Anti-inflammatory topical medicines are currently under-used in the treatment of atopic dermatitis. Part of the problem is an exaggerated fear of side-effects. Good understanding and correct management avoids side-effects - progress in pharmacology helps, but cannot trump current intelligent practice. Apparent treatment-resistance in atopic eczema is linked to steroid phobia. Habitual scratching causes the lichenification of chronic eczema. The Combined Approach - optimal topical treatment plus habit reversal - is the treatment programme that works through education and follow-up.
"It is now possible to live without eczema - there is no need to live with it"
Dr Peter Norén, Uppsala, Sweden