Lots of unsubstantiated alternative eczema therapies are promoted in the press. Be wary of these claims. Miraculous natural cures for eczema often contain crushed cortisone tablets. Evening Primrose oil (or gamolenic acid), flaxseed & omega 3 oils offer no real additional benefit to eczema. Chinese herbal tea extracts have been evaluated but taste unpleasant and may even cause liver toxicity. Recalcitrant eczema on the face may respond to non-steroidal immune-modulator preparations such as Tacrolimus (Protopic) and Pimecrolimus (Elidel) however skin redness may be a temporary side effect. Ultra-violet light therapy treatment has been helpful so get out into the sunshine! There is growing proof that lactobacillus GG probiotics (Reuterina) supplemented in pregnancy, breastfeeding and early in life may reduce eczema in babies by altering their gut immune reactivity.
Testing for allergies in patients with eczema, particularly young children, is difficult for a number of reasons. Infants and children with severe eczema, and/or where there is clinical evidence of food allergies, and/or inflamed or infected eczema not responding to treatment, should be referred to the local (DHB) paediatric service.
In adults, food additives are a possible trigger for eczema inflammations, particularly artificial colourings and preservatives. These are not food allergies and can’t be diagnosed through skin prick or blood tests. Consultation with a dietitian to trial an elimination diet may help.
Dermatitis affected about 10% of . workers in 2010, representing over 15 million workers with dermatitis. Prevalence rates were higher among females than among males, and among those with some college education or a college degree compared to those with a high school diploma or less. Workers employed in healthcare and social assistance industries and life, physical, and social science occupations had the highest rates of reported dermatitis. About 6% of dermatitis cases among . workers were attributed to work by a healthcare professional, indicating that the prevalence rate of work-related dermatitis among workers was at least %.