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Eczema & Skin Conditions

Paediatrics

Eczema & Skin Conditions

Eczema & Skin Conditions

Expert paediatric care for eczema, rashes and skin concerns in childhood.
Eczema & Skin Conditions

Expert Care for Children’s Skin Health


Skin conditions are common in childhood and often affect comfort, sleep and confidence. At Central Health London, our consultant paediatricians provide thoughtful, evidence based care for eczema, rashes, allergies and a wide range of skin concerns. Families receive clear explanations, practical guidance and a personalised treatment plan designed to soothe symptoms, reduce flare ups and support long term skin health.

Parents also benefit from joined up care across our multidisciplinary clinic, including collaboration with General Practice when ongoing medical support is needed.


When to See Us


Families often schedule an appointment when a child develops:


  • Persistent eczema or intense itching

  • Dry, inflamed, red or cracked skin

  • Rashes that keep returning or spreading

  • Cradle cap, nappy rash or other infant skin concerns

  • Signs of allergic reactions

  • Eczema with suspected infection

  • Spreading skin infection even without eczema, which requires urgent same day assessment


Our paediatricians assess the underlying cause, distinguish between eczema, allergy related symptoms, dermatitis or infection, and provide a clear, tailored management plan. When needed, care is coordinated with our Paediatrics team for ongoing review or monitoring.


Same Day Appointments for Acute Skin Concerns


Children can become uncomfortable quickly when skin symptoms worsen. Same day appointments are available for acute cases such as rapidly spreading rashes, suspected infection or sudden swelling. These appointments allow our clinicians to assess the severity, consider differential diagnoses and begin treatment promptly to relieve discomfort.

Parents can also access immediate guidance on skincare, bathing routines and how to manage symptoms at home while treatment takes effect.


What to Expect in Your Appointment


Your paediatrician will begin by taking a thorough history, including onset of symptoms, known triggers, family history of allergies, sleep impact and any previous treatments. A detailed examination follows, focusing on distribution of rashes, skin texture, signs of infection and any patterns suggesting allergy or environmental factors.

Treatment plans may include topical therapies, oral medication, antihistamines, emollient routines, allergy testing or referral for dermatology or allergy review where specialist input is appropriate. Families also receive practical guidance on skincare, bathing, moisturising and reducing triggers.

Skin symptoms can sometimes be influenced by emotional stress, sleep disruption or behavioural responses. When helpful, we work closely with Psychology and Counselling to provide holistic support for both the child and their family.

If concerns arise around developmental or behavioural patterns related to scratching, discomfort or sensory sensitivity, our Psychiatry team can also provide further assessment.

For infants, we collaborate with our Obstetrics team to support families navigating early skin conditions in the postnatal period.


Integrated Peadiatrics Skin Care Under One Roof


Skin conditions often relate to a combination of medical, environmental and emotional factors. Central Health London’s multidisciplinary approach brings these together in a single, cohesive care plan. Clinicians collaborate directly, share observations in real time and provide consistent guidance throughout your child’s care pathway. This ensures families receive clear advice, continuity and expert support without needing to navigate multiple clinics.


Why Families Choose Central Health London for Skin Conditions


Parents choose our service because it offers consultant level expertise, longer appointments, same day access for urgent concerns and a calm, child centred environment. Our team prioritises evidence based care, clear explanation and tailored treatment plans that support both symptom management and long term prevention. With connected teams across paediatrics, psychiatry, psychology and general practice, families receive the reassurance of comprehensive and joined up care.


When to Seek Immediate Review


Parents should contact the clinic promptly if their child has:

  • Rapidly spreading rash

  • Fever with associated skin symptoms

  • Signs of infection such as oozing, crusting or increased redness

  • Sudden swelling, hives or breathing difficulty

  • Intense itching that disrupts sleep or causes significant distress

If you are unsure whether your child’s symptoms need urgent review, our team can advise by phone and arrange a same day appointment when appropriate.


Speak to a Consultant Paediatrician


If you would like specialist assessment for eczema, rashes or skin concerns, our team is here to help.


Email: reception@centralhealthlondon.com

Call: +44 207 118 7588 Or book online.


Frequently Asked Questions


How do I know if my child’s eczema needs medical treatment?


Mild eczema can often be managed with routine skincare, but persistent itching, widespread inflammation or disrupted sleep usually indicates that medical treatment is needed. You should also seek review if the skin becomes cracked, painful or shows signs of infection. At Central Health London, a consultant paediatrician will examine your child’s skin carefully, identify any triggers and provide a personalised treatment plan that may include medicated creams, emollients, antihistamines or further investigation.



What are the signs of skin infection in children with eczema?


Skin infection can appear as increased redness, warmth, oozing, crusting or areas that look suddenly more swollen or painful. Children may also become more irritable or develop a fever. Because infection can worsen quickly, especially in areas of broken skin, our paediatricians recommend same day assessment when these symptoms appear. Early treatment prevents complications and helps restore comfort more rapidly. During the appointment, your clinician will examine the area closely and explain the most appropriate management.



Can allergies contribute to eczema flare ups?


Yes. Allergies can play a role in eczema for some children, particularly when symptoms worsen after exposure to specific foods, environmental triggers or seasonal allergens. Your paediatrician will take a detailed history to identify any patterns and may recommend allergy testing if appropriate. When underlying allergy contributes to skin inflammation, identifying the triggers often helps reduce flare ups and improves the overall effectiveness of treatment. Our team provides clear guidance on avoidance strategies and routine care.



How can I support my child’s skin at home?


Daily skincare routines are central to managing eczema. This includes regular moisturising, using gentle bathing products, avoiding irritants and applying prescribed treatments consistently. During the appointment, your paediatrician will guide you through a personalised plan tailored to your child’s skin type and triggers. Parents also receive advice on how to manage flare ups, how much moisturiser to use and strategies to help reduce scratching. This practical approach supports both comfort and long term skin health.



Can emotional stress worsen skin conditions in children?


Yes. Stress, disrupted sleep and emotional changes can contribute to eczema flare ups or increased itching. Our paediatricians take these factors into account during the assessment and, when appropriate, can involve our Psychology and Counselling team for additional support. Understanding the emotional context is especially important for children who experience frequent flare ups or difficulty settling at night. By addressing both medical and emotional contributors, families often see more stable improvement.



Do you treat infant skin conditions such as cradle cap or nappy rash?


Yes. Our team regularly assesses newborn and infant skin concerns, including cradle cap, nappy rash, milia and other early skin conditions. These concerns are usually straightforward but can sometimes indicate underlying sensitivities or require specific treatment. Your paediatrician will review feeding, hygiene routines and any associated symptoms. If further review is needed, we can coordinate care with our newborn team to ensure joined up support from early infancy onward.



What should I bring to my child’s skin appointment?


Parents often find it helpful to bring details about when the symptoms began, products used on the skin, photographs of previous flare ups and any past prescriptions. If possible, bring the moisturisers or creams you currently use, as this helps the clinician understand your child’s routine. Providing this information supports a thorough assessment and helps your paediatrician tailor a treatment plan that is both realistic and effective for everyday care.


Fees

For a detailed and transparent breakdown of our costs, including consultation fees and packages, please visit our Fees page.

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Dr Michael Wacks

Paediatrics

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Dr Monica Gupta

Paediatrics

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Dr Simon Broughton

Paediatrics

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Dr Shiri Lejay

Paediatrics

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+44 207 118 7588
info@centralhealthlondon.com
23 Devonshire Place
Marylebone
London W1G 6JB

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