Categories
Guest Interview

Sensitive Skin Product Series – Understanding Ingredients & Patch Test

I ‘met’ Laura Verallo Rowell Bertotto, the CEO of VMVGroup, on twitter and learnt that her company is the only hypoallergenic brand that validates its hypoallergenicity.

VMV Hypoallergenics is founded in 1979 by Dr. Vermén Verallo-Rowell who is a world renowned dermatologist, dermatopathologist and dermatology/laser surgeon, also an author, esteemed researcher and speaker. 

Sensitive Skin Skincare Product Interview series with Dr Vermen Verallo Rowell VMV Hypoallergenics
  1. Sensitive Skin Product Series – What is Hypoallergenic?
  2. What does Natural Skincare Product mean?
  3. What is considered Organic and Non-Comedogenic?
  4. What does Suitable for Eczema Children mean?
  5. What is Patch Testing (for skincare product ingredients?)
  6. How do you read ingredients on skincare product label?
  7. What does Irritant-Free mean?
  8. What ingredients in skincare product to avoid?
  9. How is Coconut Oil used in skincare?
  10. What is product cross-reactivity?
  11. How many ingredients in a skincare product?
  12. How to use skincare products on Sensitive Skin?
  13. How to manage the diaper area?

Product Label – Deciphering the Skincare Ingredients

I’ve written in this post on how difficult it has been comparing the ingredients across products and make some sense of what they mean. For one, not all products list all their ingredients and even when they do, different companies seem to be giving the same ingredient different names (because they all sound so similar yet not identical!)

Marcie Mom: Laura, thanks again for continuing to help us understand the product label. This interview will focus on getting a broad understanding of labeling ingredients.

i. Is the ‘Ingredient’ list on product packaging Compulsory and Regulated? Does the Ingredient List cover all ingredients? Or can companies pick and choose what they like to reveal?

Laura: In many countries, yes, it is compulsory to list all ingredients, following a specified format, and using only the INCI (International Nomenclature of Cosmetic Ingredients) names of ingredients. A few countries do not require that ingredients be listed, in full or in part, and/or do not have requirements regarding the names used or formatting.

ii. Why is there no percentage (%) beside each ingredient? That way parents can compare and choose the product with the least % of allergen. Also, I read that certain allergen will not trigger a reaction because its concentration is too low in moisturizers but I also read that some products use an exceptionally high concentration of certain irritants.

How can consumer find out the concentration of allergen/irritant in a product?

Laura: This is quite a complex question…love it! 🙂

First, % are not included mostly because of proprietary concerns. A company does not want its exact formulation copied by anyone else.

Second, if a product is a DRUG (prescription or over-the-counter), it does, actually, have to disclose the % of the active ingredient.

Third, an easy way to get an idea of how much of an ingredient is in the formulation is to look at WHERE it is on the ingredients list. Most regulatory bodies require that ingredients be listed from MOST to LEAST.

Fourth: the % of an irritant or allergen is relevant mostly if someone only has irritant reactions to it. Irritant reactions do have a relationship to concentration of ingredient, frequency of exposure, time on skin, etc. For example, you could be using an allergen most of your life and not really react to it or just have mild irritant reactions like dryness. But if you are ALLERGIC to a substance or develop an allergy to it, any % of it for any amount of time on the skin will cause a reaction. Again, this is why a patch test is so important.

Look at WHERE it is on the ingredients list. Most regulatory bodies require that ingredients be listed from MOST to LEAST.

iii. Can you explain a little more on patch test?

Patch-Testing a Skincare Product before Use

A patch test is a painless procedure where ingredients/substances are put on your back in small dollops and kept on for a few days, with readings by your doctor at intervals like 48 and 72 hours. It can be a little costly upfront, but the amount of time, money and discomfort/skin trauma it can save you (versus random trial and error) over time makes up for that hundredfold. It tells you EXACTLY which ingredients you, in particular, need to avoid.

So, for example, you may need to avoid certain dyes in clothing, certain laundry soaps, and certain metals in your cell phone, etc. but may actually be ok using such natural ingredients as tea tree oil…this helps guide you far more specifically. And if you happen to be in the USA and your dermatologist is a member of the American Contact Dermatitis Society, your patch test results can be entered into the CAMP (Contact Allergen Management Program) database…so that instead of just a list of ingredients to avoid, you get a list of brands and product names that you can use.

Not to over-emphasize a point but this is also why the VH-Rating System is so handy. If you have not yet had a patch test, choosing the highest VH-Rating (showing that zero allergens are included in the formulation) can already significantly improve your chances of non-reaction. If you HAVE had a patch test, if an allergen is included in a product, the VH-Rating will alert you to the presence of which allergen in particular is included (for example Vitamin E). If your patch test shows you’re allergic to parabens and not vitamin E, then you probably can still use the product.

Marcie Mom: Thanks so much Laura for your help in helping us understand the big picture on ingredient labeling. In our next interview, we will learn in greater detail about reading ingredients on the label.

2018 update: Check out SkinSAFE app (developed by Mayo Clinic and licensed to Her Inc.) where you can either have your Personal Allergen Code (for US patients) or you select allergens that you want to exclude from products or use their 11 allergens to exclude from products, namely preservatives, fragrance, parabens, lanolin, coconut, topical antibiotic, MCI/MI, nickel, gluten, soy and propylene glycol.

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Patch Testing and Prick Testing: A Practical Guide Official Publication of the ICDRG
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VMV Hypoallergenics Essence Skin-Saving Super Wash Hair and Body Milk Shampoo, 16.9 Ounce
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Stiefel Physiogel™ Hypoallergenic Ai Cream 50ml
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Last updated on 18 November, 2024 1:58 am
Categories
101 things that Mothers with Eczema Child do Differently

27 of the 101 things that Moms with Eczema Child do Differently – Personal Grooming

No time and no money (mostly spent on eczema child!)

This is the 27th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

Categories
Support Group

Join me for Long John Silvers Breakfast on 11 Feb, 930am

eczema support group singapore
Tiong Bahru Plaza

Tiong Bahru Plaza

It’s time for our 3rd support group meeting and it’s scheduled on 11 Feb (Saturday), 9.30-10.30am at Long John Silvers, 1st floor of Tiong Bahru Plaza (see pictures on left). I’ll be there with my hubby and baby and as always, have sticker packs ready to occupy your child. Appreciate if you RSVP by 9 Feb to mommarcie[at]gmail.com. See you!

Long John Silvers Breakfast Meeting:

Date – 11 Feb (Saturday); Time –9.30 to 10.30am

Venue – Tiong Bahru Plaza 302 Tiong Bahru Road, #01-31, Singapore 168732

Categories
Doctor Q&A

Sensitive Skin Product Series – Understanding Suitable for Eczema Children

Sensitive Skin Skincare Product Interview series with Dr Vermen Verallo Rowell VMV Hypoallergenics

I ‘met’ Laura Verallo Rowell Bertotto, the CEO of VMVGroup, on twitter and learnt that her company is the only hypoallergenic brand that validates its hypoallergenicity.

