How to explain Eczema by Age

Eczema is an autoimmune condition that makes the skin red and itchy. It's common in children, but eczema can occur at any age. The condition is long lasting and flares periodically. It may be accompanied by asthma or hay fever.


Our skin needs some water inside it and some oil inside it to be healthy and smooth. Sometimes skin can really dry and itchy because there just isn’t the right mix of oil and water.

With eczema this dry very itchy skin can turn pink or red and sometimes it can leak a little bit. There are some foods and activities that can make eczema worse for some kids so sometimes they have to go without them.

It is nobody’s fault that they have eczema. It is just something that happens to some people sometimes.


School Age

Our skin needs a balance of oil and water to stay healthy and smooth. Our skin makes its own oil and pulls water from our body through water we eat and drink so stay hydrated. Sometimes when our skin doesn’t get enough water or doesn’t make enough oil it can be very dry. This might make it look a little flaky or feel tight or itchy.

Some people’s dry skin is eczema.

Eczema is red or pink skin that looks and feels like an itchy or stingy rash. Some times it “weeps” which means a little fluid leaks out of the skin. It can be so dry that it cracks and bleeds or it can be so itchy that it bleeds after it’s been scratched.

Our skin has a very important job. It protects all of our insides from germs (bacteria and viruses). If our skin is cracked and bleeding (like it can with eczema) then it’s easier for germs to get inside and make us sick.

There are lots of ways to be a good friend to people with eczema.

  1. Wash your hands so that you can help them prevent getting sick. Be kind and understanding when they are feeling so itchy that it’s hard for them to play or concentrate.
  2. Never make fun of how their skin looks. That is unkind and it is not their fault. Eczema is just something that happens to some people sometimes. Sometimes eczema can get better or even completely go away; then it can come back. When eczema is really bad it is called a flair.

Some people have found that if they don’t eat certain foods their eczema goes away. Some activities are really difficult with eczema or can make it worse. A lot of the time wet wraps or putting on lotion/ointment after a long bath can help eczema.


You have probably heard of eczema before, because it is really common! About 10% of people have it in some form or fashion.

There are several different types of eczema and the severity of eczema is different for everyone. Atopic dermatitis (the technical term for eczema)  is caused by a response in the immune system (the system in your body that fights of bacteria and viruses). Either way it is extremely itchy, red, dry skin. Sometimes people call it the itch that rashes, because it can start out as itchy skin and then turns into a red raw patch.

Doctors are still researching exactly why the immune system responds this way in some people but many believe that it has to do with how much exposure to germs and allergens a person gets when they are young.

There is also a genetic component to eczema. So if your parents have it, you might be more likely to have it too.

Treating eczema with appropriate ointments and medicines as prescribed by your dermatologist is very important. This is because skin health impacts the health of your entire body. Eczema can often crack and bleed and these areas are like a breech in the bodies security system. This means that it creates a space for germs to get in, which can cause infections. Sometimes these infections can even be very serious and require hospitalization. That’s why taking care of eczema prone skin is so important.

Our skin is our body's largest organ and it does most of the work from protecting the body from outside elements. In addition to treatments like ointments and creams, sometimes people might require pills or injections to help with their eczema. These medicines can communicate to the immune system that it is overreacting to the environment and needs to stop working against the skin and making it so dry.

One way you can be a good friend to someone dealing with eczema is to be willing to be flexible in your activity plans so that they can either avoid or take care of a flare. For example if you had plans to go to watch a ballgame but it was really hot outside, you could maybe switch to watching the game inside on tv or taking frequent breaks so that your friend can spritz with water and keep their skin cool.

If you have a child with eczema and you are trying to help them formulate an explanation for peers or siblings, we would love to help, using details about their specific diagnosis and experience. Please reach out to us at

I am not my hair. Alopecia Awareness Month

Hello, my name is Megan and I have alopecia. It is alopecia awareness month and I would like to share my story. The basic description of alopecia is that hair falls out in patches, or total loss of hair on the scalp or the body. Alopecia is different for everyone, and for me, I went through different stages.

How to explain Alopecia to children of different ages

Alopecia areata is a common autoimmune disorder that often results in unpredictable hair loss. It affects roughly 6.8 million people in the United States.In the majority of cases, hair falls out in small patches around the size of a quarter. For most people, the hair loss is nothing more than a few patches, though in some cases it can be more extreme. Sometimes, it can lead to the complete loss of hair on the scalp (alopecia totalis) or, in extreme cases, the entire body (alopecia universalis). The condition can affect anyone regardless of age and gender, though most cases occur before the age of 30.



Lindsay, our community director and a Childlife Specialist, offers several different ways to explain this to children of different ages.


You may have noticed that sometimes grown up men are bald or are missing hair on some places on top of their heads. This can happen to grown up women, too. When it happens in grown ups, it can be because baldness runs in the family or because their hair is thinning with age.  Sometimes, not nearly as often, this can happen to kids and young people too for what seems like no reason at all.  This is called alopecia.

There are different kinds of alopecia. Sometimes a person will just loose a little bit of hair on their head and other times they might lose all of their hair, even their eyebrows and eyelashes. There are some medicines that can help alopecia, but they don’t all always help, all of the time. It is ok to try the medicines or it is ok not to try the medicines. Sometimes the hair comes back all by itself.

