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Itch and sleepChoose one
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Counseling
Eczema is a long-term condition that flares and settles; daily moisturizing and treating flares early keep it under control, and topical steroids used as directed are safe and do not bleach the skin. Recommended supportive care with an emphasis on short lukewarm baths, a thick fragrance-free moisturizer right after bathing, and avoiding fragrances and wool. Return precautions given including oozing or crusting, clusters of blisters or punched-out sores, fever with a flare, worsening itch, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
Month and status
Skin improved; control: controlled, clear, frequent flares, not controlled
Pediatrics and AAP Grand Rounds (full text where noted)
Template
Eczema
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ReferralChoose any
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Counseling
Recommended supportive care with an emphasis on short, lukewarm baths daily or every other day with a gentle fragrance-free cleanser, then a thick fragrance-free cream or ointment over the whole body right after bathing and at least once a day. Apply the medication to red, itchy patches first and moisturizer around it rather than mixing them. Avoid fragrances, dyes, and harsh soaps. Topical medicines used as directed are safe, and lighter spots come from the eczema, not the medicine. Return precautions given including oozing or crusting, clusters of painful blisters or punched-out sores, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
Severity mild or moderate or severe
Impetiginized eczema
Eczema herpeticum (urgent antivirals)
Molluscum flaring eczema
Eczema coxsackium
Start or continue topical steroid to active patches
Topical calcineurin inhibitor for face/eyelids (≥ 2 y)
Potency/vehicle by site; lower potency for face and folds