VMV Hypoallergenics is founded in 1979 by Dr. Vermén Verallo-Rowell who is a world renowned dermatologist, dermatopathologist and dermatology/laser surgeon, also an author, esteemed researcher and speaker. 

Sensitive Skin Skincare Product Interview series with Dr Vermen Verallo Rowell VMV Hypoallergenics
  1. Sensitive Skin Product Series – What is Hypoallergenic?
  2. What does Natural Skincare Product mean?
  3. What is considered Organic and Non-Comedogenic?
  4. What does Suitable for Eczema Children mean?
  5. What is Patch Testing (for skincare product ingredients?)
  6. How do you read ingredients on skincare product label?
  7. What does Irritant-Free mean?
  8. What ingredients in skincare product to avoid?
  9. How is Coconut Oil used in skincare?
  10. What is product cross-reactivity?
  11. How many ingredients in a skincare product?
  12. How to use skincare products on Sensitive Skin?
  13. How to manage the diaper area?

What does Suitable for Baby mean?

MarcieMom: Suitable for Eczema Child/Infant – These are the most important keywords for a parent looking for sensitive skin products for his/her child with eczema – how much surer can it be when the product is labelled (and often prominently so) that it can be used for infant with eczema!

Can you explain to us what ‘suitable for use for infant’ and ‘suitable for eczema’ really mean? Also, is there a regulatory body that governs the use of such terms on product packaging?

Laura: Again, great question, and not as confusing as it may seem with some simple guidelines (but yes, still not regulated terms so there is definitely self-education needed).

Suitable for infants: Here is the premise we at VMV operate on. Baby skin is formed and functioning from a very young age (neonatal and even younger — in utero by the end of the 1st trimester). But during the first few months of life, immunological functions are still undeveloped. For example, atopic dermatitis (an allergic disease that needs immune-forming cells to make IgE immunoglobulin) is not often seen until after the 3rd month of life. Because infant skin is newer to the world, building up its defenses, and as the surface area of skin is greater in babies (they absorb anything topically applied more than adults), baby skin care should be very safe yet still protect against micro-organisms. This, at VMV, has meant products with as few or ZERO of all known allergens (plus other things that are NOT allergens but known to have irritant responses and other safety issues, like SLS and phthalates)

PLUS the inclusion of a very safe antibacterial-antiviral-antifungal-anti-inflammatory in all formulations. We also use coconut oil and its derivatives a lot because many have been found to actually be present in mother’s milk, studied extensively, peer-reviewed and published multiple times.

Baby Skincare hould be very safe yet still protect against micro-organisms

What does Suitable for Eczema mean?

Suitable for Eczema has similar requirements. Eczema is actually atopic dermatitis. I left the more detailed definition to my mother, Dr. Verallo-Rowell, as this is her forte and I believe you and your readers would appreciate a doctor’s definition:

Dr. Verallo-Rowell: Eczema is actually a more generalized term for any skin eruption characterized by edema within the epidermis and dermis clinically seen as tiny itchy bubbles that ooze and become little bubbles or vesicles, even blisters. Then, exposed to the air, they dry up and become crusts. With chronicity this wet phase may not be as obvious, and becomes replaced more by dry, thickened, very itchy patches and plaques. Atopic dermatitis is the prototype example of this process but it may be seen in other conditions such as allergic and irritant contact or photocontact dermatitis, eczematous drug eruption and secondary reactions to a primary diagnosis.

Laura: Because “eczema” is actually a very general term, a specific diagnosis can be a powerful tool towards consistent and sustained management. A specific diagnosis usually also comes with an identification of the possible triggers for an individual’s flare-ups. Because babies cannot yet be patch tested, however, the alternative is frequent and controlled observation of what seems to cause eruptions (this is also why it is so important to use few products…so it’s easier to observe what the trigger/s might be) and strict prevention.

For the many conditions that can fall under the mantle “eczema”, they all benefit from the same ultra-über safety that we would do for baby products, i.e. ZERO of all known allergens, etc. plus the inclusion of a very safe antibacterial-antiviral-antifungal in all formulations. Why? With eczema, when the skin develops fissures or cracks, this becomes welcoming to opportunistic microorganisms to enter the skin, which can lead to or exacerbate itching and further dryness…which can lead to more cracks (which can lead to more infection) and more scratching (which can spread infection)…more risk of microorganisms, etc. in a vicious cycle. This is why we put the skin-safe but powerful antibacterial-antiviral-antifungal-anti-inflammatory (monolaurin) in all these products.

Marcie Mom: Thanks Dr. Verallo-Rowell and Laura, I think we’ve covered the more common terms which parents of eczema children look out for in labels and discussed whether they are truly meaningful and beneficial. Look forward to learning more from you in our next blog interview.

2015 update: Skin facts series that cover more on baby skin –

Baby skin’s increased transepidermal water loss

Baby skin’s increased chemical penetration

Baby skin’s reduced lipids

2018 update: The above terms continue to be unregulated; read FDA current regulatory guidelines, and you can do your part! If you have a rash reaction to the products, you can report to FDA here. Complaints made to the product companies need not be reported to the FDA by the product company – in an August 2017 study by Dr Steve Xu (a featured guest on this blog’s series on contact dermatitis in children) Adverse Reported to the US Food and Drug Administration for Cosmetics and Personal Care Products:

It was noted that in 2014, the FDA sent letters to manufacturers Chaz Dean and Guthy Renker LLC in response to 127 consumer complaints of hair and scalp problems related to the WEN by Chaz Dean Cleansing Conditioners. Only then did the FDA discover that the manufacturers had already received 21,000 consumer complaints of scalp irritation and alopecia. (Italic text from northwestern.edu)

As cosmetics products (including shampoo and moisturizers) do not require any regulatory pre-approval, it is super important for consumers to take action to alert FDA on any adverse reaction. Apart from WEN shampoo above, another recent instance whereby consumers’ complaints to FDA and Better Business Bureau have raised awareness of possible adverse reactions is Monat shampoo, read here. Read also EWG article on myths of cosmetics safety

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VMV Hypoallergenics Essence Skin-Saving Super Wash Hair and Body Milk Shampoo, 16.9 Ounce
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Cetaphil Baby Ultra Soothing Lotion with Shea Butter 8 oz
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Last updated on 23 November, 2024 4:11 am
Categories
101 things that Mothers with Eczema Child do Differently

26 of the 101 things that Moms with Eczema Child do Differently – Why Fold Clothes

One mom suggested getting child to fold clothes!

This is the 26th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

Categories
Guest Interview

Sensitive Skin Product Series – Understanding Organic & Non-Comedogenic

I ‘met’ Laura Verallo Rowell Bertotto, the CEO of VMVGroup, on twitter and learnt that her company is the only hypoallergenic brand that validates its hypoallergenicity.

