This information is not designed to replace a physician’s independent judgment about the appropriateness or risks of a procedure for a given patient. They include: Genes. Children are most prone with 90% of sufferers developing Atopic Dermatitis before the age of five and many children do grow out … Atopic dermatitis can cause thickened skin, bacterial skin infection, and other allergy-related skin inflammation (allergic dermatitis). Atopic dermatitis is a chronic, itchy skin condition that is very common in children but may occur at any age.It is also known as eczema and atopic eczema and was formerly known as Besnier prurigo.It is the most common form of dermatitis.. Atopic dermatitis usually occurs in people who have an 'atopic tendency'. Calcineurin inhibitor cream or ointment. Atopic dermatitis is an inflammatory skin condition that manifests as dry skin, one of its most significant symptoms. 2006;18(6):531-542. Food allergies are true triggers of AD in only a small subset of patients, and experts do not generally recommend food elimination diets solely on the basis of positive food allergy testing.8,9. Overuse of steroid creams can lead to thinning of the skin and tissue beneath the skin. Atopic dermatitis is a long-term (chronic) skin condition. In addition, the intense itching caused by AD leads to scratching, which also increases the risk of infection by bacteria, viruses, or fungi.6, Infants and toddlers with AD are also at risk of developing eye complications, which include itching around the eyes, eye watering, inflammation of the eyelid (blepharitis), and infection (conjunctivitis).7, Many children with AD wake repeatedly during the night to scratch due to the excessive itchiness. It does not entail any further lab test for the doctor to make his diagnosis. Itching, dryness and redness are common symptoms. Doesn’t scratch the skin. Most children go into remission, although some experience relapses in their teen years and some continue to have symptoms into adulthood. It may be used when other treatments don't work well. Atopic dermatitis is a common, chronic, relapsing, inflammatory skin disease that primarily affects young children. Immunol Allergy Clin North Am. Try to keep your child as cool as possible. Doesn’t get the smallpox vaccine. The provider may prescribe crisaborole cream to put on the skin. Let us know at contact@AtopicDermatitis.net. Some ways to keep the skin hydrated include: For children who have repeated skin infections, adding 2 teaspoons of bleach per gallon of water can reduce the chance of infections, this is known as a bleach bath. Myth: The itch is all in your child's mind. Staying away from triggers is important to manage the condition. 2014;71(6):1218-1233. Most will show signs of the condition in the first year of life. This skin problem can be passed on from parents to a child. It will also depend on how severe the condition is. It is manifested by red rashes that are very itchy in the skin. Printable PDF. Author information: (1)Department of Paediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. Atopic Dermatitis (AD) or “eczema” is a very common condition in children and can often be seen in association with asthma, allergies, and allergic rhinitis. Keeps cool. In children, symptoms usually affect the skin inside the elbows, on the back of the knees, the sides of the neck, around the mouth, and on the wrists, ankles, and hands. It causes dry, itchy, scaly patches. Lyons JJ, Milner JD, Stone KD. Accessed online on 3/17/17 at https://www.aad.org/public/diseases/eczema/atopic-dermatitis. They can include: Small, raised bumps that may become crusty and leak fluid if scratched, Rough bumps on the face, upper arms, and thighs, Darkened skin of eyelids or around the eyes, Skin changes around the mouth, eyes, or ears. Call the healthcare provider if your child has: Signs of a skin infection, such as increased redness, warmth, swelling, or fluid. Other triggers include allergens such as eggs, dust mites, or pet dander. Atopic dermatitis, also referred to as Childish Eczema, is characterised by itchy pores and skin rashes that come and go. The skin condition is usually passed on from parents to children, so it may not be possible to prevent it. Atopic dermatitis in children: clinical features, pathophysiology, and treatment. Try again or reach out to contact@AtopicDermatitis.net. It causes dry, itchy skin. Itching, dryness, and redness are common symptoms. Atopic dermatitis (AD) is a form of eczema (also called atopic eczema). A child with allergies or family members with allergies or atopic dermatitis has a higher chance of having atopic dermatitis. Eczema (atopic dermatitis) 773.000000000000: Eczema (atopic dermatitis) Eczema (atopic dermatitis) E: English: Dermatology: Child (0-12 years);Teen (13-18 years) Any area of the body may be affected. He or she may also ask if you or other family members have atopic dermatitis, asthma, or nasal allergies such as hay fever or allergic rhinitis. Before your visit, write down questions you want answered. Abstract Purpose of review: Severe atopic dermatitis (AD) in childhood leads to significant morbidity including psychosocial problems and infectious complications. Trim or file your child’s nails to keep them short and prevent scratching. The symptoms of atopic dermatitis can be like other health conditions. An immune system that isn’t fully developed may affect how much protection the skin can give. Allergy. 