A 5 months old baby girl is suffering from severe eczema.she is not getting better with synalar (fluocinolone) 1 in 4 and balneum stings. please help.

Severe eczema: I recommend seeing an allergist to check for food allergies that may be aggravating your baby's eczema. Most common are egg, wheat, milk, soy, peanut, even if breastfeeding. If formula feeding it may be necessary to switch to a hypoallergenic formula, such as nutramagen or alimentum. It won't cure the eczema but if food allergic will markedly improve. Try vaseline as a moisturizer.

Infant eczema: You should not apply balneum in your child's already inflamed skin. It will get worse. Instead, use plenty of petroleum base emollient or moisturizer to hydrate the skin. Your child might need to see a doctor if there are signs of infection. Some severe recalcitrant eczema could be a sign of severe combined immune deficiencies or other primary immune deficiency.

Bleach baths: Try soaking her in the bath tub and add 1/4 cup of bleach. This will kill staph bacteria on her skin which helps reduce inflammation on the skin. You should also apply an otc lotion called ceravae all over after the bath. You can continue to apply the synalr cream to the worst areas. If this treatment fails, it's time to see a dermatologist!

Allergist/Derm: A referral to both a Pediatric allergist and Dermatologist may be helpful. The use of moisturizer gently applied several time per day and an anti inflammatory cream is recommended. The lotions should be alcohol and fragrance free. Allergic infants may present initially with eczema and later develop other manifestation of allergic disease such as rhinitis. Their parents are often allergic.