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Consensus statement on the management of chronic hand eczema
J English1, R Aldridge, D J Gawkrodger
1Department of Dermatology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK. john.english@nuh.nhs.uk
Clinical and Experimental Dermatology
|September 15, 2009
Summary
Managing chronic hand eczema is challenging due to a lack of clear guidelines. This consensus statement offers a treatment algorithm for effective chronic hand eczema management, improving patient quality of life.
Area of Science:
- Dermatology
- Clinical Practice Guidelines
Background:
- Chronic hand eczema management is often inadequate, lacking evidence-based guidelines.
- Existing treatment evidence for hand eczema is insufficient for clinical practice.
- This consensus statement addresses the need for improved chronic hand eczema management strategies.
Framework:
- Epidemiology, pathogenesis, diagnosis, and quality of life impact of hand eczema are detailed.
- Management strategies encompass skin education, lifestyle adjustments, emollients, barriers, and soap substitutes.
- Topical therapies include steroids and calcineurin inhibitors; phototherapy and systemic treatments are considered.
Implementation:
- Alitretinoin is highlighted as an effective, specifically licensed treatment based on randomized controlled trials.
- A treatment algorithm is provided to guide clinical decision-making for chronic hand eczema.
- The consensus integrates primary and secondary care insights for comprehensive management.
Implications:
- Provides clinicians with a structured approach to managing chronic hand eczema.
- Aims to improve patient outcomes and quality of life through evidence-informed strategies.
- Highlights the need for further high-quality research to strengthen treatment efficacy evidence.
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