is now in the harsh winter with dry air, coupled with the stimulation of cold air, human skin is more fragile, skin moisturizing care for adults and children is essential, but recently, a content is "suspected to use a large dose of strong hormones The video of “baby cream, causing a 5-month-old baby to have symptoms such as face swelling and hyperhidrosis” rushed to the hot search, causing concern and heated discussions.
Zhang Bin, deputy chief physician of the Department of Dermatology of Beijing Children's Hospital and special director of the Department of Dermatology of Henan Children’s Hospital, introduced that in the outpatient clinic, parents who came to consult specifically for this matter were also worried that their children’s moisturizers might have similar problems or The child also has similar symptoms. So, is it necessary for children to use emollients? How to choose the right emollient? Under what circumstances can hormones be used? Today, he will answer these questions one by one for everyone.
Dry skin may occur without care eczema
First of all, let's understand the characteristics of children's skin.
After entering the dry and cold winter, the content of lipids and natural moisturizing factors such as urea and lactate in the stratum corneum of children's skin is reduced. In addition, their skin development is not perfect, the secretion of sebaceous glands is incomplete, and the tissue is repaired. The ability is weak, and it is more likely to cause dry skin, itching and other problems. After entering a warm indoor environment from a cold outdoor environment, with the drastic changes in environment and temperature, it will further aggravate the symptoms of dryness, itching and discomfort of children's skin.
Clinically, the above-mentioned series of reasons can cause pruritus in children. If the dry skin problem continues to not improve, erythema, papules, scaling and other damage may occur later, and dry eczema and atopic dermatitis may occur.
Therefore, in order to avoid the occurrence of the above situation, we recommend parents to take care of children's skin, especially in autumn and winter. The correct choice and use of emollients is the first and crucial step to prevent skin problems. In addition, wear pure cotton and breathable clothing for children, maintain a humidity of more than 50% in the home, control the temperature of the child's bathing water at about 37°C, and control the cleaning time within 5-10 minutes, and use weak acid bath products when bathing. , Can not be ignored.
Emollients are the first choice for "makeup" font size
Since emollients are so important, how should parents choose? Note: Be sure to pay attention to the "identification" on the children's emollients, including the name of the children's emollients, applicable people, ingredients, usage methods, origin, production and sellers, and deadlines for use.
specially reminds everyone that qualified children's emollients should be reviewed in accordance with the " Cosmetics Supervision and Administration Regulations ", "Cosmetic Safety Technical Specifications" (2015 Edition) and other relevant regulations, and can be considered after passing the declaration and review of children's cosmetics The product is safe. And these safe children's emollients should clearly identify the national and industry standards for cosmetics, such as "national makeup standards"; local production of cosmetics should follow the implementation of local and industry standards, such as "cosmetics production license: Zhejiang makeup "Chinese characters"; imported cosmetics must obtain "national makeup preparations" and so on.
To put it simply, products with the "makeup" brand name are regular products approved by relevant regulatory authorities. Parents who really don't know the situation can avoid the risk of adding unknown chemical ingredients to children's emollients as long as they recognize this mark.
As for the products applied to the skin with the “elimination” brand, children are not allowed to use them, but they can only be used for external disinfection and sterilization. They do not have the effect of regulating the physiological functions of the human body, and pay attention to the ingredients and use time restrictions of the product.
In order to avoid allergies, the simpler the better.
chooses regular children's emollients to ensure safety. Parents can make personalized choices according to the season, the formulation of the emollients, the types of added ingredients, popular reputation and expert recommendations.
We suggest that infants and young children should use external emollients regularly due to poor skin barrier function and limited water-holding capacity, and should choose emollients containing lipids and intermediate silk-related proteins, and then according to the skin condition, season and climate The changes are adjusted. For example, in the winter when the climate is dry, strong moisturizing creams or ointments should be used; when the weather gets warmer, it is more appropriate to use good breathable emulsions or lotions in spring and summer. Older children also follow the above principles when using skin care products. The frequency of use of
emollient is generally 1-2 times a day on the whole face or the whole body, follow the application as neededThe principle of adjusting the frequency of use according to the actual condition of children’s skin. If after a few hours of applying emollients, children’s skin is still troublesome, they need to apply again or switch to a more moisturizing formulation. Note that the amount of smear should be adjusted according to the actual reaction of the child's skin, not as thicker as possible at one time, it can be applied multiple times.
Choose children's emollients, but also pay attention to choosing products with less perfume, preservatives, and emulsifiers. In addition, some children who are prone to allergies may have allergic reactions to the added ingredients in emollients, such as oatmeal, milk, and olive oil. Therefore, if you don't know whether your child is allergic, try to choose an emollient with simpler ingredients for safety.
We often remind parents in outpatient clinics that when a child uses a moisturizer for the first time, he should apply it locally on the inside of his forearm and spend it overnight. If there is no discomfort such as redness, swelling and itching, then start using it on a large area.
Do not use the "magic" product
, which can "cure eczema" without authorization. The most frequently heard appeal of dermatologists, especially pediatric dermatologists, is "Doctor, don't give children hormones?" Ask the reason. It is usually caused by the infinite expansion of the side effects of hormone drugs in the heart after an incident similar to that in the news. The news event mentioned at the beginning of the
article, I analyzed the child’s symptoms may be related to the business’s excessive hormone strength (super potent clobetasol propionate), hormone components are not indicated, and the baby’s daily long-term use of hormones Caused by a large amount of absorption from the skin. If this matter is determined to be true by an authority, the fault is not the emollients, nor the hormones themselves. The fault is that hormones were added illegally to the emollient products that should not be added with any hormones; they should be used normally after following the doctor’s instructions Hormonal drugs, but out of the doctor's professional guidance.
Finally, I remind parents once again that if their children have inflammatory skin diseases such as eczema, they must go to the doctor and take medication. If the merchant recommends the use of moisturizers that claim to have therapeutic effects and can completely relieve eczema after one or two days of use, you must be highly suspicious of whether hormones are added in violation of regulations. Do not blindly believe in this "magic effect" without permission. Use it to avoid harm to the child's skin and body.
[Extended reading]
treatment of eczema, hormones should be used
Eczema is a common chronic skin disease in children, because of its longer course and recurring features, treatment is a clinical problem. Many parents have come to consult on the treatment of eczema. Our point of view is "three points depend on treatment and seven points depend on care". We advocate the principle of treatment to restore the normal barrier function of the skin, find and remove inducing and/or aggravating factors, and reduce or The main purpose is to relieve symptoms.
However, "talking about hormone discoloration" has always been the most common problem encountered in the process of pediatric dermatology medication. In fact, the external use of glucocorticoid for the treatment of some inflammatory skin diseases, whether it is for adults or children, its effectiveness and safety are far higher than its side effects. Evidence-based medicine proves that our most common treatment of infant eczema and atopic dermatitis, topical glucocorticoid is the first-line medication plan in the treatment guidelines at home and abroad.
Most children develop eczema. The most commonly used topical drugs in clinical treatment include topical glucocorticoids (hydrocortisone butyrate ointment, mometasone furoate cream, etc.), calcineurin inhibitors (he Crolimus ointment, pimecrolimus cream, etc.), traditional Chinese medicine ointment, and the latest phosphodiesterase inhibitors. The choice of medicine needs to be decided according to the child's age, location, and severity of the disease.
Therefore, the adverse reactions of topical hormonal drugs in accordance with the doctor's advice, reasonable specifications and topical topical use are reversible and controllable. Parents should not be overly anxious and worried about this. Image courtesy of
: Vision China IC photo
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