A 52-year-old woman with long-standing atopic eczema presents with increasingly dry, itchy skin and frequent flares. She has been using topical steroi...

Question

A 52-year-old woman with long-standing atopic eczema presents with increasingly dry, itchy skin and frequent flares. She has been using topical steroids during flares but no regular emollients. There are no signs of infection. What is the most appropriate advice regarding long-term management?

Accepted Answer

Use emollients liberally and regularly as first-line, with topical steroids for flares

Answer

Avoid emollients to prevent skin maceration

Answer

Use potent topical steroids continuously on all affected skin

Answer

Start systemic steroids for long-term control

Answer

Refer urgently for systemic immunosuppressants without trying topical management

uk-plab-1 MCQ (SBA): Atopic eczema

A 52-year-old woman with long-standing atopic eczema presents with increasingly dry, itchy skin and frequent flares. She has been using topical steroids during flares but no regular emollients. There are no signs of infection. What is the most appropriate advice regarding long-term management?