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Atopic Eczema
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> chronic relapsing inflammatory itchy scaly red rash esp in skin creases, ill defined often Hx or FH of atopy dry skin often onset <2yrs 15-20% children (65% clears by early teens) worse prognosis - early severe onset, asthma / hayfever, small family, high IgE Rx ointment rather than cream least potent possible if infected - use Fluclox or E'mycin Tacrolimus (protopic) - vit A analogue - immunosuppressant, no skin thinning but inc skin infection and ?cancer ??Ciclosporin - closely monitor renal function - 2ndary care
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Eczema