Sorry posting here for traffic but I’m desperate - photo attached

[Woopsy54]

My daughter has these rashes on her hands, elbows, back of her calves and front of knees

GP not taking seriously and saying eczema and keeps loading us up with steroid creams

Have been told 1 year wait for NHS dermatologist.

Any ideas what this rash could be??

fluid filled blisters is EXACTLY the kind of eczema I had as a teenager, on my hands

steroid cream works, keep using it, because if you don't she's going to have awful blisters

change all soaps to very mild for sensitive skin

if she does any washing up or any other chores with water and soap, get her plain cotton gloves to wear underneath rubber gloves

wash hands only with very mild soap, use a cream for sensitive skin to moisturise afterwards, keep the skin moisturised but dry

This. Dairy free and moisturise after any wash plus during the day. I’ve found this super effective

keep a jar with you to rub on the main areas that dry out. Glove during sleep to reduce any scratching

I think it looks like scabies, does it get a lot worse at night?

This is a great idea, my friend did this too. It quickly identified a food allergy they weren't aware of (tomatoes). By the time an appointment became available, it was already sorted!

This needs to be said more. There’s far too much scare mongering about around topical steroid use. I’m 53, lifelong eczema, tried everything you can think of. Used steroids a lot at times and no longterm effects. Suffering with chronic eczema is far worse.

Allergy testing only shows ige allergies though, and it's non-ige allergies that tend to cause eczema and skin reactions

Pustular eczema or eczema herpeticum? Have you tried Balmonds?

Doesn't sound typical for scabies to me - it's vesicular, distribution is typical of eczema, no mention of issues in finger webs/groin (although if these areas were affected, it might change the differential) that would be more typical of scabies and I can't see burrows on the picture.

It could be folliculitis.

Eczema herpeticum is a medical emergency. It's not eczema herpeticum.

It's not pustular eczema as by definition pustules are required.

Agree with your comment about blood tests. Sometimes patch testing is performed for contact allergies.

Agree that it looks like eczema.

As I'm sure you're aware, childhood eczema is incredibly common and for all but extreme cases there is really no need to see a dermatologist.

In my experience (via DS) it's a condition that takes a bit of trial and error to find what works. Everyone seems to be different.

We tried cutting out certain foods, taking daily baths, steroid creams, bath oils etc but what actually works for DS is being sure to use cream during periods of seasonal weather changes (always causes a flair up), not taking too many showers/baths (dries his skin) and, when a flair up is bad, lathering on sudocrem thickly and covering with bandages overnight.

This may or may not work for your DD, but as I said - it really is a trial and error thing with eczema, and doctors don't always have the answers.

Hopefully you'll find something that works for her soon.

I thought of that too. Had it myself after giving birth. Now clear for a few years. It’s terribly itchy.

Have you looked up discoid eczema? That’s what I have and it presents exactly as your daughter’s rash does. Sadly no cure but steroid cream does help, as does daily exfoliating with a loofa and slathering on moisturiser morning and night.

This looks like the eczema both me and my son get.
Mine is mainly set off by washing up gloves if they get wet around the wrist, and wool, I had bad eczema around my wrists, neck and face as a child now I don't wear wool and don't get this. Lanolin in cosmetics can also be a problem.
My son's eczema was at it's worse when he was actually allergic to one of the creams prescribed to treat it.

Has she been tested for coeliacs disease? Undiagnosed it can cause a rash.

I get a similar rash from some laundry detergents. Specific places on my body not necessarily everywhere the fabrics have touched me.

As previously mentioned, pompholyx is eczema and is characterised by itchy tiny blisters. I get it, along with other types of eczema. The blisters will be wildly itchy.
I use a high urea cream. The type that are marketed for cracked feet and heels. Boots do a cheapy. Use it obsessively. Massage it into her affected areas at every opportunity.
The skin may look worse when you you first put the cream on, very red and angry. But over time it should get better. Only use the steroid cream to get things under control and then get into a moisturising routine. I also use (very diluted) bleach baths, as she is a child you may not want to but worth researching. Similar levels to chlorine (a swim works well too). This reduces the bacteria on the skin and then you need to get the moisture in there.

I got it after giving birth too! Ten years later I still have a patch on my foot and my fingers sometimes flare up.

Still working my way through the thread but DD has/d eczema. I use almond oil in the bath and 25% shea butter moisturiser after a recommendation. Very occasionally we need to revert to steroid cream in the winter but it's mostly under control. Also use non bio washing powder and Altruist suncream. Aveeno/child's farm were just another irritant.

I get a similar looking rash from the glue in plasters. It takes about 4 weeks to clear up, and it burns.

unlikely to be that in those places, but if not eczema , an allergy test would be worth it.

(it doesn’t happen with sensitive plasters).

FWIW I had eczema and prickly heat as a child. There are meant to be key ages for it. I‘d grown out of it by the end of primary school.

Edit: spelling of eczema

It’s not good to eliminate gluten for coeliac diagnosis but have you tried for a few days to see if it improves, as maybe dermatitis herpetiriformis.

I feel like everyone else would catch it if it’s scabies. It’s so contagious and there would be an outbreak in the area if they had that.

Lactose intolerance can often show as eczema. Does she consume a lot of dairy? If so, try an elimination diet for a few days.

It does look like eczema. Use the steroid. But also use the emmolient/moisturiser and apple loads 4-6 times per day. Keep the skin from drying out. this link has useful videos on applying the creams.

www.itchysneezywheezy.co.uk/EczemaVideos.html