Allergy Center, National Center for Child Health and Development, Tokyo, Japan.
Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan.
Clin Exp Allergy. 2024 Sep;54(9):669-681. doi: 10.1111/cea.14515. Epub 2024 Jun 12.
Early intervention and active management of infant atopic eczema may play a crucial role in limiting eczema severity and preventing the onset of immediate-type food allergy. Eczema management involves education, skincare and medications targeting skin inflammation and barrier repair. Topical corticosteroids are the mainstay of anti-inflammatory therapy, with nonsteroidal options available for some infants. Proactive therapy, addressing subclinical inflammation, is useful for preventing eczema flares, especially in infants with recurrent eczema flares despite reactive therapy. In clinical practice, holistic consideration of overall infant and family health is essential. Providing advice on maternal stress management, nutritional guidance and recommendations for proper sleep and lifestyle is crucial for the well-being of children and their families, not limited to eczema treatment alone.
婴儿特应性皮炎的早期干预和积极管理可能在限制湿疹严重程度和预防速发型食物过敏方面发挥关键作用。湿疹管理包括教育、皮肤护理和针对皮肤炎症和屏障修复的药物治疗。局部皮质类固醇是抗炎治疗的主要药物，一些婴儿可选择非甾体药物。针对亚临床炎症的主动治疗有助于预防湿疹发作，尤其是在尽管进行了反应性治疗但仍反复出现湿疹发作的婴儿中。在临床实践中，全面考虑婴儿和家庭的整体健康状况至关重要。为母亲的压力管理、营养指导以及适当的睡眠和生活方式建议提供建议，对于儿童及其家庭的健康至关重要，而不仅仅局限于湿疹治疗。
