Recognize and manage cradle cap and infant eczema

Cradle cap (seborrheic dermatitis) appears as thick, yellowish, scaly patches on a baby's scalp, typically in the first few months of life. It is harmless, not caused by poor hygiene, and usually resolves on its own by 6-12 months. Infant eczema (atopic dermatitis) presents as red, dry, itchy patches commonly on cheeks, scalp, and skin creases, and may require ongoing management.

Cradle Cap Care

• Gently massage the scalp with a small amount of mineral oil, coconut oil, or petroleum jelly 15-20 minutes before bath time to loosen scales
• Wash with a mild baby shampoo and gently brush the scalp with a soft-bristled brush or fine-toothed comb to lift loosened flakes
• Do not pick or scratch at scales, as this can cause irritation or infection
• If cradle cap spreads beyond the scalp or appears inflamed, consult your pediatrician

Infant Eczema Care

• Moisturize frequently with a thick, fragrance-free cream or ointment (such as Aquaphor, CeraVe, or Vanicream) -- apply within 3 minutes of bathing to lock in moisture
• Use lukewarm (not hot) water for baths and limit baths to 5-10 minutes
• Dress the baby in soft cotton clothing and avoid wool or synthetic fabrics against the skin
• Consult your pediatrician if eczema is widespread, weeping, crusted, or not responding to moisturizing

Tips

• Your pediatrician may prescribe a low-potency topical corticosteroid for eczema flares -- never use over-the-counter hydrocortisone on an infant without medical guidance
• Keep baby's nails trimmed short to minimize scratching damage
• Fragrance-free, dye-free laundry detergent can help reduce skin irritation
• Both conditions are very common and not contagious
• Always consult your pediatrician before trying any new topical treatment on your baby