
Temperatures have plummeted during the recent cold spell, causing many parents to bundle their children up warmly in fleecy clothing and sweaters. However, some children have been hospitalized with severe and painful rashes all over their bodies. The causes weren’t allergies or insect bites. Instead the culprit was inner garments lined with fleece or material resembling fleece. Doctors say while this provides warmth, the heat and friction wreaks havoc on children’s skin. Instead choose cotton for your child’s innermost clothing layer.
During the cold winter, children should wear at least two or three layers of clothing. Some may wear sweaters or other thicker garments. However, be careful not to let fleecy inner clothing come into direct contact with their skin.
Parent
I worry this might easily cause skin allergies in children.
Parent
Because they are always moving around. They are also very sensitive to heat, so I won’t dress them in clothes with fleecy lining. At the most, they will wear thermal underwear.
There was a rash here and rash there, and the parents were frantic with worry, so they rushed their child to a doctor. At first they were worried their child had eaten something they shouldn’t, triggering an allergic reaction. However, the doctor’s examination revealed the real cause.
Yen Chun-yu
Pediatric infectious disease physician
Parents often dress their children in thicker clothes with a brushed or fuzzy lining. For children with sensitive or allergy-prone skin, these garments can sometimes trigger reactions. When combined with sweating from the thick clothing, this irritation can lead to folliculitis and hives, resulting in quite severe rashes. Recently, about one in five children with skin problems had issues caused by incorrect clothing choices, such as wearing clothes with a fleecy lining or scarves made of rough, fluffy material.
Although most of the time it’s just redness and swelling, not ulceration, the itching and pain can be very uncomfortable when it gets severe.
Ho Wen-tsao
Dermatologist
For example, Malassezia folliculitis can be so itchy that it can keep children awake at night. Or bacterial folliculitis, where each bump gives a stinging sensation. Acute eczema, which sometimes oozes a little tissue fluid, can also be unbearably itchy.
To avoid developing rashes, doctors recommend the innermost layer of clothing be pure cotton. For the outer layer, choose a fleecy sweater or other thick warm sweaters. This keeps kids warm without irritating their skin.
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最近幾波強烈冷氣團,氣溫急凍,不少家長為了幫孩子保暖,紛紛祭出刷毛衣物與毛衣。卻有孩子因為身體狂冒紅疹,痛苦送醫。結果不是過敏或遭叮咬,研判是「內刷毛」衣物釀禍。醫生提醒,刷毛雖然暖,但摩擦加悶熱,對孩子來說卻變成「皮膚的災難」,建議最內層還是穿棉質為主。
寒冬報到,小朋友衣服至少穿個兩三件,也有人穿上毛衣,或其他比較厚的衣物,但小心,別讓內刷毛衣物直接接觸皮膚。
[[家長]]
“怕說這樣的話,小孩皮膚容易過敏,
[[家長]]
因為一直要動啊,他們是很怕熱的,所以不會穿到那種內刷毛那種衣服,穿最多發熱衣這種”
這裡紅疹那裡也紅疹,爸媽焦急如焚趕快來看醫生,一度擔心是不是吃了不該吃的食物,引發過敏反應,醫師一查真相大白。
[[兒童感染科醫師 顏俊宇]]
“爸爸媽媽有讓他穿比較厚,內刷毛的那種衣服,因為這種衣服其實,有時候皮膚敏感,過敏的小孩容易過敏,再加上可能穿很厚,有流汗,汗水刺激的加成下,就會造成毛囊發炎跟蕁麻疹,就紅疹滿嚴重的,最近皮膚有問題的,大概有5個就有1個,是因為衣服穿不正確的問題,譬如說穿刷毛衣,或者是,圍巾是用比較毛的”
儘管多半只是紅腫,不至於到潰爛,但嚴重起來癢疼也不好受。
[[皮膚科醫師 何文藻]]
“像皮屑芽孢菌毛囊炎,它就會癢到他有時候,可能會睡不著覺,或者是細菌性毛囊炎,那個一顆一顆會有些刺痛的感覺,像急性濕疹,有時候會有一些組織液,它也會奇癢無比”
避免起紅疹,醫師建議最內層衣服選用純棉質,外層衣服再選用刷毛衣或其他比較厚的保暖毛衣,兼具保暖效果也不刺激皮膚,畢竟皮膚保健和保暖一樣重要。
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