Typical of eczema is not only the intense itching but also the changing distribution of the eczema on the body, depending on the age of the child. Parents often face the question of why skin changes appear in different areas for infants, toddlers, and older children, and how eczema changes over the course of childhood.

Eczema in Infants (0–2 years) and Toddlers (2–5 years)

Eczema manifests in 60% of cases within the first six months of life. The eczema typically appears in the following areas:

• Face: Eczema often begins with red, weeping patches of skin on the cheeks. The forehead and chin can also be affected.

• Scalp: Redness and crusted patches appear, often referred to as cradle cap.

• Torso: The upper body is frequently affected diffusely.

• Extensor sides of arms and legs: Here, the typical dry patches of skin are present.

The diaper area is usually spared and free from eczema.

Eczema in School-aged Children (6–12 years) and Adolescents (from 13 years)

By school age, the condition stabilises in many children, and by early adulthood, about 60% of children/adolescents are symptom-free.

• Flexural areas: These regions are almost always affected by eczema, especially the creases of the knees, elbows, and neck.

• Hands and Feet: The older the child, the more likely skin irritations appear on the hands and feet.

• Lips and Mouth area: Some children develop a condition known as perioral dermatitis with dry and reddened skin around the mouth.