Although it can hydrate and remove irritants, water evaporation may cause greater moisture loss. 5īathing is both treatment and maintenance.
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5 Prescription emollients, such as Biafine, Kerol, and EpiCeram, mimic natural compounds they have a structural role as a skin barrier rather than a pharmacologic effect. 5 Ideal amounts and frequencies have not been studied, but regular and generous application is generally recommended. 7 They improve hydration and decrease both irritation and the need for prescription medications.
4,5 Moisturizers can be the primary treatment for mild disease and should be part of all regimens. 5Ī dysfunctional epidermal barrier is a key eczema feature. 4 The American Academy of Dermatology notes that clinical judgment needs to be used, as there is still much to be discovered. 5 Systemic treatment is generally reserved for severe or difficultto- treat cases. 4 Liberal use of moisturizers is universally recommended, 5 and multiple topicals with different mechanisms of action may be used concomitantly. 4 Topical corticosteroids (TCs) are the mainstay of pharmacologic treatment, but calcineurin antagonists may be preferred for certain applications. 1,4 Management is challenging, however, trying to control acute symptoms and prevent flares while avoiding adverse effects (AEs).
4 It is neither contagious nor curable, but it is controllable. 3Įczema is characterized by itching, redness, papules/vesicles, crusts or lichenifications, spongiosis, keratosis, and skin thickening. 2 According to the Centers for Disease Control and Prevention, eczema in children nearly doubled between 20. More than 30 million Americans have eczema (atopic dermatitis), 1 and the incidence is increasing. Although eczema is not curable, it is controllable.
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