Skin Care in Children with Eczema

It is a common scenario; two exhausted parents bring their infant in to my office.  The child is covered in red, rough patches and scratch marks.  He's clearly uncomfortable and his parents tell me he doesn't sleep well.  They were given a prescription for hydrocortisone by their paediatrician, but are worried that it will harm their child so they have been reluctant to use it.  No one in the house has slept well in months and everyone is on edge.  The parents desperately want to help their child and everyone just wants to get some rest!  

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Does Hydrocortisone Cause Skin Thinning?

Hydrocortisone is a class 7 steroid; the weakest group of topical steroids available. It would be very unlikely to cause skin thinning when used properly. Steroids are hormones that decrease inflammation in many ways, including by acting on the body’s immune cells. Steroids in ointments or creams have been safely used in the treatment of skin diseases since the 1950s.

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