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What is nummular eczema, how do I manage and treat it?

What is nummular eczema and how do I treat and manage it?

Nummular eczema (also called nummular dermatitis) is an itchy rash that forms coin-shaped patches on the skin. It appears scaly and red around the circular shaped lesions, and can cause itching and burning on the skin. It can occur at any age and is difficult to treat. This less common type of eczema is long lasting but there are periods of the time where nummular eczema can get better and then worse again.

 What causes Nummular eczema in my child?

There is no known cause for nummular eczema, however it is more likely to occur in children with a family history of asthma, allergies or atopic eczema. It is more common during winter and is associated with dry skin. Your child may have very sensitive skin that gets irritated easily so try and keep their skin hydrated throughout the day with regular moisturising, this can help to manage nummular eczema.

 What can trigger Nummular eczema?

  • temperature changes
  • stress
  • dry skin
  • irritants such as wool, rough clothing, soaps and detergents

Nummular eczema can look like ringworm, so it is important to make sure that the rash you see is not a fungal infection, especially if your child is not responding to treatment. Keep seeking advice from your doctor to make sure your child’s nummular eczema is being properly managed.

How can I manage my child’s Nummular eczema?

Unfortunately, like all eczema there is no cure, however there are effective ways to manage and control this type of eczema for your child. Keep up with your moisturising skincare routine, as well as avoiding common triggers. It is important to keep in mind that each child with eczema has different triggers which can bring on a flare up, so try and watch out for what worsens your child’s symptoms so you can then avoid them.

  • Speak to your doctor about covering  the affected area. This is because unlike atopic eczema, nummular eczema causes lesions in the skin. Covering the affected areas with moist bandages will keep the skin hydrated and protected from environmental irritants. Applying moisturisers regularly also helps keep your child’s skin soft and minimises the dryness that that could lead to severe itching.


  • Giving your child a daily bath with a moisturising bath soak helps keep their skin clean, hydrated, moisturised and clear from irritants. This is because  water washes away any bacteria or allergens that may have built up on your child’s skin, minimising the possibility of infection. Hot water can increase the symptoms of eczema, so it is wise to keep your little one in a lukewarm bath for no more than ten minutes.


  • Stick to your little one’s regular skincare routine to keep moisture from escaping. Daily treatment helps manage your child’s eczema and helps block irritants from entering their skin or causing infection.

The good news is many children’s skin seems to clear up from nummular eczema. It is important to continue to manage symptoms to avoid itchiness, distress and infection. 

This blog post was brought to you and your family with love from Julia and the itchy baby co. team x.

Disclaimer: Information provided is of a general nature only, and you should always consult



managing scratching skin

How can I help my eczema child stop scratching their skin?

When your child keeps scratching their eczema skin, nerve endings are opened which allows bacteria into their sensitive skin, leading to bacterial infections, inflammation and increased risk of scarring even when eczema flare-ups are reduced. We want to do everything we can to avoid the itch-scratch cycle which once your child starts scratching can be very hard to break and often leads to infection.

What is making  my child scratch their skin?

The need to start scratching is generally triggered by the external environment such as dust, house dust mites or even prickly clothing. When your child’s skin feels aggravated, the brain receives a nerve signal, urging your child to start scratching really fast to relieve the irritation. Once the irritation is gone, there are no more signals received and that itchy, scratching feeling goes away. However, by then your child’s skin is probably already inflamed and broken which makes it easily infected.

Tips on how to stop your child scratching

  • Regular bath time routine

Bathing your child regularly will remove any irritants sitting on their skin which could cause inflammation and infection and by using effective products, it will also will give the skin the best opportunity to absorb moisture.

  • A bedtime routine

Children with eczema often find it difficult to sleep during bed time especially because there is no activity to distract them from scratching. Their skin can also get hot at night, and cause more irritation and flare-ups. A good bedtime routine can help your child have a good night’s sleep. It is important to keep your child’s room cool and dress them in comfortable nightwear, preferably clothing made of breathable cotton, as well as light cotton bedsheets and cotton blankets when needed. Layering cotton sheets and cotton blankets should be used instead of heavy doonas which trap heat around the body, which increases the need to scratch.  Make sure to also keep your child’s skin hydrated by applying moisturiser, around 20 minutes before bed time to let it soak in.

  • Use Cold Compress on eczema skin

It helps to use a damp washcloth and hold the compress to your little one’s skin until the itching sensation goes away. This is especially useful on hot days to take the heat out of the skin, or an a very itchy patch of skin when your child has come into contact with an eczema trigger.

This blog post was brought to you and your child with love and care from Julia and the itchy baby co. team. X

Disclaimer: Information provided is of a general nature only, and you should always consult your medical professional




helping eczema and dry skin

How do I help manage my baby’s eczema and dry skin?

Looking after your child’s eczema and dry skin can take a lot of time, which is especially difficult considering everything else you have to fit into your day. However, the key to managing eczema and dry skin is to find effective products  for your child and to use them in a skin care routine every day which will help to  keep their eczema skin moisturised, hydrated and nourished.

