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[Management of chronic hand eczema].

Authors
  • Lahfa, M
Type
Published Article
Journal
Annales de Dermatologie et de Vénéréologie
Publisher
Elsevier
Publication Date
Jun 01, 2014
Volume
141 Suppl 1
Identifiers
DOI: 10.1016/S0151-9638(14)70151-6
PMID: 24953623
Source
Medline
Keywords
License
Unknown

Abstract

The management of hand eczema, more readily called chronic hand dermatitis, is complex. This heaviness is related not only to the disease itself by its different clinical forms but also the multiplicity and diversity of etiological factors, triggering / maintaining or aggravating factors. The repeated therapeutic failures are ransom of incorrect information about the disease and its environment, a lack of clarity in the prescription and duration of treatment in general too short. The reference treatment is high potency topical steroids with or without occlusion for 4-8 weeks followed by alitretinoin 30 mg / day for at least 3-6 months with a monthly lipid and liver monitoring and mandatory monthly pregnancy test in women of childbearing. Associated measures and patient education are the cornerstones of successful treatment. Other alternative treatments such as phototherapy, methotrexate, cyclosporin, mycophenolate mofetil etc. can be considered in case of resistance or for clearing followed by topical treatments.

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