Atopic eczema Treatment

Atopic eczema Treatment - Atopic eczema Treatment First...

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Atopic eczema Treatment First line treatment relies on 3 main targets: 1. Skin moisturised (using emollients) 2. Reducing inflammation (using topical corticosteroids) 3. Reducing itching (using antihistamines). Emollients should be used at all times as a preventative measure, although they do not rule out the possibility of eczema returning. Corticosteroids = when eczema flares occur (use for 7 – 14 days). Only the affected areas. Start with a low potency, hydrocortisone (0.5-2.5%), desonide (0.05%) Anti-histamines = persistent pruritus or sleep disturbances. Should be avoided in children <2 years. (e.g., chlorpheniramine or diphenhydramine) Second line treatments: Ultraviolet light (UVB and PUVA) and immunosuppressives. UVA1 therapy = acute flares of atopic dermatitis Narrow-band UVB therapy = chronic atopic dermatitis Prognosis Treatment are widely available and often over the counter meaning that mild eczema is often easily managed, however severe eczema can be a serious problem that may not only require medical treatment but also psychological counselling.
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