As the temperatures drop and the air turns crisp, your child’s skin may be telling you a story of its own. Winter rash — a common condition caused by cold, dry air — can leave your little one’s skin red, itchy, and uncomfortable. But with a little extra care, you can help your child’s skin stay soft, smooth, and irritation-free all season long.

Dr. Anna Kirkorian, Division Chief of Dermatology at Children’s National Hospital, weighs in on how to avoid winter rash and keep your child’s skin healthy all winter long.

What Is winter rash?

Winter rash is an umbrella term for skin irritation caused by the cold, dry conditions of winter. It often appears as dry, flaky, or red patches, and can be particularly bothersome on exposed areas like the face, hands, and legs. Children’s skin is especially susceptible because it is thinner and more sensitive than adult skin, making it harder to retain moisture.

Why does winter rash happen?

The combination of cold outdoor air and heated indoor environments can wreak havoc on your child’s skin. Cold air has less moisture, and indoor heating systems further dry out the air, stripping the skin of its natural oils. Add in long, hot baths or frequent handwashing, and the skin’s protective barrier becomes even more compromised.

Signs of winter rash

• Dryness: Skin feels tight or rough to the touch.
• Redness: Patches of irritated or inflamed skin.
• Itching: Persistent itchiness, especially on exposed areas.
• Flaking or Peeling: Noticeable shedding of the outer layer of skin.

Tips to protect your child’s skin this winter

1. Moisturize, moisturize, moisturize
   Choose a thick, fragrance-free moisturizer designed for sensitive skin. Apply it immediately after baths or showers while the skin is still damp to lock in moisture. Keep a small bottle handy for reapplication throughout the day, especially after handwashing.
2. Dress smart for the weather
   Bundle your child up in layers to protect their skin from the cold. Choose breathable fabrics like cotton for the base layer, and avoid wool or synthetic materials directly on the skin, as they can cause irritation. Don’t forget gloves and a scarf to shield exposed areas.
3. Use a humidifier
   Combat the drying effects of indoor heating by adding a humidifier to your child’s bedroom. Maintaining humidity levels between 30 percent and 50 percent can help keep their skin hydrated.
4. Stay hydrated
   Encourage your child to drink plenty of water, even if they’re not feeling thirsty. Proper hydration helps the skin maintain its moisture balance.
5. Choose skin-friendly laundry detergent
   Use a mild, fragrance-free detergent for your child’s clothes and bedding to minimize skin irritation. Avoid fabric softeners and dryer sheets, which can also be harsh on sensitive skin.

When to see a pediatrician

Most cases of winter rash can be managed at home with proper care, but if your child’s skin doesn’t improve or if the rash becomes severe, it’s time to consult a pediatrician. Look out for:

• Cracked or bleeding skin
• Signs of infection (e.g., swelling, warmth, or pus)
• Persistent itchiness that interferes with sleep or daily activities

A winter of healthy skin

With a little extra attention, you can keep winter rash at bay and ensure your child’s skin stays healthy and comfortable through the chilly months. By moisturizing regularly, avoiding irritants, and protecting their skin from harsh weather, you’ll set the stage for a winter full of cozy, happy moments — no itchy distractions required!

This blog post originally appeared in Northern Virginia Magazine online.