A therapeutic approach to atopic eczema
| dc.contributor.author | Potter, Paul | |
| dc.date.accessioned | 2017-06-21T09:35:50Z | |
| dc.date.available | 2017-06-21T09:35:50Z | |
| dc.date.issued | 2010 | |
| dc.date.updated | 2016-01-12T09:56:15Z | |
| dc.description.abstract | Atopic eczema is a common problem in general practice. The underlying disorder is a barrier dysfunction of the skin, but exacerbations of eczema can be triggered by a range of external and internal factors. In young children, dietary factors are important triggers of exacerbations and specific IgE sensitivity to common allergens may be confirmed by skin prick testing or ImmunoCap® RAST tests. True sensitivity to foods is best confirmed by a controlled food challenge, and cut off values have been published which indicate the predictive values of blood or skin tests for true food sensitivity to guide the clinician. Elimination of identifiable triggers, the use of emollients and topical corticosteroids remain the mainstay of treatments. Calcineurin inhibitors have a place for treatment of selected cases. The use of systemic corticosteroids is discouraged and patients who do not respond to emollients, specific food avoidance and corticosteroids topically should be referred to a dermatologist. The role of maternal diet in preventing the development of eczema in the offspring remains controversial. | |
| dc.identifier | http://dx.doi.org/10.1080/20786204.2010.10873990 | |
| dc.identifier.apacitation | Potter, P. (2010). A therapeutic approach to atopic eczema. <i>South African Family Practice</i>, http://hdl.handle.net/11427/24600 | en_ZA |
| dc.identifier.chicagocitation | Potter, Paul "A therapeutic approach to atopic eczema." <i>South African Family Practice</i> (2010) http://hdl.handle.net/11427/24600 | en_ZA |
| dc.identifier.citation | Potter, P. C. (2010). A therapeutic approach to atopic eczema. South African Family Practice, 52(4), 277-282. | |
| dc.identifier.ris | TY - Journal Article AU - Potter, Paul AB - Atopic eczema is a common problem in general practice. The underlying disorder is a barrier dysfunction of the skin, but exacerbations of eczema can be triggered by a range of external and internal factors. In young children, dietary factors are important triggers of exacerbations and specific IgE sensitivity to common allergens may be confirmed by skin prick testing or ImmunoCap® RAST tests. True sensitivity to foods is best confirmed by a controlled food challenge, and cut off values have been published which indicate the predictive values of blood or skin tests for true food sensitivity to guide the clinician. Elimination of identifiable triggers, the use of emollients and topical corticosteroids remain the mainstay of treatments. Calcineurin inhibitors have a place for treatment of selected cases. The use of systemic corticosteroids is discouraged and patients who do not respond to emollients, specific food avoidance and corticosteroids topically should be referred to a dermatologist. The role of maternal diet in preventing the development of eczema in the offspring remains controversial. DA - 2010 DB - OpenUCT DP - University of Cape Town J1 - South African Family Practice LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - A therapeutic approach to atopic eczema TI - A therapeutic approach to atopic eczema UR - http://hdl.handle.net/11427/24600 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/24600 | |
| dc.identifier.uri | http://www.tandfonline.com/doi/abs/10.1080/20786204.2010.10873990 | |
| dc.identifier.vancouvercitation | Potter P. A therapeutic approach to atopic eczema. South African Family Practice. 2010; http://hdl.handle.net/11427/24600. | en_ZA |
| dc.language.iso | eng | |
| dc.publisher.department | Department of Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.source | South African Family Practice | |
| dc.source.uri | http://www.tandfonline.com/loi/ojfp20 | |
| dc.subject.other | atopic eczema | |
| dc.title | A therapeutic approach to atopic eczema | |
| dc.type | Journal Article | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |