{"id":918,"date":"2026-08-27T15:42:33","date_gmt":"2026-08-27T07:42:33","guid":{"rendered":"https:\/\/eczema.skinmedical.com.hk\/managing-itch-infection\/"},"modified":"2026-08-31T12:29:37","modified_gmt":"2026-08-31T04:29:37","slug":"managing-itch-infection","status":"publish","type":"page","link":"https:\/\/eczema.skinmedical.com.hk\/en\/managing-itch-infection\/","title":{"rendered":"Managing itch and infection"},"content":{"rendered":"<div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-30 vce-row-equal-height vce-row-content--top\" id=\"el-04037b5e\" data-vce-do-apply=\"all el-04037b5e\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-auto vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-469632f8\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-469632f8\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-469632f8\"><div class=\"vce vce-separator-container vce-separator--align-center vce-separator--style-solid\" id=\"el-98d56c70\" data-vce-do-apply=\"margin el-98d56c70\"><div class=\"vce-separator vce-separator--color-bfc0c1 vce-separator--width-100 vce-separator--thickness-1\" data-vce-do-apply=\"border padding background  el-98d56c70\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-30 vce-row-equal-height vce-row-content--top\" id=\"el-b13687c2\" data-vce-do-apply=\"all el-b13687c2\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-82p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-c9a1b843\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-c9a1b843\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-c9a1b843\"><div class=\"vce-text-block\"><div class=\"vce-text-block-wrapper vce\" id=\"el-f010d881\" data-vce-do-apply=\"all el-f010d881\"><h2><strong><span style=\"color: #756464;\"><span style=\"color: #756464;\">Managing itch and infection<\/span><\/span><\/strong><\/h2>\n<\/div><\/div><\/div><\/div><\/div><div class=\"vce-col vce-col--md-18p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last\" id=\"el-ea478ab3\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-ea478ab3\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-ea478ab3\"><div class=\"vcv-row-control-wrapper\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-10 vce-row-equal-height vce-row-content--top\" id=\"el-0e33c204\" data-vce-do-apply=\"all el-0e33c204\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-70p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-38d44f93\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-38d44f93\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-38d44f93\"><div class=\"vce-text-block\"><div class=\"vce-text-block-wrapper vce\" id=\"el-74c75567\" data-vce-do-apply=\"all el-74c75567\"><p><span style=\"color: #756464;\"><span style=\"font-size: 36pt;\">Itch<\/span>&nbsp;<\/span> <span style=\"color: #756464;\">Sedating antihistamines do not treat eczema and have no anti-inflammatory effect; they may occasionally help a child sleep during a bad flare, but they are not a treatment. <\/span><\/p>\n<p><span style=\"color: #756464;\">Non-sedating antihistamines help only where there is coexisting urticaria or allergic rhinitis. <\/span><\/p>\n<p><span style=\"color: #756464;\"><strong>The only reliable way to control eczema itch is to control the inflammation. <\/strong> Practical measures that genuinely help: cool compresses, keeping nails short, cotton mittens for infants at night, keeping the bedroom cool, and habit-reversal techniques for entrenched scratching.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"vce-col vce-col--md-30p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last\" id=\"el-cabf2b62\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-cabf2b62\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-cabf2b62\"><div class=\"vce-single-image-container vce-single-image--align-center\"><div class=\"vce vce-single-image-wrapper\" id=\"el-036e3660\" data-vce-do-apply=\"all el-036e3660\"><figure><div class=\"vce-single-image-figure-inner\" style=\"width: 800px;\"><div class=\"vce-single-image-inner vce-single-image--absolute\" style=\"width: 100%; padding-bottom: 66.625%;\"><img