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module menu icon Stepped care and sub-clinical eczema

Mild irritant contact dermatitis and mild dry skin are regarded as self-limiting or minor conditions that are amenable to self-care with OTC treatments recommended by a pharmacist.3

Atopic eczema is a chronic condition and so prescribed emollient treatment is permissible. Although patients can have periods without any overt skin disease, experts describe this as sub-clinical eczema because the basic skin defects remain and the eczema could flare up at any time.

Table 2: Stepped care treatment options1

Mild atopic eczema:

  • Emollients
  • Mild potency topical corticosteroids

Moderate atopic eczema:

  • Emollients
  • Moderate potency topical corticosteroids
  • Topical calcineurin inhibitors
  • Bandages

Severe atopic eczema:

  • Emollients
  • Potent topical corticosteroids
  • Topical calcineurin inhibitors
  • Bandages
  • Phototherapy
  • Systemic therapy.
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