principles of management
Last edited 06/2023 and last reviewed 06/2023
- standard initial management of eczema includes:
- the use of
emollients and topical corticosteroids of appropriate potency
to treat affected sites
- topical calcineurin inhibitors (including
tacrolimus and pimecrolimus) are licensed for use in adults
and children two years of age and older as second-line
treatments for moderate to severe eczema that has not
been controlled by topical corticosteroids, when there is
serious risk of important adverse eIects from further topical
corticosteroid use (particularly irreversible skin atrophy)
- systemic immunosuppressive treatments are reserved for the treatment of more severe cases of eczema that have been inadequately controlled with topical treatments (such as topical corticosteroids and topical calcineurin inhibitors)
Reference:
- NICE (June 2023).Atopic eczema in children Management of atopic eczema in children from birth up to the age of 12 years.
- Sawangjit R et al. Systemic treatments for eczema: a network meta-analysis. Cochrane Database of Systematic Reviews 2020, Issue 9. Art. No.: CD013206. DOI:10.1002/14651858.CD013206.pub2