Chronic eczema – Dry Local application of :Salicylic Benzoic / Dipsalic onintment (Keratolytic)Pragmatar ointment (2% coal tar = 11) orBETNOVATE/ Clobestasol ointment orNivea cream Tab. Cetzin 1 OD if itching (Antihistaminic) If lesion is thick and lichenified:Inj. L.H.C. (Local Hydrocortisone acerate or Kneocort 40mg) with xylocain, injected into the lesion, x every weeok x 3 injections. Chronic Eczema – Wet – (Acute exacerbation) Local applications of Betnonavate-N ointement (Steroid + Antibiotic)Calcium lotion x 3 times/ day.Apply 3 times/ day till the lesion is dry. Tab. Wysolene 5mg tds x 5-10 days (Steroid course till acute exacerbation is controlled, then taper)Tab. AVIL 25mg 2-3 times/ day.Tab. ALPRAX 0.25mg 2-3 times /day (transquiliser to counter psychosomatic factor)Tab. Erythromycin 500mg tds x 5 days if infection) If eczema Is seen in medical aspect of ankle and leg, then make the patient stand and look for varicose veis. Always first think of contact dermatitis and check whether any irritant I sproducing it. Eg. Over hand – soaps, detergents, disinfectants, Chemicals, gloves.Over wrist- watch strap.Over feet- Soaps, Plastic foot-wears, shoes etc.Over face- Lipsticks, Creams, powders, hair dyes, Perfumes,Over axillae, Powders, Deodrants, Cloths,
It is important because these factors can be avoided and eczema controlled with ease.