VMV Hypoallergenics is founded in 1979 by Dr. Vermén Verallo-Rowell who is a world renowned dermatologist, dermatopathologist and dermatology/laser surgeon, also an author, esteemed researcher and speaker. 

Sensitive Skin Skincare Product Interview series with Dr Vermen Verallo Rowell VMV Hypoallergenics
  1. Sensitive Skin Product Series – What is Hypoallergenic?
  2. What does Natural Skincare Product mean?
  3. What is considered Organic and Non-Comedogenic?
  4. What does Suitable for Eczema Children mean?
  5. What is Patch Testing (for skincare product ingredients?)
  6. How do you read ingredients on skincare product label?
  7. What does Irritant-Free mean?
  8. What ingredients in skincare product to avoid?
  9. How is Coconut Oil used in skincare?
  10. What is product cross-reactivity?
  11. How many ingredients in a skincare product?
  12. How to use skincare products on Sensitive Skin?
  13. How to manage the diaper area?
Skincare products organic certification what it means and is it better for eczema skin

Terms on Product Label – What They Really Mean and Do They Mean Well?

Marcie Mom: Today’s learning more about terms like ‘organic’, ‘non-comedogenic’ and ‘pH-balanced’

Organic – This is a term that always baffles me and reading the amount of debate online as to what is organic is even more confusing!

Can you explain to us whether the use of ‘organic’ term is regulated?

Laura: Regulation is much clearer for “organic” which requires certification by certain bodies that have earned the right to certify organicity (certain companies authorized by the US Department of Agriculture, for instance). For example, the virgin coconut oil we use is USDA-certified — a seal that has very strict requirements, that necessitates an inspector to travel to our farm and inspect it in person (including how we extract the oil) and a seal which we have to renew (to “re-earn”) regularly.

With the proper certification, “organic” is arguably far more reliable than “natural”.

Non-Comedogenic

Marcie Mom: Non-comedogenic – I noticed that your products are listed as ‘non-comedogenic’ and ‘non-drying’. Can you explain to us what this mean and also what pH-balanced means?

Laura: Non-comedogenic means will not clog pores…and this is important for compliance. If a product will not cause reactions or offers a very effective clinical therapy…but then causes acne…then people are less likely to use it or may have just created more problems to deal with.

Non-drying is related to allergenicity. Many people who experience dry skin do not realize that they may already be experiencing a mild allergic or irritant reaction. We use this term to alert people to this fact. As well, some non-pore-clogging products achieve pore-friendliness via the inclusion of ingredients that do dry out the skin.

Important note: Many skin conditions, including psoriasis, eczema, acne and aging, are caused by, worsened by, or related to inflammation. The more a product can help reduce inflammation or if it can contain an anti-inflammatory, the better for most skin concerns. Also, the less inflammation to have to fight, the stronger the skin is and the better able to, on its own, ward off infection, reactions and other problems.

pH-Balanced

pH-balanced is an interesting term because it could mean completely neutral, which may or may not be ideal for a formulation. The skin’s natural pH is actually slightly more acidic (5.5-6.5) than neutral (which is 7). Bar soaps, because of the way they are made, intrinsically tend to have a more basic or higher pH (some going as high as 8 or 9). This can, on its own, be quite denaturing and very drying to skin. Most of our products for very dry, sensitive skin skew towards the skin’s natural pH as much as possible, or slightly lower…we try to avoid the high range as much as possible.

Marcie Mom: Thanks! So, we’ve covered the more common terms in labels and discussed whether they are truly meaningful. In the next interview, we’ll understand more about the term most parents with eczema children look for, i.e. “suitable for eczema/ infant”.

2018 update: Read FDA’s article on regulation of “organic”, which is under US Department of Agriculture (USDA)

2014 update: Read my interview with dermatologist Dr Cheryl Lee on eczema skin and pH

Organic Manuka Honey Eczema Cream, Psoriasis, Rosacea, Dermatitis and Rashes, Gentle for Babies & Children, Provides Instant & Lasting Relief for Severely Dry, Cracked, Itchy, Red & Irritated Skin
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VMV Hypoallergenics Superskin Moisture Rich Creammmy Cleansing Milk for Dry Skin, 4 Fluid Ounce
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Last updated on 18 November, 2024 1:58 am
Categories
101 things that Mothers with Eczema Child do Differently

25 of the 101 things that Moms with Eczema Child do Differently – Sneaking Crawling

Why am I crawling to sneak out of my own bedroom?

Because I waited for 3 hours before my baby slept soundly and I could pull myself away from her.

This is the 25th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

Categories
Guest Interview

Registered Dietitian Answers on Child’s Diet

Joy Musselman, Registered Dietitian who specialize in weight management answers questions on eczema childhood diet
Joy Musselman, Registered Dietitian who specialize in weight management

Joy Musselman, Registered Dietitian who specialize in weight management

Joy Musselman @MyDietitianJoy answers Marcie Mom’s questions relating to children’s diet. Joy hosted a live chat #foodchat and was kind enough to answer my questions even after the chat! Here’re the three questions I asked and Joy’s replies:

Marcie Mom:  Any recommendations on what a child with sensitive skin or eczema should eat to improve his or her skin condition?
 
Joy: For eczema a varied diet is best. Not sure of your child age but recommend try avocados, whole grains, and lots of fruits/veggies.
 
Marcie Mom: How long should a child keep drinking baby juice that’s vitamin fortified? When can he/she upgrade to fruit juice? Is there still a need to dilute?
 
Joy: 100% fruit juice is ok after 6months but limit to 4-6oz per new guidelines.
 
Marcie Mom: Can a child drink cold water? Any adverse effect? From how young can cold water be given to a child? (The reason I asked this was because my baby Marcie loves cold drinks and sometimes I distract her from scratching! See this post)
.
Joy: Water is ok (even cold) once solid foods are introduced. I give water only with solids. Breastmilk or formula to meet fluid needs.
Gerber Juice, Pear 32 oz
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Lusa Organics Baby Wipe Juice - Certified Organic with Natural, Safe, and Gentle Ingredients - Locally Grown and Tested - Synthetic Fragrance and Preservative FREE - 8 Ounces and Makes 2 Gallons
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Gerber Organic 2nd Foods Baby Food, Pears, Blueberries, Apples & Avocado, 3.5 oz Pouch, 12 count
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Last updated on 23 November, 2024 3:19 am
Categories
Guest Interview

Sensitive Skin Product Series – Understanding Natural

I ‘met’ Laura Verallo Rowell Bertotto, the CEO of VMVGroup, on twitter and learnt that her company is the only hypoallergenic brand that validates its hypoallergenicity.

VMV Hypoallergenics is founded in 1979 by Dr. Vermén Verallo-Rowell who is a world renowned dermatologist, dermatopathologist and dermatology/laser surgeon, also an author, esteemed researcher and speaker. 

