Nummular eczema topical steroid withdrawal

• Protect and improve skin barrier. Apply thick cream based or ointment based moisturiser at least twice a day. Avoid products with fragrances and plant extracts. Avoid irritants such as soap, shampoos, prickly materials, heat, friction and long hot showers.
• Control inflammation with intermittent courses of appropriate topical steroids . Weak topical steroids are used on the face, under arms and groins and stronger steroids are used elsewhere. Topical calcineurin inhibitor is also helpful.
• Cool compresses will calm the itch quickly. Use wet dressing over moisturiser and topical steroid for more severe dermatitis, especially if itch prevents the person from sleeping.
• Treat secondary bacterial infection with bleach baths, mupirocin ointment or oral antibiotics.
• In severe dermatitis, phototherapy and systemic treatment such as oral corticosteroids , cyclosporin , azathioprine , methotrexate and mycophenolate mofetil may be necessary.

Nummular eczema topical steroid withdrawal

nummular eczema topical steroid withdrawal

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