decoding=\"async\" class=\"vce-single-image\" src=\"https:\/\/eczema.skinmedical.com.hk\/wp-content\/uploads\/2024\/05\/photo-1508009219918-7d528f269841.jpg\" data-img-src=\"https:\/\/eczema.skinmedical.com.hk\/wp-content\/uploads\/2024\/05\/photo-1508009219918-7d528f269841.jpg\" data-attachment-id=\"304\" alt=\"\u6fd5\u75b9 \u75d5\u7662 \u9999\u6e2f\" title=\"Eczema_treatment_skinmedical\"><\/div><\/div><figcaption hidden=\"\"><\/figcaption><\/figure><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-10 vce-row-equal-height vce-row-content--top\" id=\"el-b8cf4170\" data-vce-do-apply=\"all el-b8cf4170\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-auto vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-5fe8b7ba\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-5fe8b7ba\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-5fe8b7ba\"><div class=\"vce-text-block\"><div class=\"vce-text-block-wrapper vce\" id=\"el-c09f45ce\" data-vce-do-apply=\"all el-c09f45ce\"><p><span style=\"color: #756464;\"><span style=\"font-size: 36pt;\">Infection<\/span> Treat overt bacterial infection with appropriate antibiotics, guided by swab where possible. Routine antibiotics for non-infected eczema are not helpful and promote resistance. Diluted bleach baths are commonly recommended; the evidence is honestly mixed \u2014 recent analyses suggest much of the benefit may come from bathing itself rather than the bleach. They are safe and some patients find them helpful, but they are not essential.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-10 vce-row-equal-height vce-row-content--top\" vce-box-shadow=\"el-855a2552\" id=\"el-855a2552\" data-vce-do-apply=\"all el-855a2552\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-auto vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-be951872\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-be951872\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-be951872\"><div class=\"vce-text-block\"><div class=\"vce-text-block-wrapper vce\" id=\"el-264aec19\" data-vce-do-apply=\"all el-264aec19\"><p><span style=\"color: #756464;\"><strong>What to avoid<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<span style=\"color: #756464;\">\n<li><span style=\"color: #756464;\">Restrictive elimination diets without proven allergy. These do not improve eczema, risk nutritional deficiency in children, and can cause food allergy by removing tolerance.<p><\/p>\n<\/span><\/li><li>Unregulated herbal or \"steroid-free\" creams. Products marketed as natural have repeatedly been found to contain undeclared potent corticosteroids. Hong Kong's Department of Health has issued recalls on this basis. If a cream works dramatically and its ingredients are unclear, that is a reason for concern, not reassurance.\n<\/li><li>Stopping treatment as soon as the redness fades. Inflammation persists after visible redness settles; stopping early is why flares return within days.\n<\/li><li>Repeated courses of oral steroids.\n<\/li><li>Hot showers, however good they feel.\n<\/li>\n<\/span><\/ul>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-10 vce-row-equal-height vce-row-content--top\" id=\"el-c2011b58\" data-vce-do-apply=\"all el-c2011b58\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-auto vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-99d6e349\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-99d6e349\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-99d6e349\"><div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-30 vce-row-content--top\" id=\"el-12aa0860\" data-vce-do-apply=\"all el-12aa0860\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-20p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-873c6e97\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-873c6e97\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-873c6e97\"><div class=\"vce-features vce-var-icon vce-features--style-filled-circle vce-features--size-small\" style=\"--iconAlignment: center; --iconColor: rgb(255, 255, 255); --iconColorHover: #fff; --shapeColor: rgb(175, 163, 150); --shapeColorHover: rgb(218, 218, 218); --linkColorHover: rgb(157,146,134);\"><div id=\"el-e5bd2355\" class=\"vce vce-features-icon-wrapper\" data-vce-do-apply=\"all el-e5bd2355\"><a class=\"vce-features--icon