<s>[INST] Hi, my daughter is 2.5 yrs old and has eczema since a year. Gradually she lost appetite and now has also lost weight and very fuzzy in eating. Her itchy skin has become better after a routine skincare regime and utmost care in and out. Using cetaphil cream, sometimes also olive oil, on her skin and Vit D drops everyday. Its been a year since she slept full night (I think because of both her itchy skin and hunger). Would you please help a distressed child and an overly exhausted mother of two, by prescribing a good medicine? [/INST] Hi.I understood your problem. The concerning points in your child Chat Doctor. Probable diagnosis are1. Severe eczema2. Langerhans cell Pinocytosis (LCH) - diagnosis is considered when eczema does not respond to usual eczema therapy. Try following therapy1. At alga shampoo2 Disown cream twice a day for 1 month3. Cetaphil cream4. Ted bar soap follow above treatment regularly for 6 weeks. If not responded for above treatment, get skin biopsy. Regards- </s>