Lesson 1Clinical presentation and age-specific features (facial, neck folds, extensor involvement)This section describes typical rash patterns of baby atopic dermatitis, including face and scalp issues, neck and skin folds, extensor areas, and how it changes with age plus signs pointing to other diagnoses.
Early facial and scalp involvement patternsNeck and flexural fold dermatitisExtensor surface and trunk involvementAge‑related evolution of distributionFindings that suggest atypical diseaseLesson 2History elements: feeding, sleep, family history, irritants, topical exposures including herbal productsThis section outlines key history points for baby eczema, covering feeding habits, sleep problems, family allergies, irritants and allergens, creams and local herbs, and distinguishing real triggers from coincidences.
Feeding history and suspected food triggersSleep patterns and nocturnal scratchingFamily history of atopy and skin diseaseHousehold irritants and environmental factorsTopical, OTC, and herbal product exposuresLesson 3Vaccination considerations and daycare/school advice for infants with atopic eczemaThis section discusses routine jabs for babies with eczema, timing around flare-ups, live vaccine concerns, and tips for nursery or early school, including infection prevention and skin care plans.
Routine vaccines in infants with eczemaTiming vaccines during flares or infectionsConsiderations for live and special vaccinesDaycare infection control and hygieneCoordinating skin care plans with caregiversLesson 4Physical examination: severity scoring (EASI/SCORAD basics) and identifying infection/excoriationThis section details baby skin checks, using simple EASI and SCORAD to score severity, spotting scratches, thickened skin, and signs of bacterial or viral infections that need different treatment.
Stepwise full skin examination in infantsEASI and SCORAD components and scoringDocumenting distribution and morphologyRecognizing excoriation and lichenificationClinical clues to secondary infectionLesson 5Evidence-based emollient and bathing strategies: types, frequency, formulation selectionThis section covers proven use of moisturisers and bathing for babies, product types, how often to bathe, techniques, soap alternatives and additives, plus tips to stick with it and avoid irritants.
Choosing emollient type and formulationBathing frequency, duration, and water temperatureUse of cleansers, oils, and bath additivesTiming of emollient after bathingImproving adherence and caregiver techniqueLesson 6Topical anti-inflammatory therapy: low- and mid-potency corticosteroids, topical calcineurin inhibitors — indications, dosing, durationThis section reviews choosing mild and medium steroid creams, safe areas and lengths, fingertip unit measures, calcineurin inhibitors role, when to use, safety talks, and ways to cut steroid use.
Choosing steroid potency by site and severityFingertip unit dosing and treatment durationIntermittent and proactive steroid regimensIndications for topical calcineurin inhibitorsSafety counseling and adverse effect monitoringLesson 7When to order tests or refer: allergy testing, serum IgE, consideration of dermatology/pediatric immunology referralThis section clarifies useful tests like blood IgE, allergy tests, skin pricks, and when to send to skin specialist or allergy doctor for severe, unusual, or stubborn baby eczema.
Indications for serum total and specific IgERole and limits of allergy testing in infantsRed flags for dermatology referralWhen to involve pediatric immunologyAvoiding unnecessary tests and costsLesson 8Differential diagnoses: seborrheic dermatitis, contact dermatitis, scabies, immunodeficiency red flagsThis section compares common baby eczema look-alikes like cradle cap, contact rash, scabies, early immune issues, key differences, history hints, and when to investigate further.
Seborrheic versus atopic dermatitis cluesIrritant and allergic contact dermatitis signsRecognizing scabies in infants and contactsCutaneous clues to immunodeficiencyWhen to broaden the diagnostic workupLesson 9Management of sleep disturbance and pruritus: antihistamines, behavioral measures, environmental modificationsThis section explains itch and sleep issues in baby eczema, using drowsy antihistamines, bedtime routines, skin care timing, home changes for better night comfort and safety.
Pathophysiology of itch and sleep disruptionBedtime skin care and emollient routinesUse of sedating antihistamines in infantsNonpharmacologic itch relief strategiesOptimizing sleep environment and clothingLesson 10Recognizing and managing secondary bacterial/viral infection: when to swab, topical vs systemic antibioticsThis section reviews spotting bacterial and viral add-on infections in baby eczema, when to swab, choosing cream vs tablet antibiotics or antivirals, prevention, and follow-up advice.
Clinical signs of bacterial superinfectionRecognizing eczema herpeticum and viral lesionsWhen and how to obtain skin swabsTopical versus systemic antibiotic choicesInfection prevention and household measuresLesson 11Parent education and counseling: safe topical use, avoiding harmful OTC/herbal products, trigger avoidance, realistic prognosis and follow-up planningThis section focuses on parent teaching, safe cream use, dodging bad shop-bought or herbal remedies, finding triggers, real outlooks, written plans, and follow-up bookings for support.
Teaching safe steroid and TCI applicationDiscussing risks of OTC and herbal productsIdentifying and minimizing common triggersSetting expectations and long‑term outlookWritten action plans and follow‑up scheduling
