body that have been chronically affected may have thickened skin that is leathery in appearance.
