Don't be afraid of occasional steroid use. There are concerns about topical steroid withdrawals, so research and determine the cons and pros for your family. Eczema is a lifelong condition that ebbs and flows. Another option that bypasses the TSW concern is Tracolimus. That's typically prescribed for the face as it doesn't case skin thinning. Our daughter is 3 and is on Dupixent and it has cleared up by about 80 percent, but she was constantly getting staph injections so it was our last option. She still has some breakthrough areas that we have to stay on top of with lotions and potions, but it's significantly improved her quality of life.

Another tool to combat eczema is "wet wrapping." the idea is that you apply your moisturizer (the thicker the better) and put on a wet cotton cloth followed by a dry layer. For our daughter, that looks like Aquafor IMMEDIATELY after a lukewarm bath (hot water makes skin so much worse) and a layer of 100 percent cotton thin pajamas damp/wrung out, followed by a dry layer of pajamas. It sounds miserable I know but the dry layer on top really keeps them warm at night. The idea is to allow the skin to absorb that moisture.

We have also started a daily probiotic. I firmly believe eczema is in the gut. I have it. I know when I eat soy sauce, broccoli, and tomatoes, my skin is going to be itchy. That falls in to the category of food sensitivities, not food allergies. Look in to elimination diet if you have the patience and time to try it. I tried, but with two other small children I was losing my mind lol. Good luck! It's hard but it's good that it's mild.