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Treatment options for eczema may vary depending on the type of eczema being treated, and whether it appears as dry and scaly lesions, dry and thickened lesions or “weeping” lesions. Some patients with severe or chronic eczema may wish to consult a dermatologist for treatment. In general, the goal is to reduce skin inflammation, dryness and itchiness.

Medications such as over-the-counter or prescription corticosteroids (to control inflammation), antihistamines (to control itching), and antibiotics and antifungal topical creams or ointments (to control secondary infection from scratching) may be used. These should be used only as directed by a physician to prevent accidental injury to a child. For example, corticosteroid creams are prescribed in dosage levels appropriate for an individual child. Applying one child’s prescribed corticosteroid cream to another child’s skin may result in damage to the skin of the second child.

Recently, the medications known as topical immunomodulators have been used to treat eczema. While these drugs do not work as rapidly as corticosteroids, they may pose fewer risks to a child’s sensitive skin, particularly when it occurs in delicate areas such as the face and groin. Immunomodulators are not recommended for children under age 2, and are used as a second choice for eczema treatment.

If an allergen is the source of a child’s eczema, a physician may suggest ways to avoid the offending substance. For example, children with food allergies may be asked to modify their diet. However, diet should not be restricted to the point that children do not receive the proper nutrients.

Older children with severe skin damage from eczema may benefit from ultraviolet light treatment (phototherapy). These treatments can clear a child’s skin, making it more cosmetically appealing.