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6 month old- tinea or eczema?
HI, my husband and i are at our wits end!
Our son develop a dry spot on hisforehead and we weretold byour pediatrician that we should apply aqua4, and hydrocortisone on it, shampoo with dandruf shampoo and switch soaps to dove. they said it was likely from cradle cap. we wanted to be sure so we saw a pediatric dermatologist. she prescribled nizoral cream once a day followed by lotion and vaseline (we chose to use lanolinh since he puts everything in his mouth, we also bought a humidifier). for the next couple months that rash would come and go. each time it would start as little white bumps and then turn red and then become patches and my son would itch. as it healed it formed roundish circles where it would be smooth skin with a couple of bumps surrounded by a raised bumpy sometimes scaly red border. when the rash was gone the skin would be raised and whiteish. becase it would come and go we began to get worried, we also noticed that the rash was not just on his forehead but also on his cheeks and temples. last month noticed that it was taking longer to heal then before so we went back to the derm. she said stop medication, and just lotion. so for a week we watch the rash get redder and our son get itchier. we noticed thatthe second we applied lanolinh/lotion the patches would redden and when he woke up in the morning hisface seemed less red. so we stopped lotions.. and saw the derm the next day. now she said she thinks it is fungal - and took a scraping but it would take 6 weeks to determine. she prescribed him griseofulvin 7ml a day - no lotions or anythingelse. we watch our son get progressively worse the patches spread throughout his face and became dry, thick and flaky all the wayup to the beginnings of his ears, eyebrows, and into his scalp. we called the derm and she said it was to be expected. ................... on our routine 6 month visit our pediatrician was insistant that it was possibly atopic dermatitis. and prescribed keflex, zyrtec, hydrocortisone, and elanil. so we went to the derm so she could see what our pediatrican saw on the same day, and she gave us cutivate and told us to continue griseofulvin. my sonnow seems much better, his face is no longer scaling or red. areas on the skin wherehe had the patches are now whitish and pink in some areas................ the problem is my pediatcian is insistant that we take him off griseofulvin explaining that it would not have been thereason for his skin to heal because it takes longer for it to take affect and therefore he has eczema and not a fungal infection. also that we should take him off the cutivate and put him on zyrtec and keflex to control the itching so that we control theeczema.
please advise as we dont wantour son to be on medication thatis unneccessary but afraid to take him off it as we read early discontinuation of griseo can the infection immune to the drug.
wouldn't his skin healed during the week without nizoral when we were lotioning him and keeping the air humid instead of it getting worse?
Our son develop a dry spot on hisforehead and we weretold byour pediatrician that we should apply aqua4, and hydrocortisone on it, shampoo with dandruf shampoo and switch soaps to dove. they said it was likely from cradle cap. we wanted to be sure so we saw a pediatric dermatologist. she prescribled nizoral cream once a day followed by lotion and vaseline (we chose to use lanolinh since he puts everything in his mouth, we also bought a humidifier). for the next couple months that rash would come and go. each time it would start as little white bumps and then turn red and then become patches and my son would itch. as it healed it formed roundish circles where it would be smooth skin with a couple of bumps surrounded by a raised bumpy sometimes scaly red border. when the rash was gone the skin would be raised and whiteish. becase it would come and go we began to get worried, we also noticed that the rash was not just on his forehead but also on his cheeks and temples. last month noticed that it was taking longer to heal then before so we went back to the derm. she said stop medication, and just lotion. so for a week we watch the rash get redder and our son get itchier. we noticed thatthe second we applied lanolinh/lotion the patches would redden and when he woke up in the morning hisface seemed less red. so we stopped lotions.. and saw the derm the next day. now she said she thinks it is fungal - and took a scraping but it would take 6 weeks to determine. she prescribed him griseofulvin 7ml a day - no lotions or anythingelse. we watch our son get progressively worse the patches spread throughout his face and became dry, thick and flaky all the wayup to the beginnings of his ears, eyebrows, and into his scalp. we called the derm and she said it was to be expected. ................... on our routine 6 month visit our pediatrician was insistant that it was possibly atopic dermatitis. and prescribed keflex, zyrtec, hydrocortisone, and elanil. so we went to the derm so she could see what our pediatrican saw on the same day, and she gave us cutivate and told us to continue griseofulvin. my sonnow seems much better, his face is no longer scaling or red. areas on the skin wherehe had the patches are now whitish and pink in some areas................ the problem is my pediatcian is insistant that we take him off griseofulvin explaining that it would not have been thereason for his skin to heal because it takes longer for it to take affect and therefore he has eczema and not a fungal infection. also that we should take him off the cutivate and put him on zyrtec and keflex to control the itching so that we control theeczema.
