Established corticosteroid creams should be applied only once daily in patients with atopic eczema -- Williams 334 (7606): 1272 -- BMJ

نویسنده

  • Hywel C Williams
چکیده

The clinical problem Atopic eczema affects many adults and up to 20% of children,1 with health costs comparable to diabetes2 and asthma.3 One community survey of 1760 young children in the United Kingdom found that 84% had mild eczema, 14% moderate, and 2% severe eczema.4 Topical corticosteroids are a mainstay of treatment for inflammatory episodes.5 Most long established topical corticosteroids such as betamethasone valerate or hydrocortisone are applied at least twice daily, but three newer preparations (mometasone, fluticasone, and methylprednisolone) have been developed for once daily application. Here, I propose that established preparations need be applied only once daily.

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Randomised controlled trial of short bursts of a potent topical corticosteroid versus prolonged use of a mild preparation for children with mild or moderate atopic eczema.

OBJECTIVE To determine whether a three day burst of a potent corticosteroid is more effective than a mild preparation used for seven days in children with mild or moderate atopic eczema. DESIGN Randomised, double blind, parallel group study of 18 weeks' duration. SETTING 13 general practices and a teaching hospital in the Nottingham area. PARTICIPANTS 174 children with mild or moderate at...

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Herbal creams used for atopic eczema in Birmingham, UK illegally contain potent corticosteroids.

AIMS To determine whether "herbal creams" reported as being effective for the treatment of childhood atopic eczema contained corticosteroids. METHODS Patients attending the paediatric dermatology clinic at Birmingham Children's Hospital, April 2001 to March 2002, and who reported using "herbal creams" with good effect for atopic eczema were asked to submit the cream for analysis. Hydrocortiso...

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تاریخ انتشار 2007