Pediatric eczema, also known as atopic dermatitis (AD) or atopic eczema, is a chronic inflammatory skin condition that commonly affects infants and children. It is characterized by itchy, dry, and inflamed skin, often appearing as pruritic eczematous lesions that can significantly impact a child’s comfort, sleep, and quality of life. Managing childhood eczema can be challenging anywhere, but it becomes especially complex in the United Arab Emirates (UAE). The region’s extreme heat, high humidity, desert environment, and heavy reliance on air conditioning create a perfect storm for eczema flare-ups: environmental irritants, dust exposure, and frequent temperature fluctuations further compromise already sensitive skin. This guide will help parents learn why eczema worsens in the UAE climate, identify common regional triggers, and understand practical, evidence-based management strategies to help control symptoms and reduce flare-ups in children. Why the UAE Climate Worsens Pediatric Eczema? In children with eczema, there is an alteration of the skin barrier, often linked to mutations in the filaggrin gene and a modified immune response, induced by type 2 inflammation. As a result, the epidermal barrier does not effectively retain moisture, which facilitates the penetration of irritants and allergens. In the UAE, high heat and humidity exacerbate sweating and the feeling of excessive heat. Stagnant sweat against the skin causes irritation, itching (pruritus), and inflammation. Repeated scratching can worsen skin lesions, leading to lichenification (thickening of the skin) and an increased risk of infection. Another major challenge is the constant shift between extreme outdoor heat and cold, dry indoor air-conditioned environments. Air conditioning reduces indoor humidity, causing xerosis (dry skin) and further weakening the skin barrier. These rapid temperature changes stress the skin and often trigger eczema flare-ups, particularly in young children. Common Eczema Triggers in the UAE Heat and Humidity Heat and moisture are among the most common eczema triggers in the UAE. Sweating and heat retention irritate sensitive skin and disrupt the cutaneous microbiome, promoting inflammation. Certain areas are particularly vulnerable: Neck and collar area Behind the knees and elbows (flexural eczema) Underarms and skin folds Friction combined with moisture in these areas often leads to redness, itching, and worsening lesions. Air Conditioning and Dry Indoor Air While air conditioning is essential in the UAE, prolonged exposure to dry, cold air strips moisture from the skin. This dehydration exacerbates epidermal barrier dysfunction and increases sensitivity to allergens. Frequent movement between hot outdoor air and cold indoor environments causes repeated barrier disruption, making childhood eczema more difficult to control and increasing the frequency of flares. Dust, Allergens, and Environmental Irritants The UAE’s desert environment exposes children to: Dust mites Sand particles Mold spores Pet dander Airborne pollutants These allergens can penetrate compromised skin, trigger immune reactions, and worsen inflammation. Staphylococcus aureus colonization, commonly found on eczematous skin, may also increase during flare-ups, further aggravating symptoms. Chlorine and Water Exposure Swimming is popular year-round in the UAE, but chlorinated swimming pools and sometimes hard or chlorinated tap water can irritate eczema-prone skin. Chlorine strips natural oils from the epidermis, worsening dryness, redness, and itching, particularly in children with infant eczema or facial involvement. Daily Management Strategies for Pediatric Eczema in the UAE Moisturizing and Skin Barrier Repair Frequent moisturizing is the cornerstone of eczema management, especially in hot climates. Fragrance-free, ceramide-based emollients help repair the damaged skin barrier and reduce transepidermal water loss. Best practices include: Applying moisturizers at least 2–3 times daily Moisturizing immediately after bathing (“soak and seal” method) Using thicker creams or ointments rather than lotions Regular hydration helps reduce itching, inflammation, and the severity of flare-ups. Read also: Proven ways to protect & soothe your child’s sensitive skin. Proper Bathing Routine Bathing should support, not harm, eczema-prone skin: Limit baths to 5–10 minutes Use lukewarm water, not hot Choose gentle, pH-balanced cleansers without fragrances or harsh chemicals After bathing, gently pat the skin dry and apply moisturizer within minutes to lock in hydration. Clothing and Fabric Choices Clothing plays a significant role in symptom control: Opt for loose, breathable cotton fabrics Avoid wool, synthetic materials, and tight-fitting clothes Remove sweaty clothing promptly to prevent irritation Breathable fabrics reduce friction, overheating, and sweat accumulation. Environmental Control at Home Managing the indoor environment is crucial in the UAE: Maintain moderate indoor humidity rather than overcooling with AC Use air purifiers to improve indoor air quality (IAQ) Wash bedding and soft toys weekly in gentle detergents Keep bedrooms dust-free and well-ventilated These measures reduce exposure to dust mites, allergens, and pollutants. Avoiding Individual Triggers Every child’s eczema triggers can differ. Parents should: Identify reactions to certain foods, fragrances, or skincare products Read labels carefully on soaps, detergents, and wipes Keep a flare-up diary to track symptoms and triggers Avoiding known irritants helps prevent unnecessary flare-ups. Medical Treatment and When to See a Dermatologist Home care alone may not always be sufficient. Parents should seek medical advice if: Eczema becomes widespread or persistent Skin shows signs of infection (oozing, crusting, increased redness) Severe itching disrupts sleep or daily activities Dermatologists may prescribe topical anti-inflammatory treatments, and if infections occur, antibiotics or antifungals may be required. All treatments should be age-appropriate and professionally guided. Long-Term Eczema Control in the UAE Climate Successful long-term management requires consistency and patience. Regular skincare routines, trigger avoidance, and scheduled dermatology follow-ups help keep symptoms under control. Parents should also set realistic expectations—eczema is a chronic condition with periods of flare-ups and remission. With proper care, most children experience significant improvement over time. Conclusion In the UAE, childhood eczema is significantly influenced by climatic factors, including heat, humidity, air conditioning, dust, and chlorine exposure. Understanding these factors and implementing targeted skincare, environmental control, and medical follow-up can significantly reduce flare-ups and improve a child’s quality of life. With informed care, consistent routines, and professional guidance, parents can confidently manage childhood eczema—even in the UAE’s challenging climate. Continue Learning About Pediatric Eczema Understanding pediatric eczema is key to managing it effectively. On Dr Olfa’s website, you’ll find reliable, medically informed articles that explain eczema triggers,