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Summer Skincare for Kids

by Shelley Kimmons Bacote

Sunburn, eczema flare-ups, insect bites and poison-plant rashes are common mementos of the countless hours children spend outdoors during the summer. Planning ahead for these possible problems now will minimize the likelihood you'll be sitting in a doctor's office instead of having fun with your kids later. Here's a guide to dealing with some typical summer skin care issues.

Excessive sun exposure
Excessive sun exposure can cause sunburn and increase your child's chance of developing skin cancer or wrinkling prematurely in the future. Sunscreens that block UVA and UVB rays should be applied to exposed body parts of children six months of age and older before they go outside. "Any product containing micronized zinc oxide or titanium dioxide is fine after six months," says Dr. James Herrmann, a dermatologist with the DuPage Medical Group in Wheaton, Illinois. "I usually recommend those with an SPF (sun protection factor) of 45 or higher."

Re-apply sunscreens -- even waterproof ones -- every two hours. Choose one that's PABA (para-aminobenzoic acid)-free since PABA can cause an allergic reaction. Never apply sunscreens on infants under six months of age; simply minimize their time in the sun.

Here's additional sun-protection advice:

  • Curtail time spent outdoors when the sun is most intense: 10 am to 4 pm.
  • Purchase hats with brims for additional protection of faces, ears and backs of necks, and sunglasses blocking 99 to 100 percent of UV rays to protect eyes;
  • Picnic under canopies or in shaded areas;
  • Install visors on side and back vehicle windows.

Eczema
Heat, humidity and sweating can cause eczema, or atopic dermatitis, flare-ups during the summer. What may first appear as a red, itchy rash on shoulders, backs, folds of elbows and backs of knees, may lead to dry, rough and even infected patches of skin if proper care isn't received. Your child's pediatrician or pediatric dermatologist may prescribe a topical medication (such as Elidel® cream or Protopic® ointment), and an oral antihistamine (like Children's Benadryl®), to minimize itching and, consequently, scratching.

Following are tips on minimizing outbreaks:

  • Keep your child cool (e.g., with air conditioning, light-weight clothing, etc.);
  • Suggest cooler baths or showers;
  • Apply a fragrance-free lotion or moisturizer (like Aveeno® or Cetaphil®) to your child's skin twice daily, especially after bathing or showering, to prevent dryness.

Insect bites
Prevent insect bites by using a child-safe repellent. Herrmann suggests you use one containing no more than 6 percent DEET (a common active ingredient), such as OFF!® Skintastic® Family Formula. He also says this about repellents: "I would not get a combination insect repellent and sunscreen. They may not be as effective [as two separate products]."

Dr. Bari Cunningham, a pediatric dermatologist at Children's Hospital and Health Center in San Diego, California, also discourages the use of combination products like this, but she does so for a different reason. She says, "You'll want to re-apply the sunscreen, but you don't want to re-apply DEET. In high concentrations, it can be toxic to a child."

Many pediatricians say that parents should not use repellents on infants under six months of age because the chemicals contained in the products may be absorbed through the baby's delicate skin and cause an allergic reaction. Light-colored clothing and unscented baby care products should provide some protection from bites.

To curtail assaults during outdoor gatherings:

  • Light citronella candles or use electronic bug lamps;
  • Cover food and beverages and discard left-overs quickly;
  • Keep lids on garbage cans and warn your kids to play away from them.

Poison-plant rashes
Poison-plant rashes tend to appear after repeated exposure to the urushiol oil found in poison ivy, poison oak and poison sumac plant sap. If an uncovered body part inadvertently touches the leaves, stems or roots of any of these plants, rinse it with cold running water within five to 15 minutes to remove the oil. "Shower within an hour with soap and lukewarm water,” advises Herrmann. If garments were affected, rinse them outdoors with a hose before machine washing them, or secure the items in a plastic bag and throw them away.

While Cunningham advocates the use of over-the-counter anti-itch products (i.e., Caladryl®, CalaGel®, Sarna®, etc.) and Children's Benadryl for relief of symptoms caused by a mild rash, Herrmann usually recommends prescription-strength topical steroids for them. However, for severe rashes, both physicians prescribe an oral medication (e.g., steroids). Be sure to contact your child's doctor to discuss their preferred treatment options.

So, how can poison plants be identified? Poison ivy and poison oak grow in most parts of the country and have approximately three leaflets per stem. They grow as vines in some geographic regions and develop as shrubs in others. Poison sumac also can be found in several different regions, particularly in those containing marshy or swampy areas. It grows into tall shrubs or bushes containing stems with two rows of multiple leaves.

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Heed the below warnings to prevent these rashes, which could last up to two weeks:
  • Dress children in long sleeves, pants, boots and gloves if they'll be in unfamiliar, woody territory;
  • Don't let pets play in wooded areas. Urushiol oil could contaminate their fur -- and your home;
  • Stay away from dead poisonous plants; they could still be toxic.

While you should use caution as you select activities for your family this summer, you don't have to forego all outdoor fun. So, go ahead and accept those barbecue, picnic, garden wedding or pool party invitations. With just a little planning and preparation, your family should be armed with everything needed to ensure a comfortable and pleasantly memorable season.the end


Links, information and more for you

Poison Ivy
What's Causing Itchy Skin?
Directory of health articles
Directory of all articles


About the author: Shelley Kimmons Bacote is a freelance writer who lives in a Chicago suburb with her husband, Vincent, and daughter, Laurel. She is expecting her second child in June.

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