Topical Therapy for Hand Eczema

Topical Steroids

Topical steroids are used to reduce inflammation and remain a mainstay of therapy.

  • Ointments are more effective and have fewer preservatives and additives than creams.The final decision about the base used should be taken after input from the patient
  • The thick stratum corneum especially palms, palmar aspects of fingers, and around nails often necessitates use of rather potent preparations such as clobetasol propionate 0.05% ointment for a few weeks only
  • If the response is unexpectedly slow consider corticosteroids allergy.
  • Cross-reactions between groups of corticosteroids and flares with systemic steroids may also complicate therapy.
  • Topical steroids should be used on affected areas twice per day until condition improves, then taper to intermittent use for maintaince.

Salicylic acid, LCD

Salicylic acid, LCD tar are sometimes prescribed for hyperkeratotic areas

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