What is the most effective way to manage my baby’s eczema and dry skin?

Coupled with sticking to your everyday skincare routine which will add moisture into the skin and stop irritants causing inflammation, is to avoid triggers that can worsen eczema symptoms. Make sure to also dress your baby in loose clothes made of cotton, to avoid irritation of clothing rubbing on skin and stop the skin overheating.

What can make eczema and dry skin worse in my baby?

Your child’s eczema may be different to someone else’s but there are some common triggers to avoid:

  • Dry skin

Dry skin can make your baby itchier, so it is important to try and apply moisture on your baby consistently and avoid dry environments. Dry skin also creates environment which bacteria love to live in, which when your child scratches their skin can lead to infection and inflammation.

  • Irritants

These can be from clothes such as wool or polyester, or from soaps such as perfumed detergents and body soaps. Look for products which don’t contain drying and irritating agents like SLES, SLS, EDTA, parabens.

  • Heat and sweat

Heat is the most common eczema trigger because it causes the body to sweat when it tries to regulate the body temperature. Sweat takes all the moisture out of the skin, and increases the likeliness of bringing irritants to the surface where they can aggravate and inflame the skin.

  • House dust mites

These are tiny insects which live in your home, especially in humid climates. When eczema skin comes into contact with these allergens, it can increase skin inflammation and itchiness. Even though it is not possible to get rid of house dust mites completely, there are ways to reduce dust mites by wet dusting and vacuuming regularly.

How can I put moisture back into my baby’s skin?

Regular lukewarm baths washes away any bacteria or allergens that may have built up on your baby’s skin, minimising the possibility of infection. Using a hydrating and moisturising bath soak in the bath will add moisture into your child’s skin as well as strengthening the skin’s natural protective barrier. When you take your baby out of the bath, make sure not to dry them out completely as moisturisers work best on damp skin. Maintaining a regular eczema skincare routine for your child will help keep them stay hydrated and help form a barrier to keep allergens and irritants out.

This post was brought to you and your child with love by Julia and the Itchy Baby Co. team. X

Disclaimer: Information provided is of a general nature only, and you should always consult your medical professional.


eczema in the heat and warm weather

What are some quick tips for helping eczema in the heat?

Trying to manage our children’s eczema during the heat can be challenging because heat is a common trigger that can aggravate intense eczema flare-ups.  It is so hard emotionally to see our children distressed and also difficult practically when we are constantly doing our best to manage their eczema. Here are some ways to control the symptoms caused by heat and make our children more comfortable.

How does the heat affect eczema?

Healthy skin acts as a barrier to protect the skin from coming into contact with bacteria or any other microbes in the environment. However, when your child has eczema, the barrier doesn’t work as well and is more prone to have bacteria living on and inflaming the skin.

During warm weather, our children sweat to try and regulate their body temperature. Sweat contains trace amounts of chemicals such as zinc, magnesium, calcium and iron, which may be irritating to the skin. In high humidity, sweat cannot evaporate easily, leading to a build-up of these chemicals and causing itching and irritation.

Sweat is made up mostly of water. When water sits on the skin it causes evaporation on the skin’s surface which takes away hydration from the skin. The makes the skin dry and more itchy.

Heat stimulates the itch reflex, so it is important to make sure your child is kept in a cool environment and drinking plenty of water to stay hydrated.

Managing eczema in the heat

  • Wear soft, breathable clothing

Loose fitting clothing is least likely to trap heat in the body and allow your child to stay cool. Stay away from nylon, wool or any rough fabric that may cause itchiness and irritation. Breathable cotton is best as it absorbs perspiration and is more comfortable for your little one’s skin.

  • Stay away from the sun during the hottest part of the day

Avoid be outside during the hottest part of the day to minimise flare-ups and have better control of your child’s body temperature.

  • Keep up the fluids

Making sure your child is drinking plenty of water will help to keep the body’s core temperature from rising. Ice blocks are another great way to increase fluid intake and also cool down the body down.

  • Using cool compresses or wearing a dampened singlet

Applying a cool compress to the skin or wearing a dampened singlet will immediately start taking the heat out of the skin and the edge off itching. Apply the wet compress for a few minutes, or until you can feel it warming up and then repeat until the skin cools down. When you have finished, moisturise the skin to stop hydration leaving the skin.

  • Moisturise, moisturise, moisturise

Make sure to keep your child’s regular moisturiser with you at all times. If you are at home, keeping your moisturiser in the fridge will cool down the skin when you apply it. Moisturisers act as a barrier on the skin to keep away from unwanted bacteria and prevent infection.  The best time to moisturise is within two minutes of taking your little one out of the water while the skin is still damp – this is when the skin can absorb the most amount of hydration from moisturising.

