Key points

• Two small randomised controlled trials found that, in people with atopic eczema, the roughness of clothing textiles is a more important factor for skin irritation than the type of textile fibre (synthetic or natural).

• Polyester and cotton of similar textile fineness seem to be equally well tolerated.

• We found no evidence on the long-term effect of different textiles on the severity of atopic eczema.

• It is possible that nappy rash may be less severe in babies using nappies with an absorbent gel.

What is the role of psychological Interventions for the treatment of atopic eczema?

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