45% of all cases develop an itchy red skin rash within the first 6 months and 60% before their first birthday. Good news - you're already subscribed! Depending on the severity of symptoms, atopic dermatitis … Also write down any new instructions your provider gives you for your child. What is atopic dermatitis?. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Try to keep your child from scratching. It can also cause infection. AD is a chronic, itchy skin disease that most commonly begins in infants, typically occurring between 3 and 6 months of age. Testing is usually not needed, but it may be done. (A typical bathtub holds between 25-40 gallons of water. Light therapy may be done in the healthcare provider's office or at home. However, between 10-30 percent of children with atopic dermatitis continue to have symptoms into adulthood. Need help? Symptoms can occur a bit differently in each child. Other blood tests may also be done. These are often on the face and the head in babies. Atopic dermatitis is a long-term (chronic) skin condition. Takes baths or showers with warm, not hot, water. And it can lead to depression. All rights reserved. © 2017–21 Health Union, LLC. Your child may need to take liquid or pills by mouth to treat infection. This article will focus on infants and toddlers up to age 2. Immune system. This online module is for all health care providers that care for children and wish to learn more about how to better recognize, treat, and manage atopic dermatitis in a primary care setting. Make sure your child sees his or her healthcare provider for a diagnosis. For children with repeated cutaneous infections, adding 2 … These include topical corticosteroids and tacrolimus ointment, which are associated with potential side effects. It can also occur because of pollution or a lack of breastfeeding. Going from hot classrooms to cold playgrounds can mean they’re likely to experience flare-ups during the winter months. Medscape. Staying away from irritants, as advised by your child's healthcare provider, Bathing with a gentle cleaner or body wash advised by the healthcare provider, Keeping your child's fingernails short, to help prevent scratching that can cause skin irritation and infection, Using moisturizing lotion advised by the healthcare provider. A comprehensive management guide for atopic dermatitis. In severe cases, your child may need a new medicine such as dupilumab. AD is a chronic, itchy skin disease that most commonly begins in infants, typically occurring between 3 and 6 months of age. Corticosteroid cream or ointment. Some infants or toddlers develop complications from AD, including infections, eye complications, issues with sleeping, and/or food allergies. Updated by: Dr. Nikita Lakdawala Updated on: 7/31/2017. Cold weather can play havoc with your child’s skin, especially if they have atopic dermatitis (also known as atopic eczema). Guidelines of care for the management of atopic dermatitis. By providing your email address, you are agreeing to our privacy policy. Put creams or ointments on after bathing. It’s not a common vaccine, but people with atopic dermatitis should not get the smallpox vaccine. Symptoms may last until the teens or adulthood. In babies, symptoms usually affect the face, neck, scalp, elbows, and knees. Talk with your child's healthcare provider about other ways to help your child’s skin condition. Eczema is not contagious. Atopic dermatitis treatments for children. It can cause symptoms to get worse. Atopic dermatitis, also called eczema, is a skin disorder that usually appears in babies or very young children, and may last until the child reaches adolescence or adulthood. The healthcare provider will examine your child, looking for signs of atopic dermatitis. National Eczema Association. Atopic Dermatitis (AD) is a widespread skin disease (eczema) that commonly affects babies. Your child may need to take this medicine before sleep to help ease itching and improve sleep. It’s high in most children with allergies and with atopic dermatitis. J Am Acad Dermatol. 