Eczema is an
inflammatory condition of the skin, the cause of which may be from outside environment, immune system, or a
combination of both. Systemic therapy is considered to be effective immediately.
The doctors and patients need to concern the potential side effect. Of course,
the serious situation and secondary infection are still needed.
Calcineurin
Antagonists
Calcineurin
antagonists induce T-cell suppression. It
is applied not only in organ transplant, but also in topical use for eczema in
skin. Tacrolimus is the oral
medication of the treatment. Why do you need to suppress T-cell? This is
because the body produces white blood cells called lymphocytes (T-cell)
to fight infection or foreign substances which have entered the body. The immune
system of the body recognizes the new tissue which likes organ transplant or
graft as 'foreign' to you. Then the immune system will try to attack it with
certain lymphocytes. Tacrolimus works by preventing the production of these
lymphocytes and this helps prevent rejection of the transplanted tissue. The common
side effects are a burning sensation and itching. So use of these
agents will need to have appropriate information and control mechanisms for patients.
Antiseptics and Antibiotics
Astringents
have good antibacterial activity such
as potassium permanganate. It
usually contains triclosan or
chlorhexidine is part of therapeutic tradition, although
there are environmental and irritancy issues concerns.
Use of
topical antibiotics is not favored. This
is because sensitization can often
occur. Otherwise, the other general concern is it has consequences for the usefulness of antibiotics in more serious
situations of systemic infection. But systemic antibiotic
therapy can be necessary
for erysipelas or other serious
skin infections.
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