Why is scratching bad for a child with eczema?

The thickened scaly skin we associate with eczema is really the result of itching. Her own nails can infect her skin with superficial staph bacteria when she scratches, causing weeping open or crusted sores. This is why "eczema" often responds to antibiotics, although many doctors treat it with other means.

There is a medical aphorism, "Eczema is an itch in search of a rash." The allergist's job would be to treat the itch.

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