  • Regular bath time routine

Regular bathing is important in managing eczema because it helps to wash any irritants that may be sitting on the skin’s surface and allows a greater opportunity to absorb moisture using a moisturising and protecting bath soak. It helps to also wash away sweat or pollen from the environment to soothe your child’s skin.

This blog post was brought to you and your baby with love from Julia and the itchy baby co. team x.

Disclaimer: Information provided is of a general nature only, and you should always consult your medical professional.


household products causing eczema flare up

What common household products can cause an eczema flare up?

There are many different triggers that can affect our children’s eczema and result in an eczema flare up. It is not very well understood what exactly causes eczema but we do know that genetics, as well as the environment play a role. The skin barrier in children who have eczema does not work as well as those who do not have eczema which means that triggers and irritants in the household products we use can more easily penetrate the skin’s surface and cause an eczema flare up. Knowing what these products are for your child can lessen the likelihood of an eczema flare up.

What household products commonly contain irritants which can cause an eczema flare up?

  • shampoo, bubble bath, body wash

Substances which are in everyday skin and hair care products such as shampoo, bubble bath and body wash can cause itchiness, redness and dryness of your child’s skin. This happens because they can more easily get into the layers of skin as the skin barrier isn’t working properly to be able to keep them out. These substances can also further dry the skin out by stripping what there is of the skin’s barrier, causing hydration to easily escape.

  • laundry detergent

After we wash our clothes, some laundry detergent residue can remain in the clothes fibres which, depending on the sensitivity of your child’s skin, can cause irritation. Choosing a laundry detergent for your child’s clothes which doesn’t irritate their skin can be challenging but there are some alternatives available. Adding an extra spin cycle at the end of a wash can also help remove the residue and lessen the chance of your laundry detergent irritating the skin and causing an eczema flare up.

  • cleaning products

The products we use to keep our houses clean can also contain substances which when they come into contact with our children’s skin can cause irritation, inflammation and sometimes an eczema flare up. Common places for children to come into contact with cleaning products are surfaces such as, dining tables, kitchen benches, windows, and floors. Going over surfaces with warm water after using these products can help, and also looking into using more natural cleaning alternatives.

What are other common environmental causes of an eczema flare up?

  • Cigarette smoke
  • Fragrances
  • Certain fabrics such as wool and polyester from the clothes worn by your child
  • Perfumes

Remember to always stick to your skincare routine

As well as doing our best to avoid these triggers, the most important part of managing your child’s eczema is sticking to their eczema skin care routine to ensure the skin is nourished and hydrated. There are a range of ointments and creams which can be used to give as much moisture as possible against triggers to manage dry skin.

This blog post was brought to you and your baby with love by Julia and the Itchy Baby Co. team. X

Disclaimer: Information provided is of a general nature only, and you should always consult your medical professional.


How to help stop the itching

What can I do to stop my child itching their eczema skin?

Eczema is a chronic skin condition and itching is often the main symptom. Generally, children develop symptoms at a very young age, usually at three months and although many children will grow out of their eczema, some will experience eczema symptoms, including itching, right into adulthood. Understanding eczema and what we can do to relieve the itch will lead to better eczema management and less flare ups and infection.  

What causes eczema?

Researchers believe a combination of genetics and environmental factors play a role. Those with eczema have a sensitive immune system so when triggered by an allergen, the system attacks it, leading to itchy and painful skin. The skin also lets moisture escape easily, which also makes it dry and itchy and allows irritants to get into the skin, causing inflammation.

What are the symptoms of eczema?

The first sign of eczema is usually red, inflamed skin, and the first symptom of eczema is usually intense itchy skin. This leads to dry and bumpy skin, with red patches of different sizes, generally on the face, neck, arms and legs, but these can occur anywhere on the body. Eczema locations can change with time, for example, when your children start to crawl, you may see more eczema appear on the lower legs

What to do when your child is itchy?

Night time can be one of the most difficult times to manage itching and too often we notice our children’s sheets with blood from where they have cut their skin itching. Dressing your child in 100% cotton pyjamas will let the skin breathe and not keep air trapped at the surface of the skin which increases heat and therefore the need to scratch. Using 100% cotton sheets, and blankets and ditching the doona and quilts also reduces heat around the body.   

Hot skin is itchy skin and using cool compresses can help by taking the heat out of the skin. Run a washer under cool water and squeeze it until it’s only damp not dripping wet. Place this on your child’s itchy skin for a few minutes and then repeat. Feel the washer after you take it off, it will be very warm! Also doing the same with one of your child’s singlets and then dressing them in it will bring down their core temperature, this can also help to lower the temperature of the skin and make it less itchy.

One of the most important ways to manage itching is to maintain your child’s regular skin care routine.

A healthy skin barrier is so important in managing eczema and controlling the eczema itch. Make sure you keep up with your child’s skin care routine to put the most amount of moisture into the skin and stop triggers getting in as well as moisture escaping.

This blog post was brought to you and your child with love from Julia and the Itchy Baby Co. team. X

Disclaimer: Information provided is of a general nature only, and you should always consult your medical professional.