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The Combined Approach to atopic eczema aims to optimise conventional topical treatment.
For more than 50 years it has been known that scratching of the skin causes the changes seen in chronic eczema.
It is very characteristic with chronic atopic eczema to find only a part of scratching is due to itch: habitual scratching also needs treating
The use of the hand tally counter is most often reported as the important feature of success with The Combined Approach to atopic eczema
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
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
Patients prefer lotions and creams, dermatologists prefer ointments. Why?
Just having an open 500G tub of moisturiser in the bathroom is not the best arrangement...small can be better
With atopic eczema, washing the skin with soap and water can leave it dry and itchy
A treatment programme that involves behaviour modification sounds much more complicated than it actually is.