ECZEMA
Essentials of Diagnosis
•
It is a non-contagious inflammatory disease.
•
Stimuli may be exogenous.
•
Erythema, oedema, vesiculation, oozing, weeping
and crusting in acute stage.
•
After healing up of eruption there is a residual
pigmentation of the skin.
•
In chronic stage there is a lichenification.
Treatment
o
Reassure the patient.
o
Non-irritating detergent should be used instead
of soap.
o
For secondary infection Neomycin ointment is
useful.
o
Antibiotics may be given orally, i.e. Ampicillin
250 mg 4 times daily.
o
Hydrocortisone ointment, cream, lotion applied
once, or twice daily will relieve pruritus, i.e. Betnovate or Flucort-N.
o
Antihistaminic orally are helpful.
o
Avil Tab 1 thrice daily.
o
In acute oozing eczema without secondary
infection.
o
Tab Prednisolone 5 mg 2 tab bd × 5 days. Then 2
tab 1 bd × 4 days followed by 1 tablet daily × 4 days.
o
Zovate M cream twice a day.
o
In chronic lichenified lesion locally inject
hydrocortisone or Kenacort intralesionally.
