powerful tool in managing severe atopic eczema.
Geeta Ayer. M.A. MSc, RGN Dip Derm Nursing, Non medical prescriber, Dermatology Nurse Pracitioner(Manchester, England)
A 7-year-old Asian girl presented with eczema on her limbs with erythematous, excoriatedpatches on the ante cubital fossae, forearms, poploteal fossae, lower legs, dorusm of the feet andtorso. Localised lichenification with some oozing and crusting occured on forearms and wrists. Swabs identified penicillinase-producing Staphylococcus.
Nighttime itching caused significant sleep disturbance, affecting concentration in lessons andprogress at school. Patient assessment revealed a shy, miserable, depressed child and quality oflife for both patient and parents was profoundly affected.
Previous flare-ups were unsuccessfully treated by the GP using a variety of topical agents andoral antibiotics
THE TREAThe immediate treatment priority was to manage the infected eczema. The overall treatment goalwas to reduce the severity of the itch scratch cycle by managing the general skin dryness.
THERAPY RECEIVEDACUTE PHASE TREATMENT included oral flucloxacillin (10 days), a potent topical steriod cream (14days) (Elocon, Mometasone Furoate) with Epaderm cream used on exuding skin. Oilatum Pluswas used for bathing and Atarax (Hydroxyzine Hydrochloride, 15mg) used at night for the severepruritus.
Key benefits of wet wrapping with Comfifast Easy
Creates a physical barrier - preventing further
Helps sooth patient skin, delivers a cooling
effect and reduces the eczema associated
itching - improves patient quality of life
Reduces the frequency for re-application of
anti-inflammatory skin creams / emollients
Once the infection was under control, the strength of topical steroids was stepped down to Eumovate
ointment. For the next 7 days Eumovate ointment and emollients were applied to the skin every 24
hours and covered with wet wrapping Comfifast Easywrap Garments which remained in place for 24 hours
before the ointments were re-applied. This addressed the severe lichenified inflamed eczema on the
limbs and the generalised dry skin. The patient and parents were taught to apply the Comfifast wrap Garments as wet wraps which enabled treatment at home.
After 7 days 1% hydrocortisone replaced Eumovate and the wet wrapping continued for a further
7 days. Frequency of application reduced to once every 48 hours with the Comfifast Easy
remaining in place between reapplication of steriod creams and emollient. To prevent further recurrence
the patient was encouraged to continue the use of emollients under the [Comfifast
After two weeks the infection had cleared and the lesions started to heal. At six weeks all
lichenification had completely resolved, 90% of the eczema had cleared with a single patch of dry
skin remaining on the right forearm. Itching had reduced significantly and the patient accepted
wrap wet wrap garments due to their cooling effect. The parents reported that the
garments provided a physical barrier which prevented further trauma to the fragile skin. wrap Garments made wet wrapping quick and simple for the parents and
offered freedom from daily re-application of creams and ointments. Wearing the garments in bed helped
relieve itching and promoted uninterrupted sleep.
At the six month review skin was well-moisturised and eczema free. The patient reported
improved concentration and attention in class, resulting in good exam results. Parents reported
a less anxious, more cheerful, and sociable child.
This case study demonstrates that when used as part of a holistic treatment plan, wet
wrapping therapy using Comfifast Easywrap Garments can be a powerful tool in managing severe atopic
eczema. In this case using Comfifast Easywrap Garments helped improve the patient’s itch scratch
cycle, their eczema, and overall well-being.
Synergy Health (UK) Ltd, Healthcare Solutions, Matrix Park, Chorley, PR7 7NB. EnglandTelephone: 01772 299900 Fax: 01772 299901 Email: [email protected]
Comfifast and Easywrap are trademarks of Synergy Health plc. SHI1897 Mar10
Letters from Early Australia – Linguistic Variation and Change I Introduction 1 This study of Australian English in general and the language of letters from nineteenth century immigrants in particular developed from two different interests. The first was a personal interest in Australia and its history, linguistic and social, the second an explorer’s fascination with a field he kno
April 2004 DION® 382E Powdered Bisphenol-A Fumarate Resin DESCRIPTION DION 382E is a powdered, monomer-free, bisphenol-A fumarate polyester. APPLICATION • DION 382E is typically used as a styrene soluble binder for fiberglass reinforcement products. FEATURES BENEFITS • High tensile properties of chopped strand mat. solvents, crosslinking monomer, or exte