[Atopic dermatitis in adults]

Eczema atopic is rare in adult. It is either a relapse caused by a modification of the environment (stress, cutaneous irritation, contact allergy), or the persistence since the early childhood of an atopic eczema usually severe and worsened by the use of a discontinuous topical steroids. The therapeutic effectiveness is based on the 'patient based medicine' approach, on the daily use of gradually diluted topical steroids, on the judicious use of topical immunosuppressive drugs like Protopic, and sometimes on the temporary or prolonged use of systemic drugs like ciclosporine, methotrexate, or mycophenolate mofetil.