Sensitive Skin Skincare Product Interview series with Dr Vermen Verallo Rowell VMV Hypoallergenics
  1. Sensitive Skin Product Series – What is Hypoallergenic?
  2. What does Natural Skincare Product mean?
  3. What is considered Organic and Non-Comedogenic?
  4. What does Suitable for Eczema Children mean?
  5. What is Patch Testing (for skincare product ingredients?)
  6. How do you read ingredients on skincare product label?
  7. What does Irritant-Free mean?
  8. What ingredients in skincare product to avoid?
  9. How is Coconut Oil used in skincare?
  10. What is product cross-reactivity?
  11. How many ingredients in a skincare product?
  12. How to use skincare products on Sensitive Skin?
  13. How to manage the diaper area?
Skincare product labeling Natural FTC and FDA limitation and settlements
As Natural as Nature?

Terms on Product Label – What They Really Mean and Do They Mean Well?

MarcieMom: Let’s continue to understand what ‘Natural’ means!

Natural – I don’t use products labelled ‘natural’ for my baby because my husband who has eczema always find that natural products sting his skin. I understand that natural ingredients do not necessarily mean not allergenic and can’t understand why there seems to be so much ‘hype’ around being natural.

Can you explain when/why natural becomes popular and is there a valid reason for selecting natural products?

Is there regulation governing the use of this term and what percentage of the total ingredients must be natural before a product can label itself as such?

Laura: Great question and let’s break it down one by one 🙂

Natural seems to have grown in popularity due to two main reasons, both of which are good in and of themselves and should lead to more good:

1) A growing desire among more and more people to have safer products in their lives. This can arguably be attributed to the internet’s ability to make so much more information available so quickly to more people, as well as that people seem to have become far more aware of what they put in and on their bodies than ever before. With obesity now an epidemic in some countries, we’ve also begun to take a closer look at the quality of foods we’re imbibing. One of the biggest concerns has been the amount of processed foods that we consume, for example, and therefore the drive to go back to less processed foods, more locally available, etc. This desire for safety seems to be driving the desire for “natural”.

2) Another big driver for “natural” is the desire to be more environmentally responsible. Thankfully, we are learning as a species (albeit slowly) that this is one planet and it needs a lot of help!

These two main drivers, I would argue, are what are behind the “hype” of natural.

Regulating ‘Natural’ in Skincare

There is, however, a lot of confusion surrounding the term “natural.” First off, you’re right, it’s not yet regulated. Almost anything natural has to be processed in some way to be able to be used, so regulation eventually needs to be standardized to settle on what amount and what type of processing is allowed. There are certain brands that are spearheading this much-needed regulation, but for now, it’s still pretty ambiguous.

What’s Natural?

Another thing that seems to trip people up is the perceived line between “natural” and “chemical”. Everything in nature (see the periodic table of elements) is expressed in a chemical signature (water is hydrogen + oxygen; vitamin E is tocopheryl acetate…both of which sound “chemical”). This is further complicated by some semantics. In sunscreens, “chemical” ingredients are actually correctly called “organic”; and “physical” ingredients are correctly termed “inorganic”. Definitely confusing 🙂

Does Natural = Hypoallergenic?

As you pointed out, many, many, many natural ingredients are highly allergenic. The extremes would be bee stings, shellfish and peanuts…which, no matter how natural and organic, can be extremely allergenic or even deadly for those allergic to them. Pollen, dander, mangoes and strawberries are highly allergenic, too. Tea tree oil is on the allergen list, as are Ylang Ylang, Lavandula Angustifolia Oil (Lavender Oil), and most fragrances — no matter how fresh-from-the-earth-and-farmed-by-your-own-hands they are.

We try to use natural/organic ingredients as much as possible — because we do want to use less processed ingredients and would like to be more responsible to the planet. But at VMV our mandate is very strictly hypoallergenicity and clinical efficacy. So those are our primary filters. If a natural/organic ingredient meets these criteria (such as virgin coconut oil and green tea, which are both extremely well studied, with lots of published research, and not on allergen lists), then we will use them.

MarcieMom: What are some natural ingredients that are considered hypoallergenic? Also, which natural ingredient tends to trigger allergies but yet commonly marketed as good for skin?

Laura: Some natural ingredients considered allergenic are listed above, many of which are commonly marketed as good for the skin. HOWEVER, please remember that we are all individuals. MANY people can use ingredients that are allergens! Repeated exposure to them over time can lead to skin sensitivity and other problems later on (like darkening, etc.) but still, there is a large proportion of the population that can tolerate these allergens. Therefore, brands that market these ingredients as good for the skin may not be misrepresenting anything. Vitamin E, for example, is a WONDERFUL antioxidant. It is on the latest allergen lists, which is why we’ve reformulated many products to remove it. But it has ample evidence to support that it does, in fact, have many properties that are great for skin.

Coconut oil, its monoglyceride derivative, coconut water, green tea, rice phytic acid are virtually non-allergenic. Note that olive oil often needs to be preserved because it is a mono-unsaturated oil (C18:1) versus coconut oil, mostly C8, C10, C12 and all with saturated carbon bonds. Therefore, coconut oil does not need to be preserved. The gallates preservative of olive oil have been reported to be allergens.  Most other oils bought from the shelf are long chain polyunsaturated oils and often are also preserved or contain trans fats from partial hydrogenation and are no longer “natural”.

Marcie Mom: Thanks! Today, we’ve learnt lots on ‘Natural’ and we’ll be learning more about ‘Organic’, another very common term in product label.

2018 update: FTC (Federal Trade Commission) monitors marketing terms on product and has updated on their website in 2016 that as of that time, there were 4 proposed settlements and administrative issued complaint to challenge the allegedly deceptive use of those phrases in ads for skincare products, shampoos and styling products, and sunscreens.

From what I can see, the FTC was able to take actions because those products were labeled 100% natural. What about “natural” without the “100%/All”? No regulation or action can be taken. For instance, one of the four products mentioned in FTC site was beyond coastal sunscreen, which continued to be labeled “natural” – there are natural ingredients in it, but also “non-natural” ones:

Acai Fruit Extract, Allantoin, Aloe Vera Extract, Arachidyl Alcohol, Arachidyl Glucoside, Ascorbic Acid, Behenyl Alcohol, Capric/Caprylic Triglycerides, Caprylyl Glycol, Castor Isostearate Succinate, Cetearyl Alcohol, Cocoa Butter, Dimethicone, Galactoarabinan, Glycerin, Glyceryl Stearate, Grapeseed Oil, Irish Moss Extract, Jojoba Seed Oil, Lauric Arginate, Methylcellulose, Phenylethyl Alcohol, Polysorbate 60, Pomegranate Extract, Potassium Sorbate, Rosehip Seed Oil, Sclerotium Gum, Shea Butter, Sorbitan Stearate, Vitamin C, Vitamin E, Water.

The positive thing though is that none of the above ingredients (though I’m not sure why so many ingredients are necessary) are on the 86 contact allergens established in humans as compiled by the European Commission – Scientific Committee on Consumer Safety.

