Eczema (Atopic Dermatitis)

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Eczema (Atopic Dermatitis): Treatment

Consult your health care provider for a diagnosis of eczema because it can be difficult to differentiate from other skin disorders. Treatment should be guided by the health care provider.

Treatment may vary depending on the appearance (stage) of the lesions -- acute "weeping" lesions, dry scaly lesions, or chronic dry, thickened lesions are each treated differently.

Anything that aggravates the symptoms should be avoided whenever possible, including any food allergens and irritants such as wool and lanolin.

Dry skin often makes the condition worse. When washing or bathing, keep water contact as brief as possible and use less soap than usual. After bathing, it is important to trap the moisture in the skin by applying lubricating cream on the skin while it is damp. Temperature changes and stress may cause sweating and aggravate the condition.

Treatment of weeping lesions may include soothing moisturizers, mild soaps, or wet dressings.

Mild anti-itch lotions or topical corticosteroids (low potency) may soothe less severe or healing areas, or dry scaly lesions.

Chronic thickened areas may be treated with ointments or creams that contain tar compounds, corticosteroids (medium to very high potency), and ingredients that lubricate or soften the skin. Systemic corticosteroids may be prescribed to reduce inflammation in some severe cases.

The latest treatment for eczema is a new class of skin medications called topical immunomodulators (TIMs). These medications are steroid-free. The most common are tacrolimus (Protopic) and ascomycin. Studies have shown as high as an 80% success rate using these new medications.