Hi Thistle,
I'm so sorry your daughter has bad eczema. You mentioned she is exclusively breastfed. Many times eczema can be due to food allergies. Have you removed dairy and soy from your diet? The proteins are passed on through your breastmilk and if your baby has milk or soy protein intolerance they can develop eczema and other symptoms. All three of my kids had bad infant reflux but it turned out to be due to dairy. With DD I never figured it out because I only did a brief trial off dairy and didn't eliminate all sources like butter, yogurt etc. She had so many problems with waking frequently, refusing to feed, slow growth, not wanting to drink milk, etc. I feel horrible that I didn't realize what was going on then, now that I know with the boys. But she never had the rashes like they did and eventually grew out of it at age 2-3. DS1 had reflux and eczematous rashes whenever I consumed dairy. When he was 6-8 weeks he had what looked like pimples all over his face and body. They said it was "baby acne", but it was really eczema from milk protein intolerance (see example photo below--not DS)! Also symptoms like poor sleep and runny nose. His symptoms resolved once I changed my diet to eliminate all sources of hidden dairy like casein or whey. You can start seeing improvement within days, although it can take up to 2 weeks for the protein to leave your milk. DS2 I already was dairy-free but he was still having the exact same type of reflux/eczema symptoms as DS1. I found out he is also intolerant to soy protein (50% of milk protein intolerant kids also react to soy) and eggs. He did have a mild reaction to those on his skin test, but since it's not an IgE mediated anaphylactic allergy it doesn't show up on skin/blood tests. It's a delayed type hypersensitivity response so the symptoms can appear 24-48 hours after the exposure. It may be worth a try to eliminate dairy and soy from your diet first, and then try an elimination diet with the rest of the top allergens if that doesn't work. It is a real hassle for me to avoid so many different foods (especially when I slip up and DS2 reacts), but is worth it to me to still let DS2 have "real milk" instead of just the almond milk that he isn't allergic to. I'm working on weaning him now that he is 2, and can't wait to start eating whatever I want again! Just thought I'd share my experience in case it helps you--I had to learn things the hard way by trial and error! Hope your DD's eczema gets better quickly!
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