• Actas Dermosifiliogr · Sep 2015

    Review

    Management of Chronic Hand Eczema.

    • F J de León, L Berbegal, and J F Silvestre.
    • Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España. Electronic address: fjlmarrero1@gmail.com.
    • Actas Dermosifiliogr. 2015 Sep 1; 106 (7): 533-44.

    AbstractManagement of hand eczema is complex because of the broad range of different pathogeneses, courses, and prognoses. Furthermore, the efficacy of most available treatments is not well established and the more severe forms can have a major impact on the patient's quality of life. Patient education, preventive measures, and the use of emollients are the mainstays in the management of hand eczema. High-potency topical corticosteroids are the treatment of choice, with calcineurin inhibitors used for maintenance. Phototherapy or systemic treatments are indicated in patients who do not respond to topical treatments. Switching from topical treatments should not be delayed to avoid sensitizations, time off work, and a negative impact on quality of life. Alitretinoin is the only oral treatment approved for use in chronic hand eczema. Copyright © 2015 Elsevier España, S.L.U. and AEDV. All rights reserved.

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