Consensus statement on the management of chronic hand eczema

@article{English2009ConsensusSO,
  title={Consensus statement on the management of chronic hand eczema},
  author={John English and R Aldridge and D J Gawkrodger and Stephen Kownacki and Barry N. Statham and J White and J. D. L. Williams},
  journal={Clinical and Experimental Dermatology},
  year={2009},
  volume={34}
}
The management of chronic hand eczema is often inadequate. There are currently no evidence‐based guidelines specifically for the management of chronic hand eczema, and evidence for established treatments for hand eczema is not of sufficient quality to guide clinical practice. This consensus statement, based on a review of published data and clinical practice in both primary and secondary care, is intended to guide the management of chronic hand eczema. It describes the epidemiology and… Expand
Guidelines for diagnosis, prevention and treatment of hand eczema
  • T. Diepgen, K. Andersen, +8 authors T. Agner
  • Medicine
  • Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
  • 2015
TLDR
Topical corticosteroids are recommended as first line treatment in the management of HE, however continuous long‐term treatment beyond six weeks only when necessary and under careful medical supervision is recommended. Expand
Topical Treatment of Hand Eczema: Corticosteroids
TLDR
There is a clear need for good-quality randomized controlled trials on existing and new treatment options for hand eczema, which can increase the risk of adverse effects. Expand
Management of Chronic Hand Eczema.
TLDR
Switching from topical treatments should not be delayed to avoid sensitizations, time off work, and a negative impact on quality of life. Expand
Management of Chronic Hand Eczema.
TLDR
Switching from topical treatments should not be delayed to avoid sensitizations, time off work, and a negative impact on quality of life. Expand
Management of chronic hand and foot eczema. An Australia/New Zealand Clinical narrative
TLDR
Management of chronic hand/foot eczemas extends beyond mere pharmacological or physical treatment, and requires an encompassing approach including removal or avoidance of causative factors, behavioural changes and social support. Expand
Treatment of severe, chronic hand eczema: results from a UK‐wide survey
TLDR
The results indicated that the treatment approaches favoured by UK dermatologists differ, and Psoralen combined with ultraviolet A (PUVA) and alitretinoin were identified as the most frequent first‐line treatment options for hyperkeratotic HE, whereas oral corticosteroids were identified for vesicular HE. Expand
Drugs for the Treatment of Chronic Hand Eczema: Successes and Key Challenges
TLDR
Chronic hand eczema patients may benefit from new topical and systemic therapeutics that specifically target abnormally expressed immune markers that are under investigation in recently completed or currently ongoing trials. Expand
[Management of chronic hand eczema].
  • M. Lahfa
  • Medicine
  • Annales de dermatologie et de venereologie
  • 2014
TLDR
The management of hand eczema, more readily called chronic hand dermatitis, is complex and 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. Expand
Guidelines for the Diagnosis, Treatment, and Prevention of Hand Eczema
TLDR
These guidelines cover the diagnosis, prevention, and treatment of chronic hand eczema and highlight the role that primary care and occupational health physicians can play in the early management of this disease. Expand
Efficacy and Safety of Alitretinoin for Chronic Hand Eczema in Korean Patients
TLDR
Taking 30 mg of oral alitretinoin daily for 12 weeks was found to be effective in treating Korean patients with CHE, compared with the 24 week-treatment shown in previous studies. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 32 REFERENCES
Long‐term, intermittent treatment of chronic hand eczema with mometasone furoate
TLDR
It is concluded that long‐term, intermittent treatment of chronic hand eczema with mometasone furoate fatty cream is effective and safe. Expand
Comparison of cyclosporine and topical betamethasone-17,21-dipropionate in the treatment of severe chronic hand eczema.
TLDR
Low-dose cyclosporine at 3 mg/kg/day is as effective as topical BDP in the treatment of chronic hand Eczema and could be useful as an alternative treatment for severe chronic hand eczema in patients unresponsive to conventional treatment. Expand
Intermittent maintenance therapy in chronic hand eczema with clobetasol propionate and flupredniden acetate.
TLDR
It is suggested that an intermittent schedule is advantageous when using a corticosteroid of high potency when keeping the dermatitis in remission. Expand
Successful treatment of dyshidrotic hand eczema using tap water iontophoresis with pulsed direct current.
TLDR
Only those sides treated with tap water iontophoresis showed significant improvement, indicating the efficacy of this treatment in cases of dyshidrotic hand eczema. Expand
Chronic eczematous dermatitis of the hands: a comparison of PUVA and UVB treatment.
TLDR
PUVA and UVB treatments are alternative treatment modalities in patients with recalcitrant chronic eczematous dermatitis of the hands and PUVA is superior to UVB. Expand
Hand eczema and long-term prognosis in atopic dermatitis.
  • I. Rystedt
  • Medicine
  • Acta dermato-venereologica. Supplementum
  • 1985
TLDR
It is concluded that the serum IgE cannot be used to establish the diagnosis of atopic dermatitis, and there was a strong correlation between the extent of persistent dermatitis and serum Ig E levels. Expand
Treatment of hyperkeratotic dermatitis of the palms (eczema keratoticum) with oral acitretin. A single-blind placebo-controlled study.
TLDR
It is concluded that 30 mg of acitretin is efficacious and safe to use in patients with hyperkeratotic dermatitis of the palms, and after 4 weeks of treatment, a 51% reduction of all symptoms was observed among patients receiving ac itretin. Expand
Topical tacrolimus (FK506) and mometasone furoate in treatment of dyshidrotic palmar eczema: a randomized, observer-blinded trial.
TLDR
Treatment with FK506 offers the possibility for rotational therapy with mometasone furoate in long-standing cases of chronic dyshidrotic palmar eczema. Expand
Epidemiology of hand eczema in an industrial city.
  • B. Meding
  • Medicine
  • Acta dermato-venereologica. Supplementum
  • 1990
TLDR
A multiple logistic regression analysis revealed that the most important predictive factor for hand eczema was female sex, followed by occupational exposure, a history of asthma and/or hayfever and a service occupation, which was shown to be a long-lasting disease with a relapsing course. Expand
Overview of studies of treatments for hand eczema—the EDEN hand eczema survey
TLDR
A large number of interventions ranging from topical steroids to oral ciclosporin are used, but their evidence base and the best methods to assess their efficacy are uncertain. Expand
...
1
2
3
4
...