please advise as we dont wantour son to be on medication thatis unneccessary but afraid to take him off it as we read early discontinuation of griseo can the infection immune to the drug.
wouldn't his skin healed during the week without nizoral when we were lotioning him and keeping the air humid instead of it getting worse?
My son has had ezema since he was two or three months old. We battled in trying everything you could do for a child that young. The peditrition told me that there was a medicine he could use when he turned 2. On his second birthday I took him back and got the him the medicine. It is called elidel. If you can survive until he is two this medicine is wonderful. Every time my little boy breaks out I put it on and it works wonderful. Until he was two we used euricine cream, hyrdrocordisone cream, and we washed him in dandruff shampoo (coal) instead of using regular soap. I wish you luck in finding the right treatment for your baby.
MEDICAL PROFESSIONAL
If Cutivate made your son's skin better, he probably has eczema or seborreha--both inflamed skin conditions--not fungus. Therefore he probably doesn't need griseofulvin. Please check with the pediatric dermatologist before stopping it, though. Seborrhea and eczema both come and go, you you have to keep treating the skin when it scales up. If you put lotion on it, the skin gets redder, but that doesn't mean anything and is nothing to worry about. After a while, rashes like these often quiet down on their own, so you won't have to keep treating.
Take care.
Dr. Rockoff
Take care.
Dr. Rockoff
I went and got the elidel on my sons 2nd birthday. I'm unsure if other doctors will give it earlier. We used the coal shampoos instead of soap, euracine lotion, and also hydrocordisone cream until he turned two. I know that is a long time to wait, but it works wonders if you can either get it before two or when the baby turns two. I know it sounds funny, but our peditrition had us watch. If your baby gets ezima worse the more baths it takes then make sure the baths don't last long. Even the amound of sun exposure can change the severity of it. Taking baths always made my sons worse. We could never let him play in the tub before we got the elidel.
since my last post his face has gotten immensley better! after emmersing myself online looking for allpossible causes and treatments i decided to change his milk to alimentum....... i think its working! he's no longer itchy and so overnight we've stopped the prescribed steroid cream! skin is still rough and leathery but i'm using a pure white petroleum jelly from the pharmacy to keep it protected from environmental irritants :)
how long ago did this happen to your son? because elidel is now prescribed to children less then two, we havent tried it yet but if he gets itchy we will surely be using it! thankyou!! its good toknow first hand from another mother!
hope this is it for our little guy!
how long ago did this happen to your son? because elidel is now prescribed to children less then two, we havent tried it yet but if he gets itchy we will surely be using it! thankyou!! its good toknow first hand from another mother!
hope this is it for our little guy!
Thank you so much for your insight, one more thing... If I'm not mistaken, you are saying that the redness from putting lotion is alright? lotion is a good thing in this case? his skin also redenss after his bath... is it safe to say that the redness from lotion is just from the skin being moistened, and for seborrhea and eczema this is a good thing and should be continued? also, once his skin is clear of little whites bumps it would be best to stop the use of cutivate and just lotion instead?
also i noticed that his eyes/eye tends to get watery and gunky, the other day there was even a little blister on his eyelid which went away... according to his pediatrician it's common in eczema... sounds about right?
and lastly, he may be developing a cold and a fever, is it safe to use tylenol if needed while he's on both griseofulvin and cutivate?
Thank you sir very much !! This helps in knowing what questions to ask his doctor!
also i noticed that his eyes/eye tends to get watery and gunky, the other day there was even a little blister on his eyelid which went away... according to his pediatrician it's common in eczema... sounds about right?
and lastly, he may be developing a cold and a fever, is it safe to use tylenol if needed while he's on both griseofulvin and cutivate?
Thank you sir very much !! This helps in knowing what questions to ask his doctor!
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