Red flags & when to go in person for Eczema (Atopic Dermatitis) in Children

Audience: pediatric

Eczema, also called atopic dermatitis, is a common skin condition in children that causes dry, itchy, and inflamed skin. Many cases can be managed safely through telemedicine by discussing symptoms, reviewing skin care routines, and adjusting treatments. However, some signs mean your child needs to see a healthcare provider in person. These include severe redness, swelling, or pain; signs of infection like pus or fever; or if the eczema suddenly worsens or does not improve with usual care. Knowing when to seek in-person care helps protect your child's skin and overall health. Telemedicine can support ongoing care, but urgent or complicated cases often require hands-on examination and treatment.

Red flags — go in person / ER

• Severe redness, swelling, or pain in the skin area — seek urgent in-person care.
• Signs of infection such as pus, yellow crusting, or fever — see a healthcare provider promptly.
• Sudden worsening of eczema or no improvement after treatment — arrange for an in-person evaluation.

What telemedicine can do

• Assessment of mild to moderate eczema flare-ups.
• Review of skin care routines and medication use.
• Providing education on eczema management.
• Follow-up visits to monitor progress.

What telemedicine cannot do

• Evaluation of severe skin infections or abscesses.
• Management of sudden, severe worsening of eczema.
• Treatment requiring skin biopsy or specialized tests.
• Emergency care for systemic symptoms like high fever.

What is Eczema (Atopic Dermatitis)?

Eczema is a skin condition that causes dry, red, itchy patches. It often starts in childhood and can come and go. The skin barrier is weaker, making it easier to get irritated or infected. Common areas include the face, arms, and behind the knees.

When to Use Telemedicine for Your Child’s Eczema

Telemedicine can help manage mild to moderate eczema flare-ups. You can talk with a healthcare provider about symptoms, skin care tips, and medicine use. It is useful for follow-ups or when you need advice without travel.

Red Flags That Need In-Person Care

Some signs mean your child should be seen in person right away:

How to Prepare for a Telemedicine Visit

Before the visit, gather information to share:

After the Telemedicine Visit

Follow the provider’s advice carefully:

How to prepare for your tele-visit

• Take clear photos of affected skin areas in good light.
• Note when symptoms started and any recent changes.
• List all skin care products and medications currently used.
• Observe and note your child's itching severity and sleep quality.
• Prepare questions or concerns to discuss during the visit.

After your tele-visit

• Apply prescribed treatments as directed by the healthcare provider.
• Maintain regular moisturizing and avoid known irritants.
• Monitor the skin for any signs of infection or worsening.
• Schedule follow-up appointments if recommended.
• Seek immediate in-person care if red flags develop.

FAQs

Can telemedicine diagnose eczema in my child?

Telemedicine can often help identify eczema based on your description and photos of your child's skin. However, a physical exam may sometimes be needed to confirm the diagnosis or rule out other conditions.

What should I do if my child's eczema gets worse after the tele-visit?

If your child's eczema worsens, especially with signs like increased redness, swelling, pain, or infection, you should seek in-person medical care promptly.

Can eczema be cured?

Eczema is a chronic condition that often improves with treatment but may come back. The goal is to control symptoms and prevent flare-ups through good skin care and avoiding triggers.

Is it safe to use steroid creams on my child’s eczema?

Topical steroid creams are commonly used and can be safe when used as directed by a healthcare provider. They help reduce inflammation and itching but should be used carefully to avoid side effects.

How can I help prevent eczema flare-ups?

Keep your child's skin moisturized, avoid harsh soaps and irritants, dress them in soft fabrics, and try to identify and avoid triggers like certain foods or allergens.

Sources

1. Atopic Dermatitis — MedlinePlus, U.S. National Library of Medicine.
2. Atopic Dermatitis (Eczema) — Centers for Disease Control and Prevention (CDC).
3. Atopic Dermatitis - Symptoms and Causes — Mayo Clinic.
4. Atopic Dermatitis — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child shows any red flags or if you have concerns, please seek prompt evaluation by a healthcare professional in person.