vce-icon\" href=\"https:\/\/eczema.skinmedical.com.hk\/en\/treatment-step1\/\" title=\"\u7b2c\u4e00\u7d1a: \u5916\u7528\u6297\u708e\u6cbb\u7642\" target=\"_blank\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 769 769\"><path stroke-width=\"25\" d=\"M565.755 696.27h-360l-180-311.77 180-311.77h360l180 311.77z\"><\/path><\/svg><span class=\"vce-icon-container vcv-ui-icon-dripicons vcv-ui-icon-dripicons-brush\"><\/span><\/a><\/div><\/div><div class=\"vce-google-fonts-heading vce-google-fonts-heading--align-center vce-google-fonts-heading--color-b-62-61-61--45--5C00FF--FF7200 vce-google-fonts-heading--font-family-Sanchez\"><div id=\"el-f7420cb6\" class=\"vce-google-fonts-heading-wrapper\"><div class=\"vce-google-fonts-heading--background vce\" data-vce-do-apply=\"border background  padding margin el-f7420cb6\"><h2 class=\"vce-google-fonts-heading-inner\" style=\"font-size: 20px; letter-spacing: 2px; font-weight: 400; font-style: normal;\">Step 1: Topical anti-inflammatory treatment<\/h2><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-col vce-col--md-20p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first\" id=\"el-6220d080\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-6220d080\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-6220d080\"><div class=\"vce-features vce-var-icon vce-features--style-filled-circle vce-features--size-small\" style=\"--iconAlignment: center; --iconColor: rgb(255, 255, 255); --iconColorHover: #fff; --shapeColor: rgb(175, 163, 150); --shapeColorHover: rgb(218, 218, 218); --linkColorHover: rgb(157,146,134);\"><div id=\"el-48d171bf\" class=\"vce vce-features-icon-wrapper\" data-vce-do-apply=\"all el-48d171bf\"><a class=\"vce-features--icon vce-icon\" href=\"https:\/\/eczema.skinmedical.com.hk\/en\/treatment-step2\/\" title=\"\u7b2c\u4e8c\u7d1a: \u4e3b\u52d5\u7dad\u6301\u6cbb\u7642\" target=\"_blank\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 769 769\"><path stroke-width=\"25\" d=\"M565.755 696.27h-360l-180-311.77 180-311.77h360l180 311.77z\"><\/path><\/svg><span class=\"vce-icon-container vcv-ui-icon-batch vcv-ui-icon-batch-plus\"><\/span><\/a><\/div><\/div><div class=\"vce-google-fonts-heading vce-google-fonts-heading--align-center vce-google-fonts-heading--color-b-62-61-61--45--5C00FF--FF7200 vce-google-fonts-heading--font-family-Sanchez\"><div id=\"el-b21af317\" class=\"vce-google-fonts-heading-wrapper\"><div class=\"vce-google-fonts-heading--background vce\" data-vce-do-apply=\"border background  padding margin el-b21af317\"><h2 class=\"vce-google-fonts-heading-inner\" style=\"font-size: 20px; letter-spacing: 2px; font-weight: 400; font-style: normal;\">Step 2: Proactive maintenance (most often skipped)<\/h2><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-col vce-col--md-20p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first\" id=\"el-67dbd171\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-67dbd171\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-67dbd171\"><div class=\"vce-features vce-var-icon vce-features--style-filled-circle vce-features--size-small\" style=\"--iconAlignment: center; --iconColor: rgb(255, 255, 255); --iconColorHover: #fff; --shapeColor: rgb(175, 163, 150); --shapeColorHover: rgb(237, 237, 237); --linkColorHover: rgb(157,146,134);\"><div id=\"el-9835f23f\" class=\"vce vce-features-icon-wrapper\" data-vce-do-apply=\"all el-9835f23f\"><a class=\"vce-features--icon vce-icon\" href=\"https:\/\/eczema.skinmedical.com.hk\/en\/treatment-step3\/\" title=\"\u7b2c\u4e09\u7d1a: NB-UVB \u5149\u7642\" target=\"_blank\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 769 769\"><path stroke-width=\"25\" d=\"M565.755 696.27h-360l-180-311.77 180-311.77h360l180 311.77z\"><\/path><\/svg><span class=\"vce-icon-container vcv-ui-icon-dripicons vcv-ui-icon-dripicons-vibrate\"><\/span><\/a><\/div><\/div><div class=\"vce-google-fonts-heading vce-google-fonts-heading--align-center vce-google-fonts-heading--color-b-62-61-61--45--5C00FF--FF7200 vce-google-fonts-heading--font-family-Sanchez\"><div id=\"el-08622b97\" class=\"vce-google-fonts-heading-wrapper\"><div class=\"vce-google-fonts-heading--background vce\" data-vce-do-apply=\"border background  padding margin el-08622b97\"><h2 