Atopic dermatitis is a common skin condition in children, characterized by dry, red, and itchy skin. It typically flares up periodically before subsiding. The condition is often associated with an allergic predisposition and a compromised natural skin barrier.

A 5-year-old child experiencing dry, rough skin, small blisters, and itching may indeed have atopic dermatitis. In children this age, the condition often presents as dry, red patches, sometimes with tiny blisters and intense itching. Parents might observe the child scratching frequently, experiencing discomfort, with itching worsening at night. Common affected areas include the cheeks, forehead, chin, neck, and the outer surfaces of the arms and legs. In younger children, it can also affect the buttocks.

The condition frequently recurs in dry weather or when the skin is exposed to harsh detergents found in soaps and shower gels. However, parents should distinguish atopic dermatitis from other conditions. Tiny blisters can also indicate contact dermatitis (caused by diapers, wet wipes, or certain shower gels), diaper rash, fungal skin infections, or impetigo, especially if there is yellow discharge.

Doctor, Level II Specialist Phan Thi Tuong Van examines a boy with atopic dermatitis. *Photo: Tam Anh General Hospital*

Parents should seek medical attention promptly if the red skin area spreads rapidly, pus develops, or the child experiences fever or excessive crying. For children with atopic dermatitis, proper skin care is crucial for symptom control and preventing recurrence. Moisturize the skin two to three times daily using products suitable for sensitive skin. Baths should be quick, lasting 5-10 minutes, using warm water; avoid hot water and opt for mild, fragrance-free shower gels. Additionally, keep the skin dry and breathable, change diapers regularly, and trim fingernails short to minimize skin damage from scratching.

Parents must avoid self-medicating with topical corticosteroids without a doctor's prescription. Incorrect use or dosage can lead to skin thinning, mask symptoms, or exacerbate the condition. If skin lesions are widespread, oozing, crusted with yellow discharge, severely itchy, or cause persistent insomnia for over one to two weeks without improvement, parents should seek medical consultation for appropriate treatment.

Doctor, Level II Specialist Phan Thi Tuong Van

Pediatric Unit, Tam Anh General Clinic District 7