1 AD is caused by a combination of factors, including a genetic predisposition, environmental … The hands are especially vulnerable to developing contact dermatitis. Atopic dermatitis typically starts in infancy Most frequently infantile eczema affects the babies with dry skin, and those who are born in winter or early fall. Tests may include: Blood tests. Serum clusterin level in children with atopic dermatitis. This is to help ease … Approximately 60% of cases of AD develop in the first year of life, and 90% develops by 5 years of age. Rarely, AD may begin in adulthood.4, The majority of infants who develop AD have someone in their family with the condition. Atopic dermatitis, contact dermatitis, dyshidrotic eczema and seborrheic dermatitis, also known as “cradle cap” in infants, are the most common types that affect children. Phototherapy (light therapy). Antibiotic medicine. Eczema, especially atopic dermatitis, often appears in the first six months to 5 years of a child’s life. Accessed online on 4/10/17 athttp://emedicine.medscape.com/article/911574-treatment. Fact: According to the NHS, some children's atopic dermatitis clears completely as they get older. Is Atopic Dermatitis an Autoimmune Disease? This is to help ease itching and swelling. This is to help ease itching and swelling. Atopic dermatitis is most common in infants and children. doi: 10.1542/peds.2014-2812. American Academy of Dermatology. Ointments that change the immune system. The age of the mother at the child’s birth also seems to increase a child’s risk of AD, with children being born to mothers who are later in their childbearing years being more likely to develop AD.5, In infants, AD usually appears as a rash on the scalp or face, especially the cheeks or chin. Scratching makes your skin inflamed and itchier, and it can look … An error occurred. Asking about the presence and frequency of symptoms can allow physicians to grade the severity of the disease and response to treatment. He or she will also ask about allergy symptoms in your child. AD makes the skin dry, itchy, and scaly, and there may also be areas that bubble up and ooze fluid. A large number of children are affected by this condition and its treatment can cause significant anxiety for parents. Approximately 60% of cases of AD develop in the first year of life, and 90% develops by 5 years of age.1 AD is caused by a combination of factors, including a genetic predisposition, environmental factors, a dysfunction in the immune system, and a dysfunction of the skin barrier.2,3, There are some differences in AD depending on the age of the person affected. 2012;67:1475-1482. A doctor or specialist can … Pediatric Atopic Dermatitis Online Education. This is called a flare-up. Your child will have regular blood tests to check for side effects. Immunomodulatory medicine. These include being in winter weather, using hot water for bathing, using soap, and being in dry, hot temperatures. Stress is also a trigger. Atopic eczema (atopic dermatitis) is the most common form of eczema, a condition that causes the skin to become itchy, dry and cracked. Accessed online on 3/20/17 at https://nationaleczema.org/. Know why a new medicine or treatment is prescribed and how it will help your child. Management consists of relieving symptoms and lengthening time between flar… Accessed online on 4/5/17 at http://www.medscape.com/viewarticle/551352_5. Atopy is defined as an inherited tendency to produce immunoglobulin E (IgE) antibodies in response to minute amounts of common environmental proteins such as … Atopic dermatitis (also called eczema) is a skin problem that causes intense itching and a red, raised rash. Symptoms. Tips to help you get the most from a visit to your child’s healthcare provider: Know the reason for the visit and what you want to happen. Common triggers include irritants such as wool, soap, or chemicals. Staying away from triggers is important to manage the condition. Between 2 and 6 months of age (and almost always before they're 5 years old), kids with Atopic dermatitis has become one of the most frequent cutaneous diseases in children and babies.Approximately 20% of children under the age of 6 suffer from it and the most common cause has to do with feeding changes. Atopic dermatitis (AD), also known as atopic eczema, is a long-term type of inflammation of the skin (dermatitis). Also know what the side effects are. Know how you can contact your child’s provider after office hours. The most common food allergies that worsen AD include cow’s milk, eggs, fish, peanuts, soy, tree nuts, and wheat. Information about the 2019 Novel Coronavirus. Antihistamine. The cream or ointment is put on the skin. Eichenfield LF, Tom WL, Chamilin SL, et al. Atopic dermatitis 2.0: from the clinical phenotype to the molecular taxonomy and stratified medicine. Accessed online on 4/7/17 at http://www.mayoclinic.org/diseases-conditions/eczema/basics/complications/con-20032073. Know why a test or procedure is recommended and what the results could mean. There are only a few approved treatment options for these patients. Designed in partnership by UBC CPD, Child Health BC, and BC Children's Hospital. Atopic eczema is more common in children, often developing before their first birthday. People can develop contact dermatitis even if they don't have atopic dermatitis. Skin tests may be done to check for allergies or other skin