1800 867 1390What is your management plan for this 53-year-old fitness instructor with severe chronic hand eczema? | General dermatology case discussion.
HealthCert Education
In this general dermatology case discussion, we look at a 53-year-old fitness instructor with severe irritant contact dermatitis affecting both hands.
Background
She washes her hands frequently throughout the day as part of her work and has a long history of atopic dermatitis. Her eczema has persisted for much of her adult life, with red, cracked, swollen and blistered hands significantly affecting her ability to work and her quality of life.
She has previously been treated with ultra-potent topical corticosteroids, wet cotton gloves, emollients and UVB phototherapy, with limited success.
Presentation
Her disease is graded 4/4 for severity on the IGA scale, while her DLQI is 19/30, indicating a significant impact on daily life.
Management
What treatment approach would you consider for this patient with severe, refractory chronic hand eczema?
Please leave your comments today and check back for the outcome from Wednesday 2pm.
General Dermatology case discussion presented by Dr Ryan De Cruz and brought to you by LEO Pharma.
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This case was drawn from our recent webinar with Dr Ryan De Cruz (in collaboration with LEO Pharma), unpacking how GPs can confidently assess and manage chronic hand eczema, with a focus on real cases and actionable clinical guidance.
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