Implications for clinical practice

Given the uncertainties about the long-term effects of this treatment modality, and the very limited evidence of a short-term effect, radiotherapy cannot be recommended.

In adults with chronic hand eczema, does treatment with ionising radiation (x rays) lengthen the time to relapse compared with topical corticosteroids?

Does the daily application of a bland emollient lead to dose and/or frequency reduction of topical corticosteroids in adults with chronic hand eczema?

No RCTs addressing this issue could be Identified. Only one controlled study compared an emollient with two different topical steroids.

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