advice would you give her regarding application of the cream?
a. Sparingly use both the cream
b. First use emollient, then steroid
c. Apply steroid then emollient
d. Mix emollient & steroid before use
e. Emollient at night with steroid
answer: B
• a T-cell driven process with epidermal barrier dysfunction
Features
Management
- avoid irritants
- simple emollients: large quantities should be prescribed (e.g. 250g / week), roughly in a ratio of with topical steroids of 10:1. If a topical steroid is also being used the emollient should be applied first followed by waiting at least 30 minutes before applying the topical steroid. Creams soak into the skin faster than ointments. Emollients can become contaminated with bacteria - fingers should not be inserted into pots (many brands have pump dispensers)
- topical steroids
- in severe cases wet wraps and oral ciclosporin may be used
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