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Treating eczema – a stepped approach. The recommended first-line (basic) treatments for most cases of eczema are emollients and topical steroids. Paste bandages and wet wraps may be a helpful addition for some people, particularly where scratching is a major problem.
In general, treatment of facial eczema involves avoiding further irritation caused by cosmetics and toiletries, switching to a gentle regimen of skin cleansing, and actively treating the eczema with emollients and anti-inflammatory therapy (topical steroids for flares and topical calcineurin inhibitors for longer-term treatment and maintenance).
Treating eyelid eczema. The standard first-line treatments for eyelid eczema are emollients, mild topical steroids and topical calcineurin inhibitors, prescribed by your doctor or other healthcare professional. Emollients. Keep facial skin care simple. Use a leave-on emollient to wash with, as well as applying it frequently as a moisturiser.
When scalp eczema flares up, the treatment is similar to treatment for other body areas. Try to treat the scalp and not the hair – part the hair and massage treatments onto the scalp. Topical steroids designed for use on the scalp can be prescribed.
Topical steroids are first-line treatments for babies with eczema. These creams have been used to treat eczema for more than 50 years, so there is a good understanding of how they work. If you don’t treat the eczema promptly and adequately, skin damage is far more likely to occur through scratching into the deeper layers of skin.
Topical steroids treat flaring eczema by reducing inflammation, helping skin that is sore, cracked and red or darker than the surrounding skin. Hands usually require stronger steroids (the skin of the palms is thick), so potent topical steroids are usually prescribed (moderately potent for children).
A short burst of treatment with topical steroids will enable most people with eczema to bring a flare-up under control. Key points to remember include: The topical steroid should be used once a day – unless directed otherwise – at night for 7-14 days.
Treatments. Keeping skin moisturised using emollients (medical moisturisers) is key to managing all types of eczema. Topical steroids are the first-line treatment to bring flare-ups under control, and other treatments are available to help manage more severe symptoms.
In people with white skin, atopic eczema often affects the creases of body joints, such as the back of the knees and the inside of the elbows, while in people of colour the pattern is often reversed, with atopic eczema affecting the front of the knees and the outside of the elbows.
Genital eczema can be treated and controlled, but as with all types of eczema, it is often a long-term condition with no cure. It is important that you use the products prescribed by your doctor or dermatologist, and attend appointments in order for the condition to be monitored and treatments changed if necessary.