Key points

• In general, there is a lack of evidence of comparative advantage for the three most established treatment modalities for hand eczema - topical corticosteroids, topical coal tar and PUVA/UVB.

• Although widely prescribed, there is a lack of evidence of a steroid-sparing effect of emollients.

• There is insufficient clinical evidence for a choice between short bursts of potent topical steroids versus continuous application of mild steroids.

• PUVA and UVB are effective, but there is no evidence of a clinical advantage of one modality over the other.

• There is insufficient evidence for effectiveness of currently marketed retinoids.

• There is insufficient evidence for a comparative advantage of radiotherapy (x rays).

• There is insufficient evidence for oral immunosuppressants as maintenance therapy.

• There is insufficient evidence for low-nickel diet or chelating agents in hand eczema accompanied by nickel allergy.

• Of all the trials that were identified, very few conform to modern quality criteria for an RCT.

Was this article helpful?

0 0
Natural Treatments For Psoriasis

Natural Treatments For Psoriasis

Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.

Get My Free Ebook

Post a comment