Four common emollients — lotions, creams, gels, and ointments — are 𝗲𝗾𝘂𝗮𝗹𝗹𝘆 effective in treating childhood eczema. DermTwitter
“Our findings challenge the previous consensus that ointments are more effective, require less frequent application, and have fewer adverse effects than other emollient types, especially for more severe eczema,” the researchers reported inOverall satisfaction and intention to continue treatment was highest for families who used lotions and gels, according to the researchers, and “users need to be able to choose from a range of emollient types to suit their needs and preferences.
Changes in disease severity reported by parents were similar among the treatment groups, according to the researchers. Over 16 weeks, mean POEM scores improved by 1.9 for those using lotion, 1.7 for cream, 2.2 for gel, and 2.5 for ointment. Also, scores on the Eczema Area Severity Index collected by blinded evaluators at 16 weeks did not vary among the groups.
“A trial and error approach to prescribing is common, which can lead to underuse, waste, and frustration for families,” they wrote.Heidi Kong, MD, MHSc, a senior investigator and chief of the Cutaneous Microbiome and Inflammation Section at the National Institute of Arthritis and Musculoskeletal and Skin Diseases, said the findings may be relevant in the United States, where similar emollients are available.