Asteatotic Eczema Treatment & Management

Updated: Nov 06, 2020
  • Author: Christina K Anderson, MD; Chief Editor: William D James, MD  more...
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Medical Care

Patients should follow the methods listed below to improve the condition. [13]

Eliminate or reduce the use of soap on the involved areas; use only in the perineum and axillae.

Avoid harsh skin cleansers.

Apply petrolatum-based emollients following bathing, and use moisturizing agents liberally.

Apply topical steroid ointments with or without polyethylene occlusion. Note that steroids can thin the cutaneous barrier and lower the threshold for further insults that lead to dermatitis, especially in elderly patients.

Use humidifiers.

For particularly inflamed or severe disease, soaking and smearing may be instituted for 1-2 weeks to gain control of the condition. [14]

Cannabinoid formulations have shown some efficacy in relieving chronic pruritus in several dermatologic conditions, including asteatotic eczema. [15] Where legal, cannabinoid formulations may prove to be an effective adjuvant therapy.