Paediatric Dermatology

Paediatric dermatology deals with skin problems in children and adolescents. Many of these conditions are quite different from adult skin problems and require special expertise.

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common paediatric conditions managed by our team

  • Eczema

  • Acne and other adolescent skin problems

  • Birthmark

  • Infections

  • Psoriasis

caring for children with eczema

The following checklist offers Dermatologists tips that may help in reducing your child’s eczema flares;

moisture

  • Avoid frequent, lengthy baths

  • Use tepid water for baths

  • Avoid abrasive washcloths

food

  • Avoid prolonged contact (clean food around baby’s mouths)

CLOTHING

  • Avoid wool clothing and use 100% cotton

Irritants and allergans

  • Avoid fabric softeners

  • Only use soap for underarms, groin and feet

  • Avoid perfumed products

Scratching

  • Discourage scratching of the affected area, instead pat or firmly press the area

  • Apply soothing lubricants

Control environment + temperature

  • Maintain cool, stable temperatures as best possible

  • Do not overdress

  • Limit number of bed blankets

  • Try to minimise sweating

Airborne Allergens + dust

  • Avoid the use of rugs in bedrooms

  • Regularly vacuum drapes and blankets

  • Use plastic mattress covers

  • Wet mop floors

  • Avoid aerosols

  • Avoid smoking around your children

  • Minimise animal dander

Bleach baths for eczema

Diluted household bleach has been safely used for many years to help treat skin infections including eczema. If you child has eczema, bleach baths can be helpful when the eczema is infected and difficult to control.

what you need

  • White King household bleach (4.2% sodium hypochlorite) - do not use lemon or lavender bleach

  • Measuring cup

  • Standard sized bucket (10 litres)

how to give a bleach bath

  • Fill the bath with tap water to the desired level using a standard sized bucket. Count the number of buckets you use. Then mark your bath with tape so you don’t need to use the buckets again.

  • Add 12ml of bleach for every 10 litres of water (final bleach concentration of 0.005%)

  • Let your child soak in the bath for 10 minutes

  • Wash your child’s head and face with the bath water. You can immerse their head in the water as the concentration of bleach is very low and it will not cause any problems.

  • Wipe away any crusting or weeping at the infected area while your child is in the bath. Use a soft disposable towel (eg. chux type cloth) and throw it away afterwards

  • Do not rinse your child’s skin after the bath

  • Use old or white towels to avoid possible bleaching of coloured towels

  • Repeat the bleach baths as often as recommended by your child’s dermatologist

Possible side effects

Household bleach can sometimes cause a stinging or a burning sensation on the skin. The instructions outlined in this fact sheet are for a very diluted bleach bath, which means there is less risk of stinging happening. The final bleach concentration is lower than a swimming pool, which most people can safely swim in without damage to their skin or hair.

If your child does have stinging or irritation in the diluted bleach bath, rinse them off with plain water. Discuss this with your child's dermatologist before giving them another bleach bath.

Key points to remember

  • Diluted bleach baths are safe and effective in reducing bacteria on the skin

  • Add 12ml of bleach per 10 litres of bath water

  • Do not rinse the skin after a bleach bath

birthmark treatment for children

With some birthmarks, it’s important to treat them as early as possible in your child. The Skin Centre has two on-site theatres, where the procedures are conducted. Patients as young as three weeks have had successful laser at our Centre. 

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