How to Treat Severe Eczema

hi I'm Dr rapael darish with skin packable Dermatology and Cosmetic Laser Center here in Los Angeles California and I'm here today to discuss with you how to treat severe eczema eczema is an inflammatory condition on the upper layers of the skin uh sometimes it's triggered by uh different things such as stress and sometimes it's just uh there uh regardless of any particular trigger there are a number of good treatments for eczema uh the first most commonly prescribed treatment is a topical steroid uh the most potent of the topical steroids are the class one steroids such as clobetasol and uh they work very well uh Class 2 and class three steroids are less potent and are prescribed generally after a short course of a class one steroid so the doctor will prescribe a class one steroid maybe for like a week 10 days and uh transition the patient to a class two or class three steroid because uh Intense or potent uh steroid creams can cause thinning of the skin or telen tasas which are um broken capillaries in in the area treated by a steroid cream for a prolonged period of time in the case where uh you're responding to the steroids but uh you can't be on them long term because of the side effects uh of of the thinning of the skin and the telen tasas and such uh that your doctor May opt to put you on a topical calal nuron inhibitor such as tacrolimus works very well uh not as well as uh the steroids in general uh but you don't have the side effects anti-aging cream is also helpful if if uh if you have a lot of symptoms of itching in the case where the steroids and the topical Cal Inhibitors don't work uh you have other options uh oral uh options include oral prazone uh they help to really calm down the situation this is something that you would take uh for a short course or even for longer than that but generally as a short course and it just helps to calm the situation down uh secondly there are uh UVA and uh sorin UVA or Pua treatments that are available and uh helpful and lastly um the most intense treatments are some oral medicines such as Methotrexate and cyclosporin um that are very intense very rarely used but reserved for the most intense of patients uh with eczema so uh you can talk to your dermatologist and see if that's uh something that's right for you I'm Dr Rafael darish and that's a brief overview on how to treat treat severe eczema thank you

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