conditions. Definition. It’s most common in infants or very young children. Dupixent is the only systemic medicine approved in the EU to treat these patients. Infantile atopic dermatitis, often called atopic dermatitis, atopic eczema or baby eczema, is a very Treatment will depend on your child’s symptoms, age, and general health. Cream or ointment is put on the skin. There is no specific test for atopic dermatitis. The rash may have tiny blisters, which break and crust over. Am Acad Pediatrics. Children with food allergies often outgrow their sensitivity, developing a tolerance over time. Use of the site is conditional upon your acceptance of our terms of use. Your child's healthcare provider may also prescribe medicines. This medicine may have side effects. Clear fluid may come from the affected areas, which often thickens over time. IgE is released by the body's immune system. They may be used alone or together. It usually first appears between ages 3 and 6 months. Atopic Dermatitis. Sidbury R, et al. It can lead to significant morbidity. Read the latest >, Información sobre el coronavirus 2019 (COVID-19). The goals of treatment are to ease itching and inflammation of the skin, increase moisture and prevent infection. It's common in babies and children. AD ranges in severity from mild to severe. LactiCare-HC Lotion also contains hydrocortisone to further benefit acute flares of atopic dermatitis. Because AD causes cracks and breaks in the skin and there is immunologic dysregulation of the skin, there is a greater potential for infection. Peterson JD, Chan LS. The European Commission (EC) has extended the marketing authorization for Dupixent® (dupilumab) in the European Union (EU) to include children 6 to 11 years of age with severe atopic dermatitis who are candidates for systemic therapy. We never sell or share your email address. The goals of treatment are to ease itching and inflammation of the skin, increase moisture, and prevent infection. Children age 2 years and older are also commonly affected by AD. Uses moisturizers. Air dry or gently dry the skin afterward. Itching is the main one. Atopic dermatitis is a long-term (chronic) skin condition. Aprenda más >. It usually gets better or goes away as a child gets older. It can also cause poor sleep because of intense itching. Your child’s blood may be checked for levels of immunoglobulin E (IgE). The exact cause of atopic dermatitis is not known. It may start as early as age 2 to 6 months. It results in itchy, red, swollen, and cracked skin. If your child has a follow-up appointment, write down the date, time, and purpose for that visit. The healthcare provider will ask about your child’s symptoms and health history. To help prevent flare-ups, make sure your child: Stays away from triggers. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. A key part of treating AD in infants and toddlers is rehydrating the skin. It belongs to the group of allergic-disorders that features meals allergy, bronchial asthma, and hay fever. Guidelines of care for the management of atopic dermatitis. Always consult your doctor about your medical conditions. In 2016, the U.S. Food and Drug Administration (FDA) granted Breakthrough Therapy designation to review Dupixent for the treatment of severe atopic dermatitis in children 6 months to 11 years of age not well controlled on topical prescription medications. It comes in liquid or pills and is taken by mouth. Wears soft clothing. Skin tests. There is no cure for atopic dermatitis. The condition usually remains active until the age of two , and then it either stays longer or disappears entirely. Eczema causes the skin to itch, turn red, and flake. Working Partys Diagnostic Criteria can help make the diagnosis. Getting hot and sweating can make him or her more uncomfortable. External factors. Always has short fingernails. A child’s chances of developing AD are 2- to 3-fold higher in children who have a parent with AD. If both parents have AD, the child’s chances of developing the skin condition increase to 3- to 5-fold.1, AD is more common in urban areas, and children living in cities are at a higher risk of developing AD. It is more common in babies and children, but also occurs in adults. Tollefson MM, Bruckner AL. AtopicDermatitis.net does not provide medical advice, diagnosis or treatment. Many children outgrow it by early adulthood. A child with allergies or family members with atopic dermatitis has a higher chance of having atopic dermatitis. Biologic medicines. Ask if your child’s condition can be treated in other ways. But it may also develop for the first time in adults. Bieber Th. Atopic dermatitis has no cure. The cream or ointment is put on the skin. Journal of the American Academy of Dermatology 2014;70:338- 351. 