Article Figures & Data
Figures
- Figure 1. Participant flow.
- Figure 2. Topical corticosteroid use by categorical clinical, EASI, and POEM assessments of eczema severity.
TCS = topical corticosteroid.
EASI = Eczema Area Severity Index.
POEM = Patient Orientated Eczema Measure.
- Figure 3. Topical corticosteroid potency by participant age.
Tables
Clear: normal skin, no evidence of active atopic eczema.
Mild: areas of dry skin, infrequent itching (with or without small areas of redness).
Moderate: areas of dry skin, frequent itching, redness (with or without excoriation and localised skin thickening).
Severe: widespread areas of dry skin, incessant itching, redness (with or without excoriation, extensive skin thickening, bleeding, oozing, cracking and alteration of pigmentation).Demographics n Mean age, months (SD) 17.0 (12.6) 90 Females, n (%) 39 (43) 90 White, n (%) 57 (73) 78 Mean IMD score (SD) 27.6 (15.3) 88 Eczema severity Mean EASI (SD) 3.1 (3.4) 79 Mean POEM (SD) 10.3 (5.8) 89 SD = standard deviation. EASI = eczema area severity index. POEM = patient orientated eczema measure.
Number of children (%) Severity Clinical POEM EASI Clear 4 (4) 7 (8) 22 (28) Mild 55 (61) 12 (24) 48 (61) Moderate 28 (31) 50 (56) 8 (10) Severe 33 (3) 11 (12) 1 (1) Total 90 (100) 89 (100) 79 (100) POEM = patient orientated eczema measure. EASI = eczema area severity index.
No (%) Severity GP Nurse PP Total Clear 2 (4) 2 (6) 0 (0) 4 (4) Mild 34 (61) 19 (59) 2 (100) 55 (61) Moderate 17 (30) 11 (34) 0 (0) 28 (31) Severe 3 (5) 0 (0) 0 (0) 3 (3) Total 56 (100) 32 (100) 2 (100) 90 (100) EASI Clinical Clear or nearly clear Mild Moderate Severe or very severe Total Clear 1 1 0 0 2 Mild 17 30 3 0 50 Moderate 4 15 4 1 24 Severe 0 2 1 0 3 Total 22 48 8 1 79 POEM Clinical Clear or nearly clear Mild Moderate Severe or very severe Total Clear 3 0 1 0 4 Mild 3 20 30 2 55 Moderate 1 1 18 7 27 Severe 0 0 1 2 3 Total 7 21 50 11 89 Name of emollient Number of children prescribed (n = 79) Aveeno® 9 Oilatum® 8 Cetraben® 6 Diprobase® 6 Doublebase® 5 E45® 5 Epaderm® 5 Hydromol® 5 - Table S5. Most commonly (reported by two or more participants) used topical corticosteroids
Name of topical corticosteroid Potency Number of children prescribed (n = 79) Hydrocortisone 1% (Dioderm, Mildison) Mild 21 Hydrocortisone 0.5% Mild 10 Hydrocortisone acetate 1% + fusidic acid 2% (Fucidin H®) Mild 3 Betamethasone valerate 0.1% (Betnovate®) Potent 2 Clobetasone butyrate 0.05% (Eumovate®) Moderate 2
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Diagnosis, assessment, and treatment of childhood eczema in primary care: cross-sectional study
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