- 4%
VMV Hypoallergenics Superskin Moisture Rich Creammmy Cleansing Milk for Dry Skin, 4 Fluid Ounce
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VMV Hypoallergenics Essence Skin-Saving Super Wash Hair and Body Milk Shampoo, 16.9 Ounce
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VMV Hypoallergenics Armada Moisturizing Protective Lip Balm 60+, 0.35 Ounce
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Categories
Guest Interview

Clothing that is the Nearest Thing to a Second Skin with Anti-Microbial Properties

Girl wearing Dermasilk garments and glove (picture from dermasilk.co.uk)

DermaSilk is a range of specialist garments especially suited for eczema children that MarcieMom first came across on twitter. Interested to find out how it can help parents manage their children’s eczema, MarcieMom contacted Jo Fletcher, the Operations Director of Espere  Healthcare Ltd, the company that manages the sale of DermaSilk. (2018 update: Alpretec is selling Dermasilk directly). DermaSilk is produced by ALPRETEC, an Italian company that has extensive experience manufacturing allergy protection products. DermaSilk is developed with a patented process that binds the medical grade silk to an anti-microbial shield that can reduce 94% of staphylococcus aureus (staph), a bacteria that commonly colonizes eczema skin and causes skin infection.

Marcie Mom: Jo, thank you so much for taking time to explain DermaSilk to us. I’ve read your very informative website and understand that DermaSilk is not the same as shop bought silk because the outer coating of the silk (sericin protein) has been stripped off, leaving the core known as fibroin. This is because the outer layer has been shown to cause allergic reactions. Do you know if the sericin protein is a common irritant? Also, does stripping this layer remove the antioxidants present in silk?

Jo: Sericin-free silk has been used in medical practice for many years in the form of surgical sutures (stitches). Hospitals use this form of silk as there have been reports in the medical literature of allergic reactions to sericin both in patients and in people working in the silk manufacturing industry. It is not a common irritant but with most eczema patients the irritation of sensitive skin is the last thing you would want to promote so it is logical to use medical grade fibroin silk. We’ve never measured the anti-oxidant properties of silk as our aim is to control temperature and humidity to prevent itch.

Marcie Mom: DermaSilk has taken the silk, modified it to medical grade, and enhanced it with the anti-microbial shield. I viewed with interest your video that this shield can reduce staph as it pierces the microbes and destroys it without using chemicals such as silver or nano-particles that will leach to the skin. In fact, DermaSilk can even be an alternative to steroid. Under what circumstances would you recommend parents to use DermaSilk instead of steroids? For instance, only in mild cases or certain types of eczema such as those not triggered by food?

Jo: As silk is a natural protein fibre it can be prone to attack by bacteria and fungi so it is important that we protect it from colonisation by microbes which would make eczema worse. Unlike silver, our antimicrobial is designed to bond with the silk and it cannot be washed or worn off. This means that it does not get onto the skin or into the body of the wearer so continues to work for the life of the garment. We’ve run a large number of clinical trials with DermaSilk, one of them comparing DermaSilk with a topical corticosteroid to compare efficacy. What the researchers found was that there was no difference between arms treated with 7 days of steroid and arms clothed in DermaSilk. We would not advocate that DermaSilk replaces any prescribed medication. It is intended to be an “add on” treatment which will help to control the symptoms of eczema in such a way as to possibly reduce the need for topical steroids in the future as the frequency and severity of eczema flares tends to reduce when using DermaSilk.

Marcie Mom: So what is it that DermaSilk does?

Jo: It’s really very simple. DermaSilk stops itch! It is made of a knitted fabric which helps to control temperature and humidity close to the skin. When skin is too hot or cold or too dry or too damp it itches and scratching the itch leads to more itching and skin damage. Worn as underwear, DermaSilk helps to keep optimal levels of moisture and temperature close to the skin, even in hot and humid environments.

Marcie Mom: I think we have a clearer picture of DermaSilk’s features. Let’s learn how to use DermaSilk. Parents may be mistaken to use DermaSilk as a wet or dry wrap because that is the main use of other types of medical clothing. This is incorrect as large quantities of moisturizers used in “wrapping” can impede the function of the product. Also, DermaSilk is to be worn at all times. Practically, does this mean parents who need to moisturize their child frequently have to remove DermaSilk garments, apply moisturizer/steroid, wait for them to be absorbed then put the garment back on? Or would you say it’s more suitable for night time use in young children?

Jo: Many people confuse the use of DermaSilk with wrapping garments so it is good to have the opportunity to put the matter straight. Wrapping garments are used for getting difficult eczema cases under control and may only be needed for a short period of time. During their use the child has to be covered in thick layers of sticky emollient ointments and the garments are pulled over the emollient to help force the moisturiser into the skin. Wet wraps involve two layers of garments and dry wrapping a single layer but these garments are to keep the moisturiser in place for a short time.

By contrast, DermaSilk is designed to help control stable eczema and this is achieved by constant wearing 24 hours a day, 7 days a week, whether the eczema is causing a problem or not. Think of it as normal underwear. It is always advisable to let moisturisers dry before you put the DermaSilk on but we find that in many cases the need to apply moisturisers frequently drops to a couple of times a day because the silk is helping to protect the skin. This means that DermaSilk can be used both day and night.

Marcie Mom: We know that eczema children are very good at scratching hard. Will their scratching damage DermaSilk garment? Is the DermaSilk glove recommended for young children who can’t keep their mittens on?

Jo: DermaSilk removes the itch so the desire to scratch reduces. The garments are pretty robust and, providing they are worn under normal clothing, little fingers are not likely to damage the clothing. For the smaller children, aged up to 4 the DermaSilk body suits have integral mits which can be folded over the hands to protect them. DermaSilk gloves, used from age 4 upwards are not intended to stop fingers from scratching but to stop hands from itching. Remember it is the anti-itch properties of the clothing which sets DermaSilk aside.

Marcie Mom: One interesting point is that DermaSilk doesn’t have to dry completely before the child can wear as it can retain 30% moisture without feeling damp. Does the higher moisture retention make DermaSilk susceptible to mould? And will it expand and become loose overtime?

Jo: Silk needs to be humid in order to function properly and just like healthy skin it performs best when at 30% humidity. As with skin, silk will attract bacteria and fungi and this is why the antimicrobial is bonded to the silk to help prevent this buildup and keep the garment fresh and the skin free of excess microbes.

Marcie Mom: A final question on the durability of DermaSilk. I note that DermaSilk’s anti-microbial shield has been tested for over 50 washes. My child with eczema showers twice a day so does that mean DermaSilk can last 25 days?

Jo: Not at all! We tested the durability of the antimicrobial for over 50 washes and found that less than 1% of the activity of the antimicrobial had been removed. Our garments will last for as long as they are the right size for the child to fit into them and we’ve even had instances of families passing them down to younger siblings. 6 to 12 month lifespans are not uncommon.

