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SYMPTOMS   DIAGNOSIS   SELF-CARE
         
         
1. Does the baby have CRADLE CAP – stubborn scalp scaling? This is often a type of seborrheic dermatitis that comes and goes from age two months to six months. With your pediatrician’s supervision, apply a thin disappearing layer of SebDerm lotion twice daily to the involved scalp for two weeks. Shampoo daily with baby shampoo, alternating with a little zinc shampoo like Zincon® or Head & Shoulders® zinc.
       
2. Does the baby struggle with RED SCALING CHEEKS and CHIN aggravated by saliva and rubbing the face on sheets or your shoulder? This could be infantile PERIORAL DERMATITIS that occurs and recurs until the baby is no longer experiencing a lot of saliva. With your pediatrician’s supervision, use a soft cotton washcloth moistened with plain water and wipe the babies face clean three times a day, then apply a thin disappearing layer of SebDerm lotion twice daily for two weeks. For repair of dry irritated facial skin, first apply a thin layer of Aveeno® Eczeme Therapy lotion, Curel® lotion - Original Formula, CeraVe® lotion, or Cetaphil® lotion for dryness and barrier repair. Then apply the SebDerm lotion application to the face rash. A small amount of Desitin® ointment, A&D Ointment at bedtime can be helpful. Initial stinging with any cream is common. It can be prevented by “spritzing” with a mist of water before applying creams. Use cold compressing for a minute after applying creams, too. After a few days these are no longer necessary.
       
3. At age TWO MONTHS did the baby develop deep red RASH involving the FACE, and the CREASE OF THE NECK, and the body creases (flexures)? This could be infantile seborrheic dermatitis and can be associated with slight scaling or crusting or even moist exudates. With your pediatrician’s supervision, apply extra dilute vinegar soaked cotton compresses to moist flexure areas for 3-5 minutes. (1 1/2 tablespoon of white vinegar in a 8 oz.glass of water). Then remove compresses and apply a thin disappearing layer of SebDerm lotion twice daily for two weeks, then taper gradually to use as needed. The application of the lotion must disappear and be dry with no excess moisture. For extra sensitive stingy dry rough faces, first apply a thin layer of Curel® lotion - Original Formula, Aveeno® Eczeme Therapy, or Cetaphil® lotion for dryness and barrier repair. Then apply the SebDerm lotion application to the face rash.
       
4. At AGE SIX MONTHS did the baby develop PATCHES OF ITCHY RED RASH on the trunk, and/or on the wrists, arms, and legs? This could be ATOPIC DERMATITIS, a common childhood eczema that is maximal by age two and tends to be outgrown by age 5 years. The skin is always dry, and ALWAYS needs every day repair with excellent moisturizing lotions. With your pediatrician’s supervision, apply moisturizing lotion, then apply a thin disappearing layer of SebDerm lotion three times daily for two weeks. For eczema prevention and repair of dry skin, first apply a thin layer of Curel® lotion - Original Formula, Aveeno® Eczeme Therapy lotion, CeraVe® lotion, or Cetaphil® lotion to ALL skin surfaces for dryness and skin barrier repair. Then apply the SebDerm lotion application to the areas of eczema.

For toddlers who complain about stinging from lotions and creams, first “SPRITZ” the areas with a spray bottle of water, and then apply the lotions. An immediate application with ice in a soft dish towel will also address brief stinging from creams on sensitive raw skin. After a few days this will not be necessary.
       
5. Your PEDIATRICIAN HAS PRESCRIBED ELIDEL® cream and your child is struggling. This calcineurin inhibitor is often prescribed as an alternative to topical cortisone/steroid creams. But sometimes initial control is difficult. It’s often helpful to use with your pediatrician’s supervision, the SebDerm lotion twice daily and simultaneously with the Elidel® cream. Apply a thin disappearing amount of each cream, and then briefly apply a cold compress of soft dry dishcloth over ice bag. After two weeks, taper off the use of the SebDerm lotion to use as needed. (For stinging and dry skin issues, see our section on atopic dermatitis.)
         
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ADVANCED PEDIATRIC CARE    
   

When your doctor prescribes strong prescription cortisone/steroid creams for ECZEMA, use them as instructed. If you were not given specific instructions, after three weeks, taper off the strongest steroids to using only two or three weeks a month and use the SebDerm lotion twice daily when not using the strong steroid. Ultimately, the goal of therapy is to achieve control of the ECZEMA using daily MOISTURIZING EVERYDAY, and something as safe as SebDerm lotion two weeks each month. It’s often helpful to use these in combination with steroid-free prescriptions ointments like the calcineurin inhibitors, from your doctor.

When your doctor prescribes strong prescription steroid creams for childhood PSORIASIS, use them as instructed. If you were not given specific instructions, taper off the strongest steroids to using two or three weeks a month and use the SebDerm lotion twice daily when not using the strong steroid. Ultimately, the goal of therapy is to achieve control of the psoriasis using daily MOISTURIZING EVERYDAY, and something as safe and mild as SebDerm lotion two to three weeks each month to the areas where psoriasis tends to develop or flare up. It’s often helpful to use these in combination with steroid-free prescriptions ointments like the calcineurin inhibitors, from your doctor.