Eczema and school uniforms: a guide for Aussie parents

If your child has eczema, you're far from alone. Australia has one of the highest rates of childhood eczema in the world. Research drawing on four large Australian cohort studies found that between 29% and 36% of children under six have had eczema at some point, and between 17% and 27% had current eczema at the time they were studied.

For many of these children, eczema eases as they grow. But plenty still live with it through primary school and beyond. And for those kids, a school uniform worn all day, every day, really matters.

How clothing affects eczema

Eczema (atopic dermatitis) makes the skin's barrier weaker and more reactive. Skin loses moisture easily and responds strongly to irritants. Clothing can affect it in several ways:

• Heat and sweat. Two of the most commonly reported eczema triggers. Fabrics that trap heat and moisture can set off the itch-scratch cycle.
• Rough or scratchy fibres. Coarse wool and stiff, rough fabrics can irritate inflamed skin.
• Chemical residues. Finishing chemicals, some dyes and fragrance from laundry products can irritate or sensitise skin.
• Friction. Tight seams, elastic and labels rub against already-sensitive areas like the elbows, knees and neck.

What dermatologists generally recommend

Advice for children with eczema commonly includes wearing soft, breathable fabrics like cotton next to the skin, avoiding wool directly against skin, and dressing in layers that can be removed when kids get hot. Some families also try specialised fabrics recommended by their dermatologist.

A practical uniform checklist

When you're buying uniforms for a child with eczema, look for:

1. Soft, smooth cotton for shirts, polos and dresses
2. No easy-care, wrinkle-free or stain-resistant finishes, which may involve resins or coatings
3. Flat, soft seams and printed or easily removed labels
4. A relaxed fit that doesn't press or rub
5. A cotton layer under wool jumpers or blazers, so wool doesn't touch the skin
6. Certified textiles (GOTS or OEKO-TEX) for fewer chemical residues

And at home:

• Wash new uniforms before wearing
• Use a fragrance-free, gentle detergent and rinse well
• Change out of uniform soon after school
• Moisturise after the evening bath, as advised by your doctor

Working with your school

Many schools are happy to make reasonable adjustments for children with a diagnosed skin condition. Requests might include wearing a cotton alternative to a polyester sports top, swapping tights for socks, or wearing a long-sleeved cotton layer under the uniform. A short note from your GP or dermatologist can help.

When it's more than eczema

Sometimes what looks like an eczema flare is actually allergic contact dermatitis, a reaction to something specific in the fabric, like a dye or a finishing resin. Clues include a rash that matches exactly where a particular garment sits, or one that flares with new clothes. If you suspect this, ask your doctor about patch testing.

Gentle by design

Natural Schoolwear started with sensitive skin in mind. We're designing in soft natural fibres, without unnecessary chemical finishes, with construction that keeps rubbing to a minimum. We can't cure eczema, and no clothing can. But we can make sure the uniform isn't adding to the problem.

This article is general information, not medical advice. Always follow your child's GP or dermatologist's eczema plan.