What should I do if my eczema is worsening?

It does sound like your daughter is still having eczema. In atopice eczema, the skin is often dry and sensitive and itchy. The constant scratching certainly does not help as it leads to breaks in the skin and worsens the eczema. Eczema can also affect other areas and is not always confined to the flexures. In eczema, besides dryness, the skin is also often red and inflamed. Dr Ethan’s advice not to scratch and to moisturize frequently is excellent. However, if the skin is red and inflamed, treatment to bring down the inflammation such as topical steroids or antibiotics may be needed.

Thanks for the question. If you have a diagnosis of psoriasis, there is a possibility that certain treatments can aggravate it. With psoriasis, damage or injury to the skin can cause psoriasis to develop at the site of the injury. This is know as the Koebner phenomenon. Therefore, you do have to take care that the treatment is gentle and does not cause any trauma or damage to the skin. Likewise, for eczema, the skin is sensitive and more prone to external insults, so you should avoid treatment if the facial skin is still red or irritated as this can be more easily aggravate by treatment.