How to achieve the best treatment effect for keratotic eczema?
Nov 08, 2024
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Keratotic eczema can generally be treated through various methods including general therapy, ultraviolet phototherapy, laser therapy, medication, and traditional Chinese medicine. Keeping the skin clean and moisturized is very important. Use mild, non-irritating cleansers to wash the skin, and avoid using strongly alkaline cleansers such as soap. After bathing, apply a moisturizer immediately to lock in skin moisture and alleviate skin dryness and keratinization.
Generally, keratotic eczema can be treated through various methods including general treatment, ultraviolet phototherapy, laser therapy, medication, and traditional Chinese medicine (TCM) therapy. Details are as follows:
1. General Treatment: Keeping the skin clean and moisturized is very important. Use mild, non-irritating cleansers to wash the skin, avoiding strongly alkaline products such as soap. Immediately after bathing, apply moisturizers to lock in skin moisture and alleviate dryness and keratinization.
2. Ultraviolet Phototherapy: Ultraviolet light can suppress inflammatory responses in the skin, promote apoptosis of keratinocytes, and improve skin keratinization and thickening.
3. Laser Therapy: Laser energy can target affected skin areas, improve microcirculation, stimulate collagen synthesis, and reduce skin keratinization and inflammation.
4. Medication Therapy: It is recommended to use medications such as halometasone cream or clobetasol propionate cream under a doctor's guidance to quickly control inflammation and keratinization. Once the condition improves, gradually transition to medium- or low-potency corticosteroids such as mometasone furoate cream or desonide cream, and reduce the frequency of application.
5. Traditional Chinese Medicine (TCM) Therapy: Based on syndrome differentiation, TCM practitioners may prescribe specific herbal formulas. For the blood deficiency and wind-dryness type of keratotic eczema, formulas that nourish the blood, moisturize the skin, dispel wind, and relieve itching may be used. For the damp-heat accumulation type, formulas that clear heat, remove dampness, detoxify, and relieve itching may be selected.
The treatment of keratotic eczema should be individualized according to each patient's specific condition and requires long-term management. Regular follow-up visits are necessary to adjust the treatment plan promptly and enhance therapeutic effectiveness.
