CONTENTS
Preface Foreword
vii viii
1 1.1 1.2 1.3
INTRODUCTION Atopic skin disease and The Combined Approach Atopy and atopic skin disease Atopic skin disease and the environment
1 1 2 10
2 2.1 2.2 2.3 2.4 2.5
CONVENTIONAL TREATMENT Emollient therapy Topical steroids Other treatments Complications during conventional treatment Managing local and systemic side-effects of steroid therapy
11 11 23 32 36
41
HABIT REVERSAL Introduction An earlier application Applications for atopic skin disease Habit reversal in practice Habit reversal and the very young
43 43 43 44 46 47
3 3.1 3.2 3.3 3.4 3.5 4
Research
4.1 4.2 4.3 4.4 4.5 4.6
WORKING WITH ADULTS AND OLDER CHILDREN Introduction Assessment The three levels of treatment Three further dimensions in management Follow-up Difficult cases
49 49 51 58 70 74 83
5 5.1 5.2
WORKING WITH YOUNGER CHILDREN Introduction Assessment
87 87 88