Most of the time alopecia is something that can happen on its own, without the body having any other needs for medicine. But it is a good idea to see a doctor and have a check up when alopecia starts to make sure that the rest of the body is healthy and well.

One way to be a good friend to someone with alopecia, is to be kind to them when you see their hair changing and to let them talk to you about their hair or hair loss when they feel like it.

School Age

Most of the time, we think of baldness or hair loss as happening to older people or people who are using chemotherapy (a special medicine) to fight cancer. Alopecia, is hair loss that can happen to anyone at any age. It is not the same as the hair loss that occurs from the medicine used to treat cancer and kids who have alopecia do not have cancer. In fact, most of the time with alopecia there is no other medical need that the person has. Its just that they have lost their hair.

There are three different kinds of alopecia.

    1. Alopecia areata is what it is called when a person just loses some hair in some spots or patches.
    2. Alopecia totalis is when a person loses all of the hair on their head.
    3. Alopecial Universalis is when they lose all of their hair: on their head, their eyebrows and eyelashes, even on their arms and legs and their fingernails too.

Alopecia is no one’s fault. Its just something that happens sometimes in some people’s bodies. Doctors think that alopecia comes from mixed signals in the immune system. The immune system is our body’s germ fighting team. The cells in our immune system work hard to fight and kill any germs (bacteria or viruses) that make it past our defense system inside our body.

But sometimes in some bodies, the immune system germ fighters can get a little confused about what things in our bodies are germs and what things are not. Doctors think that with alopecia, the immune system might be getting confused and treating some hair follicles (the little itty bitty tiny tunnels our hair grows from) like germs. They think this is because hair changes and grows really fast, like many germs.

If someone has alopecia, their doctor might you to have a blood test (or some labs drawn) just to check that everything else in their immune system is going just right. There are some medicines that can help alopecia, but they don’t all always help, all of the time. It is ok to try the medicines or it is ok not to try the medicines. Sometimes the hair will grow back all on its own. A

kid dealing with alopecia might try wearing hats, wigs, wraps or other accessories. One way to be a good friend to someone with hair loss would be to kind to them if they want to wear a hat, or a wig, or if they want to go without. Think about what things you are going to say or ask about their hair BEFORE you say them or ask them. Then you can decide how it might make you feel if you were in their shoes.


Alopecia means hair loss. It is different from the kind of hair loss that happens from chemotherapy (a group of drugs most commonly used to treat cancer) or from aging. Alopecia is thought to be an autoimmune condition where the immune system (the system of cells in our body that fights bacteria and viruses) for some reason, attacks the hair follicles causing the hair to fall out.

Sometimes the hair falls out in patches(alopecia areata). Sometimes all of the hair on the head falls out (alopecia totalis) and sometimes all of the hair on the entire body falls out (alopecia universalis).  In the past, people used to blame stress or nervousness for hair loss. However, doctors have discovered through research that alopecia is not caused by stress. (After all, think of all of the stressed people you know with full heads of hair!) Alopecia is no one’s fault.

For some people that have alopecia, they may find that it gets worse when they are stressed, but that is true of many things that can act up in our bodies. (Eczema, cardiac issues, mental health disorders, blood pressure, for a few examples).  There are different treatments that a dermatologist can prescribe to help with alopecia, but they all seem to work differently on different people.

Often, it can take a series of trial and error to find a treatment that works for alopecia on each person. Some people may choose not to treat their alopecia at all. That is ok too! It is something that each family needs to figure out for themselves. In addition to medicines, people dealing with alopecia may decide to wear wigs, hats or head wraps in order to protect their scalp or to achieve the style they want.

If they have alopecia areata they may decide to try some different cool hair dos that hide their bald patches or give them a cool asymmetrical hair style. All of these are a-ok and are healthy ways to cope with having alopecia.

One way you can be a good friend to someone with alopecia is listen to them express how they are feeling about their hairloss, be supportive and be ready to learn. There are lots of things that the hairs on our body do that you might never have thought of! Someone dealing with alopecia universalis may have challenges with their eyes watering because they don’t have eyebrows and eyelashes to protect them from the elements, for example.  Being aware of these challenges can help you to be kind and empathetic.

If you have a child with alopecia and you are trying to help them formulate an explanation for peers or siblings, we would love to help, using details about their specific diagnosis and experience. Please reach out to us at

Our journey with Alopecia Areata

In honor of National Alopecia Awareness Month, one of our Mom’s is sharing her and her daughter’s path over the last 10 years since diagnosis. Thank you Stacy for sharing your family and your faith with us!

Our Journey with Psoriasis

When I heard psoriasis, I just had a general idea about a few itchy patches that really could be pretty irritating. But, in my mind, it was just a skin condition. I had no idea how a skin condition could become all-consuming – and how highly our culture valued outward appearance.

“Love the Skin You Are In” School Program

We have developed an educational program that aims to build compassion and create inclusive spaces for students to appreciate their visible differences in and outside of the classroom. Love the Skin You Are In is an enriching experience for all students, and we would like to partner with your school to implement this program.

“I Was Made a Masterpiece” FRAME Film

A Children’s House for the Soul is excited to announce the premiere of a new short film featuring many of our non-profit’s families entitled “I Was Made A Masterpiece.” Created by Rick Guidotti of Positive Exposure alongside production team Vacant Light, the short film is intended to educate current and future medical professionals, educators, students and ultimately the greater community on the deep emotional impact of skin disease.