What is the most effective treatment for a 4-year-old boy with a recurring red rash under his armpit?

Hi,

Welcome to icliniq.com.

It is sad that your child is going through this skin issue.

I saw the picture (attachment removed to protect the patient's identity), and it looks like eczema, specifically atopic eczema. Eczema flares up during winter when the skin becomes dry. The key is to keep the skin moisturized with a good moisturizer containing ceramide. Ceramide is essential for skin barrier function. It helps to heal the rashes faster. For example, Cerave moisturizer for kids or Eucerin (Glycerin and mineral oil).

1. Use moisturizing soap.

2. Apply moisturizer soon after showering.

3. He would require low-potent topical corticosteroid cream at night for one week only. Apply Hydrocortisone 1% topical cream to rashes at night. Use the moisturizer in the morning.

4. Avoid using hot showers, and use lukewarm water to take a bath.

5. Use a cool mist humidifier in his room.

6. Keep him away from pet animals if you have any.

7. Always wear cotton clothes. The inner layer of the cloth should be cotton.

Does he have a similar rash on his other skin folds? Like behind the knee, neck fold, in front of elbows?