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Atopic Eczema — SCE Dermatology MCQ

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EasyInflammatory DermatosesAtopic EczemaSCE Dermatology

A 18-year-old woman with severe atopic eczema asks about wet wrap therapy. What is the correct technique?

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Correct answer: B — Apply wet (warm) cotton tubular bandages over emollient and topical corticosteroid, followed by a dry layer on top

Wet wrap therapy involves: (1) applying emollient and diluted topical corticosteroid to the skin; (2) covering with a layer of warm damp (not soaking wet) tubular cotton bandages; (3) applying a dry layer of bandages on top. This is worn for 2-24 hours (often overnight). The technique enhances drug penetration, provides cooling relief, and acts as a physical barrier to scratching. It is particularly effective for acute eczema flares in children. NICE CG57 recommends it as part of the stepped approach for moderate-to-severe eczema. Wet wraps with diluted (typically 50%) topical corticosteroids are more effective than emollient alone.

Reference: NICE 2007 CG57; BAD AD Guidelines