Fortnightly Review: Management of atopic eczema

BMJ 1995; 310 doi: http://dx.doi.org/10.1136/bmj.310.6983.843 (Published 1 April 1995)
Cite this as: BMJ 1995;310:843

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. P M McHenry, clinical lecturera,
  2. H C Williams, senior lecturerb,
  3. E A Bingham a Joint Workshop of the British Association of Dermatologists and the Research Unit of the Royal College of Physicians of London, consultant dermatologistc
  1. a Department of Dermatology, Robertson Building, University of Glasgow, Glasgow G12 8QQ
  2. b Department of Dermatology, University Hospital, Queen's Medical Centre, Nottingham
  3. c Department of Dermatology, Royal Victoria Hospital, Belfast
  1. Participants in the workshop are listed at the end of the article. Correspondence to: Dr McHenry.
  • Accepted 11 January 1995

Abstract

Summary points

  • Time for explanation and education is essential

  • Adequate amounts of emollients should be prescribed, and these should be used liberally and frequently

  • When prescribing topical corticosteroids the age of the patient, the site to be treated, and the extent of the disease are important considerations

  • Deterioration in previously stable eczema may be due to secondary bacterial or viral infection or to development of a contact dermatitis

  • Attempts to eradicate the house dust mite are not currently recommended

  • Dietary restriction is of little or no benefit in adults, and in children it is worth trying only in selected infants under professional supervision

  • Evidence for the therapeutic value of evening primrose oil remains inconclusive

  • PUVA or UVB may be helpful in selected patients

Footnotes

    • Accepted 11 January 1995

    Get access to this article and all of bmj.com for the next 14 days

    Sign up for a 14 day free trial today

    Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

    Article access

    Article access for 1 day

    Purchase this article for £20 $30 €32*

    The PDF version can be downloaded as your personal record

    * Prices do not include VAT

    THIS WEEK'S POLL