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Old 19 March 2006, 12:02 PM
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Apparition
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Default Cures for excema

Hello...

My mum mentioned this is a good place to ask all sorts of things... so thought i'd give it a go...

Anyone suffer with excema on the hands? I am going crazy with it... just wondering if anyone has any suggestions / ideas of dealing with it... (apart from cutting my hands off)...

Many Thanks, Ali
Old 19 March 2006, 12:38 PM
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john banks
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See your GP about it.

Options include: emollients by the bucket load - sometimes under cotton gloves at night, steroids in varying strength, pimecrolimus.

http://www.gpnotebook.co.uk/simplepa...=13797&cook=no
Old 19 March 2006, 12:56 PM
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paulg1979
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My girlfriend is a beauty therapist and says acupuncture is an excellent cure for it. Better then creams and stuff.
Old 19 March 2006, 03:23 PM
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john banks
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Question What about the evidence?

Originally Posted by paulg1979
My girlfriend is a beauty therapist and says acupuncture is an excellent cure for it. Better then creams and stuff.
***** C, Li Wan PA, Williams HC. A systematic review of treatments for atopic eczema. Health Technol Assess 2000;4:1–203. Search date 1999; primary sources Medline, Embase, Cochrane Library, and Cochrane Skin Group Specialised Trials Register.

This reference is a systematic review of eleven randomised controlled trials comparing topical steroids with placebo and shows improvements from 1-4 weeks.

Van der Meer JB, Glazenburg EJ, Mulder PGH, et al. The management of moderate to severe atopic dermatitis in adults with topical fluticasone propionate. Br J Dermatol 1999;140:1114–1121.

This randomised controlled trial showed improvement to 16 weeks.

What evidence can be provided to support acupuncture in eczema? When I search for randomised controlled trials of acupuncture vs placebo, I can't find any. The search was conducted for the English language using the keywords eczema and acupuncture in the Cochrane databases, Medline and EMBASE.
Old 19 March 2006, 03:25 PM
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TopBanana
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I always thought it was down to bad hygeine
Old 19 March 2006, 03:34 PM
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corradoboy
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Worth investigating allergies too. Amazing how many common ailments are caused by what we shovel down our necks. Some people feel lousy for years and then cut out wheat or dairy products and are cured. I ain't no doctor though, so beyond me suggesting the idea you'll have to do your own research.
Old 19 March 2006, 03:44 PM
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john banks
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Originally Posted by TopBanana
I always thought it was down to bad hygeine
Interesting summary here, some would actually suggest the opposite:

The 'hygiene hypothesis' of allergic diseases.
SourceInternational Review of Allergology & Clinical Immunology. Vol. 11(2)(pp 41-45), 2005.
AbstractAn increase in the prevalence of asthma and other allergic diseases has been observed in the developed countries. Many hypotheses have been proposed to explain these trends, of which the so-called 'hygiene hypothesis' is the most widely discussed and the most controversial. The 'hygiene hypothesis' postulates an inverse relation between the incidence of infectious diseases in early childhood and subsequent development of allergies and asthma. The association between family size and the prevalence of allergic diseases presented by Strachan has been confirmed in several other studies. Investigations on maturation of the immune system in early childhood seem to support the 'hygiene hypothesis'. Different studies have been carried out to investigate the influence of childhood diseases, micobacterial infections, foodborne and orofecal microbes factors, exposure to environmental endotoxin and intestinal flora on the prevalence of atopic diseases. Numerous studies are consistent with the 'hygiene hypothesis', but some stay in contrast. Particularly the results of studies on factors influencing asthma development are controversial. That is why the 'hygiene hypothesis' must remain the subject of further studies and discussions.
Old 19 March 2006, 03:46 PM
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homeopathy did it for me a few years ago. Went to see one, and basically it was like seeing a shrink. She did a detailed history of my life, and we had quite a few sessions over a year period. During that time, she gave me various types of medicine, all delivered on little white tablets. At one point, my hands got so bad, I was wearing white cotton gloves all day, and couldn't move my hands in the morning until I'd lashed loads of emulsifying ointment on She put this down to the excema "coming out". In the end, I stopped going, not because I was cured, but because I'd finally recognised what was causing my excema.
STRESS
CHOCOLATE
FAST FOOD IE: GREASY
LACK OF EXCERCISE
STRESS

So, when it flares up, I know that I've had too much of any of the above, have to suffer for a few days, then it goes down again. It's flared up atm, which is a combination of eating crap lately, and not excercising, and a little stress at work.

So, to treat it, I have a small tub of E45 for when my hands are particulaly dry, then I get a prescription off my GP for BETAMETHASONE VALERATE CREAM, which came in a 100g tube. I use this very sparingly, as it thins your skin out if used too much. The last tube I had lasted me about a year, so it's well under control now. There are loads of different versions of a diagnosis for excema, but at the end of the day, your body is reacting to something your either putting in it, or something in your head, it's that simple. Once you find out what it is, you can then either stop it, or at least be aware that it will set off your hands.

chris.
Old 19 March 2006, 04:09 PM
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Originally Posted by corradoboy
Worth investigating allergies too. Amazing how many common ailments are caused by what we shovel down our necks. Some people feel lousy for years and then cut out wheat or dairy products and are cured. I ain't no doctor though, so beyond me suggesting the idea you'll have to do your own research.
I agree with this. Just changing your diet can cure so many things. And also a clean diet will make you feel overall much better with more energy.
Old 19 March 2006, 05:25 PM
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Originally Posted by john banks
***** C, Li Wan PA, Williams HC. A systematic review of treatments for atopic eczema. Health Technol Assess 2000;4:1–203. Search date 1999; primary sources Medline, Embase, Cochrane Library, and Cochrane Skin Group Specialised Trials Register.

This reference is a systematic review of eleven randomised controlled trials comparing topical steroids with placebo and shows improvements from 1-4 weeks.

Van der Meer JB, Glazenburg EJ, Mulder PGH, et al. The management of moderate to severe atopic dermatitis in adults with topical fluticasone propionate. Br J Dermatol 1999;140:1114–1121.

This randomised controlled trial showed improvement to 16 weeks.

What evidence can be provided to support acupuncture in eczema? When I search for randomised controlled trials of acupuncture vs placebo, I can't find any. The search was conducted for the English language using the keywords eczema and acupuncture in the Cochrane databases, Medline and EMBASE.
Evidence are people who have acupuncture at her work and come back with excellent results. Just a suggestion!! No harm in looking into it.
Old 19 March 2006, 05:44 PM
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john banks
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Those are case studies, not sufficient to prove a treatment is more effective than one that has multiple randomised controlled trials to support it.
Old 19 March 2006, 05:49 PM
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Thumbs up

Hemp Body Butter from the Body Shop - Job Done!
Old 19 March 2006, 05:59 PM
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My daughter gets a bit on her cheek - was quite nasty at one point and she had to see a dermatologist [business is booming it seems with lots of repeat custom...]

Missus then researched the subject a lot as she knew these steroid creams can cause skin thinnening and pigment changes long term. She asked the doc to prescribe Gammaderm [which doc hadnt heard of but then found out about]. This is non steroidal and natural [primroses I believe!] and it is 95% effective. She has to have a spot of steroid cream once or twice every few months only now. Good result.

D
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