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… 
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66 Citations
Highly Influential Citations
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Background Citations
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Methods Citations
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66 Citations

Citation Type

Citation Type

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.
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.
Management of Chronic Hand Eczema.
Management of Chronic Hand Eczema.
Alitretinoin for the treatment of severe chronic eczema of the hands
TLDR
Alitretinoin can be considered as a valid therapeutic option for the treatment of CHE in patients not responding to ordinary treatments, and acts effectively on both objective and subjective clinical signs, resulting in a significant improvement in QoL of patients.
Interventions for hand eczema.
TLDR
Irradiation with ultraviolet (UV) light: local combination ultraviolet light therapy (PUVA) may lead to improvement in investigator-rated symptom control when compared to local narrow-band UVB after 12 weeks of treatment (RR 0.76, 95% CI 0.82 to 6.06), including application site burning/pruritus.
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.
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.
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.
[Management of chronic hand eczema].
  • M. Lahfa
  • Medicine
    Annales de dermatologie et de venereologie
  • 2014
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References

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TLDR
It is concluded that long‐term, intermittent treatment of chronic hand eczema with mometasone furoate fatty cream is effective and safe.
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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.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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