Recent Articles

Topical Tip #5: The use of creams and ointments

 

The Combined Approach to atopic eczema aims to optimise conventional topical treatment.
Peter Norén talks to DrB

 


For more than 50 years it has been known that scratching of the skin causes the changes seen in chronic eczema.

Habit Reversal Tip #4: Habitual Scratching

It is very characteristic with chronic atopic eczema to find only a part of scratching is due to itch: habitual scratching also needs treating
Habit Reversal Tip #3: Registration

 

 The use of the hand tally counter is most often reported as the important feature of success with The Combined Approach to atopic eczema
Habit Reversal Tip #2: Involving Others

 

Changing habitual behaviour in adults and older children is essentially a personal process, but for all ages involving others can be important - and for younger children it is essential
Habit Reversal Tip #1: The Secret World

 

Success changing habitual behaviour requires a preliminary candid assessment of the behaviour to be changed - in The Combined Approach to atopic eczema this includes asking about how scratching is carried out
Topical Tip #4: Lotion, Cream or Ointment?

 

Patients prefer lotions and creams, dermatologists prefer ointments. Why?
Topical Tip #3: Convenient quantities of emollient

Just having an open 500G tub of moisturiser in the bathroom is not the best arrangement...small can be better
Topical Tip #2: Soap Substitutes

With atopic eczema, washing the skin with soap and water can leave it dry and itchy
What previous training does a practitioner require to learn The Combined Approach?

 

A treatment programme that involves behaviour modification sounds much more complicated than it actually is.
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