This site is intended for healthcare professionals only

Childhood atopic eczema management and diagnosis

Written by: | Published:

Dry skin, poorly dermarcated erythema, lichenifica Dry skin, poorly dermarcated erythema, lichenification and some evidence of excoriation

Most cases of atopic eczema (AE) are managed in the primary care setting and eczema in children may be sub-optimally managed, despite appropriate therapeutic options being initiated. There may be a reluctance to gain symptomatic control in children by using topical corticosteroids and emollients are often under-prescribed. Moreover, the reluctance to use topical corticosteroids is also seen with patients.1


AE may develop in infancy and have a remitting and relapsing course. It is a chronic, itchy, inflammatory skin condition that commonly presents in general practice1, 15-20% of school-aged children may be affected by AE in the UK.2 Genetic and environmental factors are likely to be contributory.3 It is thought that abnormalities in structural proteins such as filaggrin or abnormal lipid metabolism may compromise epithelial barrier function and cause the skin to become more sensitive to irritants and allergens.4

Whilst the severity of AE and its impact on quality of life are not necessarily linked there may be a significant psychosocial impact.1 Furthermore AE may cause poor sleep, growth concerns and have an impact on a child’s family. Poor sleep may result in poor concentration at school as well as behavioural difficulties.4


Please login or register to read the rest of the article and to have access to downloads and comments.

What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Read a free issue from Practice Nursing

Register to read a free issue from our sister publication, Practice Nursing.

Including articles on asthma, diabetes and more. Read your copy.


Sign up to the newsletter


Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.


Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.


Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team


Find out how to contribute to Independent Nurse here.