Abstract: . . .  wet wrap technique. Prescriber. April (Suppl) 19. Marrs R (1990) An individual approach to ease frustration: helping people with eczema . Professional Nurse. 5, 10, 522-528. USEFUL CONTACTS Latex Allergy Support Group PO BOX 36 Cheltenham GL52 4WY Ichthyosis Support Group Pamela Catlyn 0171 461 0356 National Eczema Society 163 Eversholt Street London NWI IBU 0171 388 4097 British Dermatology Nursing Group BDNG Administrator BAD House 19 Fitzroy Square London WIP 5HQ 0171 383 0266  . . .
. . .  total body surface of the skin is affected, how much topical emollient and topical steroid would you expect the patient to use every day? Draw up some quantity guides for future reference; topical therapies can only work if patients have enough to use. TIME OUT 5 Baseline treatment Soap substitute/bath oil, moisturiser patient preference Dry cracked skin Intensive emollient therapy Eczema without infection Topical steroids Infected eczema Topical steroids/ antibiotic combination Severe infected eczema Oral antibiotics ANTIHISTAMINES CAN BE ADDED AT ANY STAGE Box 2. Foundation for management of atopic disease  . . .
. . .  for at least one hour, then cotton gloves, are recom- mended. Systemic antibiotics or a topical steroid com- bined with antibiotics can be used. Antihistamines are very important to help ease the itch. These patients avoid wet work and housework, which can cause concerns if this affects their occupation or family life. This condition is often painful, as patients can experience difficulty in walking. Seborrhoeic eczema A ketoconazole shampoo for the scalp and as a body wash to the hairy chest area is needed to kill the yeast. If inflamed and very florid, a combination topical steroid and antifungal cream, which can also be applied into the scalp, should be used. Maintenance . . .
. . .  tion and the release of cytokines. Potency should be increased if no reduction in inflammation or irritation is achieved. When there has been an improvement, decreasing potency before stopping completely is important to prevent the rebound phenomenon. This is usually achieved by regular review of the patient and by pre- scribing a lower strength steroid to be used when the skins condition improves. If the steroid is used on unaffected skin, or a patient is left on a potent steroid without reviewing and reducing the potency, long-term effects can occur (Box 1). The patient can develop tolerance to a steroid (tachyphylaxis) and possibly allergy: changing steroid to another . . .
--3000,4,375,3136,44920