[Management of chronic hand eczema]. / Prise en charge de l'eczéma chronique des mains.
Ann Dermatol Venereol
; 141 Suppl 1: S143-50, 2014 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-24953623
ABSTRACT
The management of hand eczema, more readily called chronic hand dermatitis, is complex. This heaviness is related not only to the disease itself by its different clinical forms but also the multiplicity and diversity of etiological factors, triggering / maintaining or aggravating factors. 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. The reference treatment is high potency topical steroids with or without occlusion for 4-8 weeks followed by alitretinoin 30 mg / day for at least 3-6 months with a monthly lipid and liver monitoring and mandatory monthly pregnancy test in women of childbearing. Associated measures and patient education are the cornerstones of successful treatment. Other alternative treatments such as phototherapy, methotrexate, cyclosporin, mycophenolate mofetil etc. can be considered in case of resistance or for clearing followed by topical treatments.
Palavras-chave
Alitretinoine; Alitrétinoïne; Chronic hand dermatitis; Chronic hand eczema; Dermite chronique des mains; Dermocroticoides; Eczéma chronique des mains; Education; Immunosuppressants; Immunosuppresseurs; Local treatment; Management; Prise en charge; Topical corticosteroids; Traitement locaux; Éducation
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gerenciamento Clínico
/
Eczema
/
Dermatoses da Mão
Limite:
Female
/
Humans
/
Male
/
Pregnancy
Idioma:
Fr
Revista:
Ann Dermatol Venereol
Ano de publicação:
2014
Tipo de documento:
Article