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Abstract: . . . Eczema exacerbated by bacterial (above) and herpes simplex (below) infection Page 5 54 Prescriber 5 September 2005 www.escriber.com Eczema agents such as mupirocin (Bactroban Nasal) may be appropriate in patients with recurrent infections. Steroid-antibiotic or antiseptic combinations such as Vioform HC and Fucibet cream can be useful for treating limited areas of clinically infected eczema (see Figure 2). If there is widespread infection, oral flucloxacillin (Floxapen) or erythromycin for . . . . . . Clayton PE, Addison GM, et al . Adrenal function following topical steroid treatment in children with atopic dermatitis. Br J Dermatol 1995;132:950-5. 9. Chu AC, Munn S. Fluticasone propionate in the treatment of inflammatory dermatoses. Br J Clin Practice 1995;49:131-3. 10. Management of atopic eczema in primary care. PRODIGY, 2004. www.prodigy.nhs.uk/guidance.asp?gt= Eczema %20-%20atopic (accessed 22/05/05). 11. Thomas KS, Armstrong S, Avery A, et al . Randomised con- trolled trial of short bursts of a potent topical corticosteroid versus . . . . . . Agarwal S, et al. Efficacy and tolera- bility of borage oil in adults and children with atopic eczema : randomized, double-blind, placebo-controlled, parallel- group trial. BMJ 2003;327:1385. 18. Zhang W, Leonard T, Bath-Hextall F, et al . Chinese herbal medicine for atopic eczema . The Cochrane Database of Systematic Reviews 2004; Issue 4: CD002291. DOI: 10.1002/14651858.CD002291.pub3. 19. Referral advice: a guide to appropriate referral from gen- eral to specialist services. London: NICE, 2001. www.nice.org.uk/pdf/Referraladvice.pdf . . . . . . from gen- eral to specialist services. London: NICE, 2001. www.nice.org.uk/pdf/Referraladvice.pdf (accessed 22/05/05). Dr Hague is a specialist registrar in dermatology and Dr Berth-Jones is consultant dermatologist at Walsgrave Hospital, Coventry Eczema education and support is essential adequate amounts of emollients should be prescribed as maintenance treatment topical steroids should be used intermittently and with consideration of the age of the patient and site treated poor response to treatment may . . . . . . Adrenal function following topical steroid treatment in children with atopic dermatitis. Br J Dermatol 1995;132:950-5. 9. Chu AC, Munn S. Fluticasone propionate in the treatment of inflammatory dermatoses. Br J Clin Practice 1995;49:131-3. 10. Management of atopic eczema in primary care. PRODIGY, 2004. www.prodigy.nhs.uk/guidance.asp?gt= Eczema %20-%20atopic (accessed 22/05/05). 11. Thomas KS, Armstrong S, Avery A, et al . Randomised con- trolled trial of short bursts of a potent topical corticosteroid versus prolonged use of a mild preparation . . . --3000,5,300,3384,31467
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