class=\"vce-google-fonts-heading-inner\" style=\"font-size: 20px; letter-spacing: 2px; font-weight: 400; font-style: normal;\">Step 3: \uff2eB-UVB Phototherapy<\/h2><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-col vce-col--md-20p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first\" id=\"el-4999f1b9\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-4999f1b9\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-4999f1b9\"><div class=\"vce-features vce-var-icon vce-features--style-filled-circle vce-features--size-small\" style=\"--iconAlignment: center; --iconColor: rgb(255, 255, 255); --iconColorHover: #fff; --shapeColor: rgb(175, 163, 150); --shapeColorHover: rgb(237, 237, 237); --linkColorHover: rgb(157,146,134);\"><div id=\"el-0e5ce825\" class=\"vce vce-features-icon-wrapper\" data-vce-do-apply=\"all el-0e5ce825\"><a class=\"vce-features--icon vce-icon\" href=\"https:\/\/eczema.skinmedical.com.hk\/en\/treatment-step4\/\" title=\"\u7b2c\u56db\u7d1a: \u50b3\u7d71\u7cfb\u7d71\u6027\u6cbb\u7642\" target=\"_blank\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 769 769\"><path stroke-width=\"25\" d=\"M565.755 696.27h-360l-180-311.77 180-311.77h360l180 311.77z\"><\/path><\/svg><span class=\"vce-icon-container vcv-ui-icon-mfglabs vcv-ui-icon-mfglabs-link\"><\/span><\/a><\/div><\/div><div class=\"vce-google-fonts-heading vce-google-fonts-heading--align-center vce-google-fonts-heading--color-b-62-61-61--45--5C00FF--FF7200 vce-google-fonts-heading--font-family-Sanchez\"><div id=\"el-ca462e64\" class=\"vce-google-fonts-heading-wrapper\"><div class=\"vce-google-fonts-heading--background vce\" data-vce-do-apply=\"border background  padding margin el-ca462e64\"><h2 class=\"vce-google-fonts-heading-inner\" style=\"font-size: 20px; letter-spacing: 2px; font-weight: 400; font-style: normal;\">Step 4: Conventional systemic treatment<\/h2><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-col vce-col--md-20p vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last\" id=\"el-8a631859\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-8a631859\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-8a631859\"><div class=\"vce-features vce-var-icon vce-features--style-filled-circle vce-features--size-small\" style=\"--iconAlignment: center; --iconColor: rgb(255, 255, 255); --iconColorHover: #fff; --shapeColor: rgb(175, 163, 150); --shapeColorHover: rgb(237, 237, 237); --linkColorHover: rgb(157,146,134);\"><div id=\"el-ba3754ac\" class=\"vce vce-features-icon-wrapper\" data-vce-do-apply=\"all el-ba3754ac\"><a class=\"vce-features--icon vce-icon\" href=\"https:\/\/eczema.skinmedical.com.hk\/en\/treatment-step5\/\" title=\"\" target=\"_blank\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 769 769\"><path stroke-width=\"25\" d=\"M565.755 696.27h-360l-180-311.77 180-311.77h360l180 311.77z\"><\/path><\/svg><span class=\"vce-icon-container vcv-ui-icon-dripicons vcv-ui-icon-dripicons-pulse\"><\/span><\/a><\/div><\/div><div class=\"vce-google-fonts-heading vce-google-fonts-heading--align-center vce-google-fonts-heading--color-b-62-61-61--45--5C00FF--FF7200 vce-google-fonts-heading--font-family-Sanchez\"><div id=\"el-a68aca17\" class=\"vce-google-fonts-heading-wrapper\"><div class=\"vce-google-fonts-heading--background vce\" data-vce-do-apply=\"border background  padding margin el-a68aca17\"><h2 class=\"vce-google-fonts-heading-inner\" style=\"font-size: 20px; letter-spacing: 2px; font-weight: 400; font-style: normal;\">Step 5: Biologics and oral JAK inhibitors<\/h2><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vce-row-container\" data-vce-boxed-width=\"true\"><div class=\"vce-row vce-row--col-gap-30 vce-row-equal-height vce-row-content--top\" id=\"el-2c8b67b0\" data-vce-do-apply=\"all el-2c8b67b0\"><div class=\"vce-content-background-container\"><\/div><div class=\"vce-row-content\" data-vce-element-content=\"true\"><div class=\"vce-col vce-col--md-auto vce-col--xs-1 vce-col--xs-last vce-col--xs-first vce-col--sm-last vce-col--sm-first vce-col--md-last vce-col--lg-last vce-col--xl-last vce-col--md-first vce-col--lg-first vce-col--xl-first\" id=\"el-644bfb58\"><div class=\"vce-col-inner\" data-vce-do-apply=\"border margin background  el-644bfb58\"><div class=\"vce-col-content\" data-vce-element-content=\"true\" data-vce-do-apply=\"padding el-644bfb58\"><div class=\"vce-text-block\"><div class=\"vce-text-block-wrapper vce\" id=\"el-22820238\" data-vce-do-apply=\"all el-22820238\"><p><span style=\"color: #756464; font-size: 12pt;\">Reference:<\/span><\/p>\n<ol>\n \t<span style=\"color: #756464; font-size: 12pt;\">\n<li><span style=\"color: #756464; font-size: 12pt;\">Davis DMR, Drucker AM, Alikhan A, et al. AAD guidelines of care for the management of atopic dermatitis in adults with topical therapies. J Am Acad Dermatol. 