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Review
. 2020 Jan:34 Suppl 1:13-21.
doi: 10.1111/jdv.16062.

Hand eczema: treatment

P Elsner  1 , T Agner  2
Affiliations
Review

Hand eczema: treatment

P Elsner et al. J Eur Acad Dermatol Venereol. 2020 Jan.

Abstract

Hand eczema is a highly prevalent, multietiological disease with a wide spectrum of severity and chronicity. The treatment of hand eczema, especially in severe and chronic cases, is a challenge to the dermatologist requiring not only diagnostic and therapeutic, but also excellent patient communication skills. This review discusses the spectrum of therapeutic options for hand eczema, the evidence for their efficacy and safety, and proposes a stepwise approach of intensity of treatment depending on disease severity and chronicity. In the near future, hand eczema patients may benefit from new therapeutic principles such as biologics for the treatment of atopic eczema and topical Janus Kinase inhibitors.

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References

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    1. Diepgen TL, Andersen KE, Brandao FM et al. Hand eczema classification: a cross-sectional, multicentre study of the aetiology and morphology of hand eczema. Br J Dermatol 2009; 160: 353-358.
    1. Agner T, Elsner P. Hand eczema: epidemiology, prognosis and prevention. J Eur Acad Dermatol Venereol. (in print).
    1. Christoffers WA, Coenraads P-J, Svensson Å et al. Interventions for hand eczema. Cochrane Database Syst Rev 2019; 4: CD004055.
    1. Diepgen TL, Andersen KE, Chosidow O et al. Guidelines for diagnosis, prevention and treatment of hand eczema. J Dtsch Dermatol Ges 2015; 13: e1-e22.

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