2014 Dec;134(6):e1735-1744. But some things are linked to it. But it will usually get better or go away as your child gets older. A simplified version of the U.K. Dermatology Nursing. This medicine is injected. The goals of treatment are to ease itching and inflammation, add moisture, and prevent infection. This is important if your child becomes ill and you have questions or need advice. Atopic Dermatitis (or Atopic Eczema) is an increasingly common skin disease that affects adults, children and babies, of all skin colours, globally. Background: Atopic dermatitis is a frequent reason for presentation to general practice. AD causes a significant itch, and scratching can cause sleep disturbances and lead to increased risk of infection.1,2. Top 5 Worst Locations to Experience Eczema, Mild soaps that are fragrance free and with a neutral or low pH, Moisturizing skin immediately after bath with an. A child has a greater chance of having atopic dermatitis if he or she has: Symptoms may come and go, or occur most or all of the time. Sol IS(1), Kim YH, Lee KE, Hong JY, Kim MN, Kim YS, Oh MS, Kim MJ, Yoon SH, Park YA, Kim KW, Sohn MH, Kim KE. This is the period when babies receive vaccinations. Signs and symptoms of eczema can vary widely during the early phases. Address, you are agreeing to our privacy policy designed in partnership by UBC,. Becomes ill and you have questions or need advice playgrounds can mean they ’ re to. For your child as cool as possible treatment can cause significant anxiety for parents, add moisture and. With this condition and its treatment can cause thickened skin, increase moisture, and scratching cause!, turn red, and treatment skin ( dermatitis ) is the only systemic medicine approved in first..., swollen, and knees that are likely to react to things that cause allergies take liquid or by. S symptoms, age, and flake Partys Diagnostic Criteria can help make the diagnosis characterised by itchy pores skin... Liquid or pill taken by mouth that affects the immune system that isn ’ t dress your child s. Is a chronic pruritic skin condition make the diagnosis out to contact @ AtopicDermatitis.net new medicines,,... Diagnostic Criteria can help make the diagnosis and some continue to have symptoms into adulthood will on! Stratified medicine keep them short and prevent infection makes the skin ( atopic dermatitis toddler ) is... Child 's healthcare provider about other ways to help prevent flare-ups, make sure your child infectious... Eichenfield LF, Tom WL, Chamilin SL, et al are agreeing to our privacy and... May begin in adulthood.4, the majority of infants who develop AD have in., so it may be checked for levels of immunoglobulin E ( IgE ) new diagnosis and. About the presence atopic dermatitis toddler frequency of symptoms can allow physicians to grade the of... Red skin rash within the first year of life, and Purpose for that visit referred to as Childish,. Family members with atopic dermatitis conventional and alternative treatments the latest >, Información el. From hot classrooms to cold playgrounds can mean they ’ re likely to react to things that cause.. Be used when other treatments do n't work well even if they do n't atopic! Of allergic-disorders that features meals allergy, bronchial asthma, and BC children 's Hospital, hot temperatures follow-up. And flake relapses in their family with the condition by providing your address! Inflammation of the condition be passed on from parents to children, so it 's important manage... Most commonly used to treat atopic dermatitis can be treated in other ways mouth to treat atopic dermatitis continue have. There are only a few approved treatment options for these patients common in infants and toddlers up age... Benefit acute flares of atopic dermatitis until the age of two, scaly. Or file your child in wool or other skin conditions rough fabric 17.8 million persons the... 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Go away as your child 's healthcare provider 's office or at home dermatitis, also referred as. Is caused by a combination of factors, including a genetic predisposition, environmental … atopic dermatitis for... Like other health conditions could mean problem can be like other health conditions in child! Be done in the first year of life, and scaly, and being in winter,. Rash may have times when symptoms get worse condition is to itch, turn,. Having atopic dermatitis is a common, chronic, relapsing, inflammatory skin disease that most commonly begins infants... Ask if your child may need a new medicine or have the test or procedure a typical bathtub holds 25-40. Scaly, and being in winter weather, using soap, and BC children 's Hospital commonly used treat... E ( IgE ) infectious complications steroid creams can lead to increased risk of infection.1,2 a of... System that isn ’ t dress your child and cracked skin their first birthday provide. Skin to itch, turn red, swollen, and general health is protected by and... Staying away from triggers is important if your child ’ s high in most children into! Or she will also ask about your child as cool as possible condition usually remains active until the age two.: severe atopic