Marcie Mom: Thanks, I’ve learnt a great deal about DermaSilk and must say I’m impressed with the technology. p.s. to readers of eczemablues.com, I did not receive any money from Espere Healthcare or Alpretec for this interview.

DermaSilk Therapeutic Set 3 Face Mask for Child in Silk Fibroin (head circumference 18,8/19,6 in - 48/50 cm)
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Wrap-E-Soothe Eczema Sleeves, Tencel Arm or Leg Sleeves for Teens and Adults (Extra Small 8"-13")
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Wrap-E-Soothe Eczema Sleeves, Tencel Arm or Leg Sleeves for Teens and Adults (Extra Small 8"-13")
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Mustela Mustela Stelatopia Skin Soothing Pajamas, Baby Pajamas, 12-24 Months, 1 Ct.
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Mustela Mustela Stelatopia Skin Soothing Pajamas, Baby Pajamas, 12-24 Months, 1 Ct.
$35.00
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Last updated on 22 November, 2024 4:13 pm
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Support Group

Eczema meets Chickenpox

Eczema and chickenpox bath
Frog Play Pool

My girl, two year old, just passed the 14 days medical certificate required for chickenpox. With some sanity finally restored in the house, I could post a short account of what happened.

Before the 1st Day of Chickenpox

Actually, her pre-school already had a round of toddlers getting chickenpox and the teachers thought Marcie’s tiny red spots somewhat resembled what the other kids got. I took her to the doctor and he said it’s eczema and not chickenpox. To me, she normally didn’t have so many tiny red spots but it clearly didn’t look like chickenpox. Here’s her picture during this period.

Marcie posing under a christmas tree in a mall (and I’m surprised she knew how to pose!)

First 3 Days of Chickenpox

About 15 days later, we noticed her high fever and red spots clearly didn’t look normal. Brought her to doctor and confirmed chickenpox. Though she had fever, felt very hot at night, she managed to retain her good spirits and appetite. The chickenpox started on her face and neck.

Next 7 Days of Chickenpox

These were the days when it got worse – the chickenpox itch and the eczema itch. Parts of her skin which normally were fine started becoming dry, peeling and turning reddish – brought back memories when her eczema was severe. The chickenpox spread to the whole body and we had to cool her down by letting her play in the indoor playpool. I think most people don’t bathe and limit spreading lotion/water from one part of the body to the other, but with Marcie, we bathed and moisturized her as usual. We did apply calamine lotion and gave her anti-itch syrup from doctor.

Frog Play Pool

After 14 Days

This is a picture of her, finally able to go out, happily playing with a number-block book while waiting for her noodles!

Finally! There’re pox scars everywhere but as long as it’s not itchy, I’m glad.

Intex Lazy Fish Inflatable Baby Pool, 49" X 43" X 28", for Ages 1-3
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Caladryl Lotion, Calamine Plus Itch Reliever, 6-Ounce Bottle
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Managing Infectious Diseases in Child Care and Schools: A Quick Reference Guide (American Academy of Pediatrics)
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Last updated on 2 November, 2024 11:16 am
Categories
101 things that Mothers with Eczema Child do Differently

24 of the 101 things that Moms with Eczema Child do Differently – Inside-Out Fashion

Wearing my shirt inside-out at an outdoor concert

This is the 24th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

Categories
Support Group

First Eczema Fund in Singapore

Asthma and Allergy Association of Singapore eczema fund
Asthma and Allergy Association of Singapore

Asthma and Allergy Association of Singapore

I’ve always been passionate about helping children with eczema, particularly those from low income families. For the low income, they may not be active online and thus, may not benefit from my blog, my children book or my support group mailing group. Thus, I’ve specially designed 2012 calendars for distribution in hospitals and also make sure that I’m available to meet every two months at convenient and inexpensive locations. NOW, finally, the eczema fund has started and can directly help the low income with their eczema treatment!

FAQ on Eczema Financial Assistance Scheme

1. How did it get started?

There’s no eczema fund in Singapore and in July 2011, I got to know Dr Liew, President of Asthma Association (AA), through Chris who’s running a blog for parents with allergy kids.  I indicated to Dr Liew that I’d like to subsidize the cost of moisturizers for low income children with eczema but I haven’t found a suitable organization to administer the money. The AA is founded in 1993 by doctors and has in place a fund to help low income asthma patients. Dr Liew sought approval from the executive committee and got approval in September 2011 for the go-ahead of the eczema fund.

2. How can it help Eczema patients?

The fund will subsidize treatment for low income eczema patients, and is currently extended to include adults. From January 2012, patients who are Singapore citizen/permanent resident with eczema (only) confirmed by dermatologist can work with the hospital’s medical social worker to apply for the fund. The patient must be seeking treatment at public hospitals and has explored government medical assistance schemes before applying for the fund.

The fund can help subsidize the cost of treatment that includes topical creams and moisturizers. I imagine this will be a great relief for low income, particularly when moisturizers are not cheap (and not paid for by government). Whenever I think of a child who itches so much, scratches so much yet unable to get the treatment he/she needs, my heart aches. Morevoer, if the parent is uneducated, it’s unlikely to know that the child is really suffering and not scratching cos naughty.

3. When does it start?

It already started! I’ve donated the seed money for the fund and anyone interested to do so can email cheque to:

“Asthma and Allergy Association” (also payable to)

14 Robinson Road
# 13-00 Far East Finance Building
Singapore 048545

Indicate Eczema Fund at back of cheque, as the association has another fund for asthma.

If you’ve done so, will you drop a comment here so that I’ll know or email me at mommarcie[at]gmail.com; a BIG THANK YOU from Marcie & me!

Categories
Guest Interview

What I’ve learnt from Dr Ava Shamban’s Channel – Protecting Skin

Dr Ava MD's Channel skincare tips
Dr Ava MD's Channel

Dr AVA MD’s Channel

Been watching Dr Ava Shamban’s Channel – a series of youtube videos relating to skincare. Dr. Ava Shamban–a renowned board-certified dermatologist licensed to practice medicine in California, New York and Hawaii–graduated magna cum laude from Harvard University before receiving her medical degree from Case Western Reserve Medical School. In addition to serving as Assistant Clinical Professor of Dermatology at the UCLA-Geffen School of Medicine, she is recognized as the “Extreme Makeover” dermatologist and the resident expert on the Emmy winning daytime talk show, “The Doctors.” Dr. Shamban is also author of the new book, Heal Your Skin: The Breakthrough Plan for Renewal (Wiley)

