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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • topical corticosteroids are usually effective; weaker agents may be substituted when the rash is controlled.
  • if intensely itchy, occlusive bandages will limit excoriation - for example, zinc paste or ichthymol bandage such as Viscopaste, or impregnated steroid tape containing flurandrenolone 0.0125%.
  • steroid-antibiotic combination eg. betamethasone valerate + chinoform (Betnovate C), may be valuable since secondary infection is so common; suspect when response to topical steroid alone is inadequate
  • stress management
  • potassium permanaganate soaks if the eczema is oozing
  • in resistant cases UVB or PUVA therapy may be beneficial (1)
    • typically, twice-weekly PUVA treatments are given for eczema, and the dose of UVA radiation is gradually increased over the course of treatment.
      long-term continuous treatment is not advised due to increased risk of developing skin cancers
    • can be used as a monotherapy or in combination with emollients and topical corticosteroids (2)

Reference:


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