My first encounter with eczema on the face was when I was sitting in a coffee shop and the baby by the table in front turned round to look, staring in my direction.
I immediately noticed how severe their facial eczema was and it's almost raw reddy appearance, made me feel so disheartened for the child and his parents. I smiled at the baby and his parents, as I didn't want to appear as one of rude staring types who gall mouth wide open.
I was distressed at some in the cafe crowd staring at this young baby as though he was some circus act, to be ridiculed and reviled.
I suppose it was very upsetting for the parents, seeing such heartless strangers staring at their little boy, without thinking of their feelings or that of the child. Fortunately the child, a mere baby wasn't at the age where he was conscious of his own appearance.
It wasn't the severest form of eczema I'd seen as my own daughter's was pretty traumatic but it was shocking because of it's visibility.
Eczema on other parts of the body can generally be hidden or isn't noticed as frequently as facial eczema. When you meet people, contact is made between facial features such as the eyes, a smile and this makes it doubly difficult for someone with facial eczema to not get their eczema noticed.
So how should you deal with facial eczema? Well not being a doctor, my advice would only be, see your doctor and get professional medical advice.
I suppose like with eczema anywhere else on the body, facial eczema requires the regular application of moisturising solutions, such as creams, emollients and the like. As eczema causes the skin to dry, moisturising will help keep the skin moist and hopefully relieve some of the itching.
The next step would be to look at trying to control the scratching, so as to limit the damage to the skin and aid the healing process.
With young children eczema pyjamas could be used, where the mittens could stop the fingers from the individual scratching their face, however children can rub their mitten covered hand against their face to alleviate their scratching and this in itself can cause inflammation.
From experience though the mitten rubbing isn't as bad as leaving the fingers and hand uncovered. Yes, both will cause inflammation but generally the mitten covered hand will tend to be a lot less.
Keeping finger nails cut short is a definite, as nails exasperate the inflammation from scratching. Keeping on top of short finger nails needs to become a routine and generally, I involve filing nails regulalrly as an important activity too.
The general medical consensus seems to recommend not using steroids on the face to treat eczema, as the risk from causing blemishes can be increased, especially in non-caucasian skin.
If steroids do need to be used, I think medical advice points to using a very low strength steroid, typically 0.5%, again you need to get qualified medical advice before trying any form of steroids.
Generally as with most eczema, the child outgrows it eventually but the problem of managing the eczema before this happens will always be a problem which requires a lot of careful consideration.