Complementary and alternative medicine (CAM) and atopic eczema

Area of Science:

• Dermatology
• Integrative Medicine

Background:

• Growing public interest in complementary and alternative medicine (CAM).
• Atopic eczema is a common condition with significant patient engagement in CAM.
• Need to evaluate CAM use and evidence for atopic eczema patients.

Purpose of the Study:

• Determine the prevalence and types of CAM used by atopic eczema patients.
• Review the existing evidence base for the efficacy of CAM in treating atopic eczema.
• Identify knowledge gaps in CAM research for atopic eczema.

Main Methods:

• Systematic search for randomized controlled trials (RCTs) on CAM for atopic eczema.
• Analysis of CAM usage patterns in the general population and eczema patients in Germany.
• Evaluation of study quality and size for evidence assessment.

Main Results:

• Approximately 46-51% of the general population and eczema patients in Germany use CAM.
• Popular CAM techniques include acupuncture, homeopathy, diets, and supplements.
• Evidence for most CAM therapies (e.g., acupuncture, homeopathy, salt baths) is limited or conflicting.
• Some studies suggest potential benefits for essential fatty acids, Chinese herbs, topical hypericum, autologous blood injection, massage, and vitamins, but require confirmation.
• A single study found bioresonance not superior to sham procedures.

Conclusions:

• CAM is widely used by patients with atopic eczema.
• The scientific evidence supporting the efficacy and safety of most CAM interventions for atopic eczema is currently insufficient.
• Further high-quality research is necessary to validate the potential benefits of certain CAM therapies.