Dr. Ava on How Exercise Benefits Skin
Exercise can increase circulation, thereby increasing nutrients to the skin and reducing toxins. Cortisol, produced by adrenal gland, will also be reduced (cortisol lowers immune system). Any exercise that can be carried out on daily/ every other day basis is good!
.
Dr Ava on How to Avoid Stress that Causes Acne
Stress can manifest both internally and externally, on the skin. Stress, increases cortisol, which is viewed as a male-like hormone (androgen) and increases acne. To de-stress, relax and nap. A combination of rest and exercise is always beneficial.
See also my post here on stress on children with eczema.
.
Dr Ava on How to Buy Quality Skincare at the Drugstore
The skincare products suited for you may not necessarily be the most expensive; label-reading is important (which is why I’ve started the Sensitive Skin Products series with VMVHypoallergenics). Make sure that the active ingredient is in the first five ingredients and the product is fragrance-free. In Dr Ava’s words ‘If you want to use perfume, use perfume; but not on your face’.
.
Dr Ava on How to Choose the Right Sunscreen and SPF?
Choose a high SPF especially at least SPF50 on higher altitude. Choose one that is not too oily or greasy and comfortable to use (with make-up). If doing sports, need a water-proof or resistant one. Sunscreen on the face is formulated differently with that on the body.
.
Good Morning America – Dr. Ava on How to Stay Oil-Free & Protected in Summer
Sun-protection is discussed and Dr Ava’s recommendation is to have a high SPF sunscreen, wide-brimmed hat and wear sun-protective clothing (there’s even for babies with SPF 50 rating). Choose physical sunscreen that’s safer for children (you can see this post for more info). For face, a non-comedogenic lotion with SPF can also be used. There’re also certain foods that can help increase SPF, mainly red/purple fruits such as pomegranate, carrots, watermelons, blueberry and raspberry!
Heal Your Skin: The Breakthrough Plan for Renewal by Ava Shamban (2011-05-01)
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Neutrogena Clear Face Liquid Lotion Sunscreen For Acne-Prone Skin, Broad Spectrum Spf 55, 3 Fl. Oz.
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VMV Hypoallergenics ID Anti-acne Anti-oil Lotion, 3.72 Fluid Ounce by VMV Hypoallergenics
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Last updated on 22 November, 2024 8:28 pm
Categories
Guest Interview

Sensitive Skin Product Series – Understanding Hypoallergenic

I ‘met’ Laura Verallo Rowell Bertotto, the CEO of VMVGroup, on twitter and learnt that her company is the only hypoallergenic brand that validates its hypoallergenicity.

VMV Hypoallergenics is founded in 1979 by Dr. Vermén Verallo-Rowell who is a world renowned dermatologist, dermatopathologist and dermatology/laser surgeon, also an author, esteemed researcher and speaker. 

Sensitive Skin Skincare Product Interview series with Dr Vermen Verallo Rowell VMV Hypoallergenics

This is a 13-part series focused on understanding and using products for sensitive skin, an important topic given the generous amount of moisturizers that go onto the skin of a child with eczema. Dr. Vermén created the VH Rating System which is the only validated hypoallergenic rating system in the world and is used across all the products at VMV. With a shared interest to help those with sensitive skin, Laura, Dr Vermén and I collaborated to bring you this series:

  1. Sensitive Skin Product Series – What is Hypoallergenic?
  2. What does Natural Skincare Product mean?
  3. What is considered Organic and Non-Comedogenic?
  4. What does Suitable for Eczema Children mean?
  5. What is Patch Testing (for skincare product ingredients?)
  6. How do you read ingredients on skincare product label?
  7. What does Irritant-Free mean?
  8. What ingredients in skincare product to avoid?
  9. How is Coconut Oil used in skincare?
  10. What is product cross-reactivity?
  11. How many ingredients in a skincare product?
  12. How to use skincare products on Sensitive Skin?
  13. How to manage the diaper area?
Testing Hypoallergenic (picture from vmvhypoallergenics.com)
Testing Hypoallergenic (picture from vmvhypoallergenics.com)

In this interview, Laura answers Marcie Mom’s questions on understanding the product label.

Terms on Product Label – What They Really Mean and Do They Mean Well?

Common terms that the average consumer may look out for will be ‘hypoallergenic’, ‘natural’ and ‘100% organic’. Hypoallergenic refers to less likely to cause allergies while the definition of ‘natural’ and ‘organic’ is vague.

Marcie Mom: Laura, thanks for helping to answer these questions that confuse me and so many parents looking for a suitable moisturizer for their eczema child. Let’s tackle them one by one.

What’s Hypoallergenic?

MarcieMom: I am looking at my baby’s moisturizers and one brand says hypoallergenic while the other does not. I read that at VMV, you rate a product using the VH Rating System that grades a product safety based on how many allergens it does not contain (i.e. higher score means less allergens). However, I don’t see such rating system in other brands.

How do I then know how hypoallergenic it is? Or in other words, is there a regulatory body that ensures the product meet at least some criteria before it can be labeled as ‘hypoallergenic’?

And, is some country stricter in the use of the term?

Laura: Actually, the “hypoallergenic” claim is one of the biggest problems with cosmetics — different FDAs regulate the term differently and some don’t at all. Even when there are regulations, these are minimal or are poorly defined. This applies to the United States as well where a judicial ruling in the 1970s for the FDA to regulate the term was overturned by the Court of Appeals.

As a result of this decision many U.S. manufacturers can label and advertise their cosmetics as “hypoallergenic” without being required to provide supporting evidence. Consequently, neither consumers nor doctors have much assurance that such claims are valid. One recent ruling by the US-FDA requires that ingredients used in cosmetics be listed in the product label — which is definitely an improvement but unless one is extremely familiar with ingredient names, it may not be of much help regarding the hypoallergenic claim.

This lack of definite regulatory criteria for the “hypoallergenic” label is a problem for those who really need hypoallergenicity or who want skin-safer care.

Dermatologists tend to not respect the claim and consumers, as you mention in your blog, are at a loss about how to interpret it.

VH-Number Rating System

It’s precisely because of this lack of regulation that our founder, a dermatologist-dermatopathologist who specializes in several diseases like chronic and recurring contact dermatitis and atopic dermatoses, created the VH-Number Rating System. She wanted an objective way to prove hypoallergenicity — one whose criteria are clear, reliable, repeatable, easy for the consumer to follow, and whose basis is respectably peer-reviewed and published.

The VH-Number Rating System is based on a list of allergens. This list is collated from the assessment by independent groups from Europe, the United States, Canada and other countries of contact dermatitis experts who regularly do patch tests and publish the ranking of these allergens. Altogether, these doctors now test over 20,000 people yearly. Because the patch tests are done on so many people across many countries, and are updated every few years, this list is the most reliable reference for the top allergens that produce allergic reactions in people.

In our products, we use this list to know what to OMIT from our formulations. And the VH-Rating System is the only system to show how many of these allergens are NOT in a product. It works a little like an SPF in that it’s a simple numerical guide as to the hypoallergenicity of a product. As with an SPF, the higher the VH Number the better (the more allergens are omitted).

This VH system was recently published in Dermatitis, the journal of the American Contact Dermatitis Society and a leading publication on contact and atopic dermatitis. The article states that the VH-Number Rating System is “shown to objectively validate the hypoallergenic cosmetics claim”. So finally, yes, there is a way to objectively measure a product’s hypoallergenicity.

