Eczema complicated by allergic contact dermatitis to topical medications and excipients

In patients with eczema that is difficult to manage, it is important to consider the possibility that they are allergic to the topical medications or emollients being used to manage their skin disease. This group of patients may have allergic contact dermatitis (ACD) to topical corticosteroids (TCS), antibiotics, or the excipients and preservatives used in their topical medications or emollients being used for skin care. For this group of patients, topical corticosteroids or the excipients in their vehicle may actually worsen their underlying disease and are the focus of this article.

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