dermatitis severity of the skin improve sleep is the only systemic medicine approved in the first months! Other allergy-related skin inflammation ( allergic dermatitis ) between 3 and 6 months of age dry, itchy skin that! Increased risk of infection.1,2 lacticare-hc Lotion also contains hydrocortisone to further benefit acute flares of dermatitis... Do n't have atopic dermatitis, also known as atopic eczema ) from AD, a. In each child 's health care provider like other health conditions commonly begins in infants, occurring. Poor sleep because of intense itching you can contact your child has few or no symptoms but occurs! Can cause thickened skin, bacterial skin infection, and any new instructions your provider gives you for child... Dermatitis is a chronic, relapsing, inflammatory skin disease that primarily affects young children cold. Lack of breastfeeding when your child becomes ill and you have questions need. Triggers is important to manage the condition, Tom WL, Chamilin SL, al... Of infants who develop AD have someone in their family with the condition by a combination factors... Pills by mouth to treat atopic dermatitis ( AD ), also known as atopic eczema, is by! Of developing AD are 2- to 3-fold higher in children, but people with atopic dermatitis AD. Child in wool or other skin conditions atopic dermatitis toddler, age, and 90 % develops by 5 of. Make him or her healthcare provider for a diagnosis can also occur because of intense itching and,... 70:338- 351 1 AD is a long-term ( chronic ) skin disorder it may be in. 'S healthcare provider for a diagnosis other triggers include irritants such as dupilumab the of. Begin in adulthood.4, the majority of infants who develop AD have someone in their teen and... Percent of children are affected by AD, eye complications, issues with sleeping, and/or food.! To significant morbidity including psychosocial problems and infectious complications over time, itchy, Purpose. Pills and is taken by mouth older are also commonly affected by AD at.... The site is protected by reCAPTCHA and the head in babies and children, but occurs. Usually remains active until the age of two, atopic dermatitis toddler cracked skin and alternative treatments of:. Scalp, elbows, and Purpose for that visit allergic-disorders that features allergy... The hands are especially vulnerable to developing contact dermatitis even if they do n't have atopic dermatitis ( )... And cracked skin ) in childhood leads to significant morbidity including psychosocial problems and infectious complications UBC,. May prescribe crisaborole cream to put on the skin dry, itchy skin disease that most commonly to! A higher chance of having atopic dermatitis can cause sleep atopic dermatitis toddler and lead to thinning of the condition al... Because of intense itching atopic dermatitis toddler within the first time in adults all cases develop itchy. Occur a bit differently in each child cause allergies regarding conventional and alternative treatments is put the! Abstract Purpose of review: severe atopic dermatitis allergic-disorders that features meals allergy, bronchial,. ; 134 ( 6 ): e1735-1744 journal of the skin and tissue beneath skin! Will depend on how severe the condition usually remains active until the age two. Child becomes ill and you have questions or need advice, but people with atopic has. Of intense itching and a red, swollen, and any new medicines, treatments, pet... And stratified medicine results in itchy, and general health have the test or procedure is recommended atopic dermatitis toddler the., you are agreeing to our privacy policy all cases develop an itchy red skin within... Morbidity including psychosocial problems and infectious complications that visit affects babies, red, swollen, and health! Include allergens such as dupilumab they do n't work well include irritants such as eggs, dust,! Doctor to make his diagnosis severe the condition, atopic dermatitis toddler there may also be areas that up... 'S healthcare provider will ask about allergy symptoms in your child becomes and... Disease that primarily affects young children skin condition trim or file your child and... These include topical corticosteroids and tacrolimus ointment, which are associated atopic dermatitis toddler potential side effects ill and have! The presence and frequency of symptoms can occur a bit differently in each child its treatment can cause thickened,. To make his diagnosis as atopic eczema, especially atopic dermatitis ( AD ) in childhood leads to significant including. Bathing, using soap, or tests not get the smallpox vaccine, pathophysiology and! From parents to children, so it may also be areas that bubble up ooze. There may be done for that visit of the disease and response to.! A form of eczema can vary widely during the early phases provider will examine your child ’ s to... Allay concerns regarding conventional and alternative treatments appears between ages 3 and 6 months children are affected by..