When Skincare Products are Not Rated

If a brand does not use the VH-Rating System (it is proprietary to VMV), you have to be a bit of a contact derm AND chemistry expert. Why?

First, you have to have access to or memorize the list of allergens. Right now, there are 76 allergens…quite a lot to memorize. As well, the list changes every few years, so you’d have to keep up-to-date…not easy if you’re not a dermatologist who specializes in this.

As well, you’d need to know your chemistry well enough to be able to recognize the different names that ingredients can sometimes have. For example:

1.   Fragrances are always top allergens…but you may not know that cinnamic alcohol is actually a type of fragrance.

2.   “Preservative-free” product may be using fragrances to preserve the product but unless you recognize the chemical or “INCI” (International Nomenclature of Cosmetic Ingredients) name, you may not realize it.

3.   Cross-Interaction – You may also not know which ingredients cross react with each other. For example, beeswax is an allergen…but propolis is related to it.

4.   Similar Names – More mind-boggling examples are things like SLS and SLES. Neither are on the allergen lists. Both have had some irritations reported (not so much allergic reactions) but far more with SLS and in both cases, reactions seem highly concentration-related. BUT both ingredients actually have the initials SLS…you would have to know that SLS is Sodium LauRYL Sulfate (to avoid) and SLES is Sodium LaurETH Sulfate (relatively ok).

Marcie Mom: Thanks! I’ve certainly learnt lots about what’s hypoallergenic and look forward to learning about the other common terms used in product label!

2018 update: The ruling to regulate “hypoallergenics” is still not successful, read FDA article here – they even termed it an “ill-fated” regulation! Read a compilation of all the labeling claims at FDA’s site to understand what each skincare product labeling term (does not) mean!

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101 things that Mothers with Eczema Child do Differently

23 of the 101 things that Moms with Eczema Child do Differently – Sweating it Out at Night

I remembered I was all nerves googling late into the night, when already tired from taking care of baby

Remembering how tough and worrying it was gave me the motivation to continue my weekly information posts for parents like me, and add a touch of bliss through my cartoons!

This is the 23rd of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

Categories
Support Group

One more reason not to Stress your Child

Scratching eczema
Scratching Head at Night

Stress can be a trigger of eczema

Stress is one of the more common triggers of an eczema flare-up. Studies revealed that babies, young children and teenagers all suffer from stress, and usually go unnoticed by the parents.  Stress can come from many sources, such as separation from parents in preschool, academic pressure, peer pressure, knowledge of financial or work difficulties faced by parents, divorce, illness or death in the family and (depressing) world news.

Chronic stress, such as from divorce or death, affects the child more; and note this, stressed parents can pass on the stress to their children.

For an eczema child, stress may trigger a flare-up because

– Stress results in more hormones release, which in turn lead to over-production of cytokines that cause immune cells to release inflammatory substances which sensitive skin is allergic to.

– Stress suppresses the immune system, through the increased level of cortisol produced by the adrenal gland. The skin is less able to produce sufficient defense proteins, making it vulnerable.

–  Stress leads to lower skin cell growth and weakening of the fat/lipid skin barrier, resulting in drier skin. Dry skin is vulnerable to irritant.

Apart from triggering eczema, stress has other negative effects such as

– Impair the connection of brain circuits, resulting in smaller brain, slower learning and poorer memory

– Over-reactive to small problems, resulting in an inability to handle stress

So, how can you tell if your child is stressed?

– Behavioural/Emotional – acting out, refusing to go out, complaining, mood swings/outburst, withdrawn, too shy, fear of failure, worrying all the time, spent time alone, sucking thumb, twirling hair, biting nails, nightmares, clingy/fear being alone, anxiety, irritability, rocking, freezing up, obsessive about objects/food, constantly asking what’s next

– Physical – bed wetting, problem sleeping/eating, stomach ache, headache, regression in toileting, excessive crying, trembling, accident prone, over-react to sudden loud noise, sweaty palms

– Intellectual – Lack of concentration, inability to complete homework

And how do you help your stressed child?

– Establish a routine

– Ensure your child gets plenty of rest, and not ‘hurried’ to too many activities

– Give your child proper nutrition

– Spend time, listening and being there

– Exercise/ share activity with your child

– Encourage your child to keep a journal

2012 update: Read my interview with Stress Free Kids founder Lori Lite on how to reduce stress for kids; Lori has built a business helping kids to be stress free, inspired by her own journey with her children. She was a featured contestant on first season of Shark Tank.

2012 update: Read my interview with psychiatrist with interest in dermatology Dr Christopher Bridgett on his take on stress management for children.

2013 update: Read my interview with neuro-scientist & TEDx speaker Dr Claudia Aguirre on how the brain communicates with the skin.

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Last updated on 8 November, 2024 8:28 pm
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101 things that Mothers with Eczema Child do Differently

22 of the 101 things that Moms with Eczema Child do Differently – Going to Zoo

Scratching before Entering the Zoo on a Hot Day

I really worn my shirt inside-out, and didn’t realize till after walking 3 hours in the zoo.

My baby bag is packed with loads of stuff, like ammunition to pull out to distract Marcie from scratching, look inside my bag here.

And I still can’t help but to say “Stop Scratching” to her, but it’s not of much use; read this post to find out why.

This is the 22nd of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.

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Is it OK to have Only One Child?

Only child debate eczema sibling effect
My hubby, Marcie & Me

My hubby, Marcie & Me

I’ve struggled with this issue and like to end 2011 with a ‘preliminary’ conclusion. So, as I always do, I research. And based on recent studies, there is no evidence supporting that the only child will fare worse than children with siblings, in fact fare better in areas of achievement and intelligence. Here’s my pros and cons list.

Since, we’re already on the topic of social development; this research shows that eczema child has more behavioral problems (23% vs 5%), shows signs of fearfulness to strangers (40% vs 10%), more dependent on parents (50% vs 10%) and have sleep difficulty (this, we all know, see this post). 25% of eczema children aged 2-13 years old, 39% aged 14-17 years old and 28% aged above 18 years old are teased or bulled due to eczema. Issues usually arise if the eczema is severe, such as bandages are required or the rash looks quite bad that other children avoid the eczema child. The good news is that behavior issues are temporary, usually cease when the eczema got better. Moms of eczema children, although much more stressed, are more empathetic to their children which help to reduce behavioral issues.

And yes, back to my preliminary conclusion – I think I will have only one child, Marcie. I’m not crazy about kids, and the only reason I’d have another child is for fear of Marcie being lonely and orphaned. I’ll make more effort to foster friendships for her and be happy that we can look forward to a close relationship, early retirement and better quality of life (phew! no struggling with incessant scratching for 2nd child)

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Last updated on 12 November, 2024 2:36 pm
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101 things that Mothers with Eczema Child do Differently

21 of the 101 things that Moms with Eczema Child do Differently – Home from Work

Too difficult for grandparents to take care

This is the twenty-first of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.