Caring for a Baby With Reasonable to Extreme Atopic Dermatitis

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By Cassie Larkin, as advised to Stephanie Watson

Treating our son, Kyan, for atopic dermatitis (eczema) has been an extended haul. He was about 6 weeks previous after we first observed that he was breaking out in rashes. That was in Could or June of 2013. We simply figured he was delicate to the warmth.

Kyan was a fairly fussy child. We tried switching him to totally different formulation, however his pores and skin wasn’t getting any higher. Between the fussiness and the rashes, we had him examined. That’s when he was recognized with eczema.

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I had eczema as a child, however I grew out of it fairly rapidly. By age 2 or 3, my pores and skin had cleared. That wasn’t the case for Kyan.

By age 2, his pores and skin was simply getting worse. The eczema was in every single place. We tried each cream, each lotion, each ointment. We put him in cotton pajamas and gloves. We rubbed oil onto his head to assuage his itchy scalp.

The pediatrician who was dealing with his care stored telling us, “That is regular. We’ve got a number of children with eczema. Simply strive these lotions.” However the lotions weren’t touching the eczema and it wasn’t going away. It was fixed.

It Takes a Little Piece of You

As a mum or dad, your job is to maintain your youngsters and attempt to make them really feel higher once they’re sick. When you may’t make them really feel higher, it takes just a little piece of you.

Watching Kyan endure took an enormous piece of me. His pores and skin was open and cracked. He needed to be hospitalized for staph infections. We bathed him in diluted bleach, which burned his pores and skin a lot that he would scream and cry, nevertheless it was the one option to cease the infections.

Our day by day eczema routine was 2½ hours lengthy. At bedtime, we might bathe Kyan, then apply ointment throughout his physique to maintain the irritation down, after which put lotion on to seal in that moisture. Lastly, we would gown him in moist pajamas to assuage his pores and skin sufficient in order that he might sleep. Our morning routine was nearly as lengthy.

We tried a wide range of medicines, together with the immune-suppressing drug methotrexate, which mainly crashed Kyan’s broken immune system to attempt to rebuild it. Each different week we needed to get blood attracts to see if the drug was damaging his kidneys and liver. We mainly needed to hold him in a bubble to stop him from getting an an infection.


Eczema was affecting each a part of Kyan’s life. His palms have been so infected and cracked that he could not maintain a pencil or bend his fingers to write down in class. And he was so itchy and uncomfortable that he could not listen at school. His lecturers thought he might need autism or ADHD as a result of he could not focus, however he could not focus as a result of he was so uncomfortable.

Kyan suffered not solely bodily, but in addition emotionally. The children teased him. They did not perceive why he wore gloves to high school. They did not get why his face was so blotchy. His lecturers observed the useless pores and skin cells on his head and the best way he’d scratch at his scalp they usually stored flagging him for lice, which made the teasing even worse. Many instances he would come dwelling from college crying.

The eczema was relentless. It wasn’t stopping and it wasn’t getting higher. I knew I needed to be an advocate for my youngster. What we had tried up to now wasn’t working.

We have been referred to pediatric dermatologist Sheilagh Maguiness, MD, at M Well being Fairview in Minneapolis. I simply broke down in Dr. Maguiness’s workplace. I mentioned, “I can not do that anymore.”

New Hope

When dupilumab (Dupixent) first got here available on the market, I keep in mind Dr. Maguiness saying, “We have to get Kyan on this drug.”

The difficulty is, dupilumab is pricey — about $3,000 an injection. We battled for two years with our insurance coverage firm, which would not cowl the price as a result of the drug wasn’t authorized but for Kyan’s age group. Then in 2020, lastly dupilumab was authorized and we have been in a position to get our insurance coverage firm to pay for it.

The medicine has been enormous for Kyan. We noticed outcomes inside 3 weeks. There have been no extra open sores. We stopped needing to do the bleach baths and steroid lotions. Inside a number of months, his pores and skin was clear.

At this time, we simply give Kyan one shot each 2 weeks. And we apply lotion as soon as a day, at evening.

We hadn’t realized simply how a lot atopic dermatitis had consumed our lives as a result of it was our regular. Discovering reduction for Kyan has been enormous. It has been stunning how a lot freedom we now have and the way a lot better he feels.

Kyan has progressed a lot, each emotionally and educationally, that it is nearly unreal. Now he is in second grade. He is excelling in class. He is creating new friendships. He would not must put on gloves or keep away from touching sure issues. He is like all people else now. And he has a confidence he did not have earlier than.

Seeing how a lot Kyan has blossomed and flourished as a pupil and as an individual has been awe-inspiring. I used to be lastly in a position to take the ache away. I used to be lastly in a position to make him OK. That is all you need to your youngster, to make them really feel higher.

Our hope is that Kyan will outgrow the allergy symptoms and atopic dermatitis sooner or later in his life. The possibilities of that are not the best, however we’re preserving our fingers crossed. For now, we simply wish to give different households some hope and assist them see there’s a mild on the finish of the tunnel they usually aren’t alone within the journey to get there. 



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