ECZEMA ((NICE GUIDELINES))
Benefits outweigh possible harms when applied correctly.
Should only be applied to areas of active atopic eczema (or active in the past 48 hours included areas of broken skin)
Application only once or twice daily.
Tailor the potency of topical corticosteroids to the severity of the child’s atopic eczema.
Severity may vary according to body site.
use mild potency for mild atopic eczema
use moderate potency for moderate atopic eczema
use potent for severe atopic eczema
use mild potency for the face and neck
1️⃣Short-term (3–5 days) moderate potency for severe flares.
2️⃣Short term (7–14 days)moderate or potent preparations for
vulnerable sites such as axillae and groin
Do not use very potent preparations without dermatologist.
Exclude 2ry bacterial or viral infection if a mild or moderately
potent topical corticosteroid has not controlled the atopic
eczema within 7–14 days.
In ( 12 months or over) use potent topical corticosteroids not
longer than 14 days.
If this ttt does not control the atopic eczema
1️⃣review the diagnosis
2️⃣refer for dermatologist
Do not use potent topical corticosteroids on(face & neck)
Two consecutive days per week topical steroid prevent flares,
in children with frequent flares (two or three per month).