Aims and learning outcomes The aim of this article is to: ■Explain the physical and psychosocial problems associated with childhood eczema from the perspective of the child and the family ■Describe the changes that occur with atopic eczema ■Describe possible triggers and how topical therapy should be adapted when the skin has flared ■Outline nursing care needed by the family to manage a child’s condition ■Outline the support provided by the National Eczema Society