Drugs that work on your immune system. Your doctor may consider these medicines -- such as azathioprine, cyclosporine, or methotrexate -- if other treatments don’t help. There are also prescription creams and ointments that treat eczema by controlling inflammation and reducing immune system reactions. Examples include pimecrolimus (Elidel), which is a cream, and crisaborole (Eucrisa) and tacrolimus (Protopic), which are ointments. You should only use these for a short time if other treatments don't work -- and you should never use them on kids younger than 2, according to the FDA.
The doctor may suggest hospitalization simply because it may be necessary to break the cycle of chronic inflammation, or other problems that are exacerbating the illness. Frequently, five or six days of vigorous in-hospital treatment care can result in a dramatic clearing of the eczema. Food tests, allergy skin testing, and the development of an outpatient therapy plan can all be done during the hospitalization. Unfortunately, getting approval from insurers is often difficult. During an acute flare the number of 15-20 minute baths must be increased to three or four per day. Besides hydrating the skin, baths also increase the penetration of topical medication up to ten-fold if the medicine is applied immediately after the bath. Wet wraps after baths may also help hydration and medicinal penetration. Bedtime wet wraps are most practical, and can be done with elasticized gauze followed by ace bandages or double pajamas. (The first pair of pajamas is worn damp but not soaking wet, and a second pair of dry pajamas is worn over them. For a tighter fit, sometimes a plastic sauna suit is used instead of the dry pajamas.) For feet and hands, socks can be used. Additional blankets or increased room heat may be necessary during this three to seven days to prevent chilling.
This is the most common form of eczema. The skin often appears extremely dry, red and inflamed. The patient may also complain of severe itchiness. Scratching the skin may cause the skin to split, leaving it susceptible to infection. If the eczema is infected, the skin may crack and weep. Atopic eczema is linked with hereditary factors, asthma and hayfever. Patients may also have a sensitive reaction to certain types of allergens in the environment, which may lead to the occurrence of atopic eczema. Treatments include different types of emollients and steroids to reduce the inflammation.