2023.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Sidbury R, Alikhan A, Bercovitch L, et al. AAD guidelines of care for the management of atopic dermatitis in adults with phototherapy and systemic therapies. J Am Acad Dermatol. 2023.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Guidelines Development Panel of the Hong Kong College of Paediatricians. Management of Atopic Dermatitis in Children: 2020 Review. HK J Paediatr. 2021;26:42-57. \u2014 the key local reference; cite this prominently.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Wollenberg A, Kinberger M, Arents B, et al. EuroGuiDerm guideline on atopic eczema. J Eur Acad Dermatol Venereol. (most recent update).<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">National Institute for Health and Care Excellence. Atopic eczema in under 12s: diagnosis and management. CG57.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Leung R, Wong G, Lau J, et al. Prevalence of asthma and allergy in Hong Kong schoolchildren: an ISAAC study. Eur Respir J 1997.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Childhood Wheeze, Allergic Rhinitis, and Eczema in Hong Kong: ISAAC Study from 1995 to 2015. \u2014 source of the 21-year local trend data.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology 1993;186:23-31.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Efficacy and Safety of Lebrikizumab in Combination With Topical Corticosteroids in Adolescents and Adults With Moderate-to-Severe Atopic Dermatitis: A Randomized Clinical Trial (ADhere). JAMA Dermatol.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">ARCADIA 1 and ARCADIA 2 \u2014 two identically designed pivotal phase III trials enrolling more than 1,700 patients, evaluating nemolizumab administered subcutaneously every four weeks versus placebo with background topical corticosteroids.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Sanofi. Press release: decision not to submit amlitelimab in atopic dermatitis for global regulatory reviews. Paris, 24 July 2026.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Simpson EL, Bieber T, Guttman-Yassky E, et al. Two Phase 3 Trials of Dupilumab versus Placebo in Atopic Dermatitis (SOLO 1 and SOLO 2). N Engl J Med. 2016.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Chalmers JR, et al. BEEP trial: daily emollient during the first year of life for preventing atopic dermatitis. Lancet. 2020. \u2014 the negative prevention trial cited in the article.<\/span><\/li>\n<li><span style=\"color: #756464; font-size: 12pt;\">Hong Kong Drug Office, Department of Health \u2014 verify local registration status of every systemic agent named.<\/span><\/li>\n<\/span><\/ol>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Managing itch and infection Itch&nbsp; Sedating antihistamines do not treat eczema and have no anti-inflammatory effect; they may occasionally help a child sleep during a bad flare, but they are not a treatment. Non-sedating antihistamines help only where there is coexisting urticaria or allergic rhinitis. The only reliable way to control eczema itch is to&hellip; <a class=\"more-link\" href=\"https:\/\/eczema.skinmedical.com.hk\/en\/managing-itch-infection\/\">Continue reading <span class=\"screen-reader-text\">Managing itch and infection<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-918","page","type-page","status-publish","hentry","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Managing itch and infection<\/title>\n<meta name=\"description\" content=\"The only reliable way to control eczema itch is to control the inflammation. 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