Can GPs prescribe topical calineurin inhibitors?
Response: yes

Recommendations for deep fissuring on heels and hands?
Response: I would use thick moisturizer and Tx underlying cause.

Does it matter which order topical treatments are applied when used in conjunction with emolliants, and if so how long should patients wait before applying the next layer?
Response: Apply medicated topical first and then you can put moisturizer a few minutes after.

For maintenance treatment with topical calcineurin inhibitor, do you use it for more than 1-2 months? Is there a limit of months per year?
Response: I think there are some studies even up to 4 months but I really dont think more than 1-2 months is necessary.

How long do we use eucrisa for maintenance?
Response: I go with 1-2 months.

Are there any dietary restrictions such as dairy that would help in AD?
Response: Very complicated topic. I don't limit if not associated with type 1 hypersensitivity symtoms or confirmed by allergist. In adults different story.

How to distinguish eczema herpeticum and eczema cocksackium?
Response: Difficult. Can do PCR but if you suspect start antiviral or refer.

Any tips on differentiating perioral dermatitis from eczema in toddlers?
Response: Not itchy, around mouth, nose and eyes. Small papules.

The rash of lymphoma looks so benign and I would assume it was fungal! Would there normally be other signs that it was more serious than that?
Response: Not really Fungus should spread or resolve not persisitent for 2 years.

Is there a roll for food allergy testing in children with very bad and hard to control eczema?
Response: When sever eczema not responding to TX consider referal to allergy.

Can you have seborrheic dermatitis in axilla with nothing elsewhere?
Response: Yes but then the age and morphology is important.

Can you give some pointers on how to differentiate mycosis fungoides vs pityriasis alba or even tinea versicolor please?
Response: Mf usually is on trunk and thighs. Palba more on face and tinea versicolor upper chest and back.

What is the best treatment for persistent nummular eczema in children who have already been using mild to medium potency corticosteroids?
Response: I would go with group 3 topical steroid. Make sure they are using enough. Sometimes I compound topical steroid plus topical antibiotics for a limited period of time.

I thought that the recommendation was to advise decreased frequency of baths in patients with eczema, is this no longer the case?
Response: No bathing is part of Tx. Once per day not more than 10 min. No soap. Non-soap cleanser 2 times per week max.

Ointment vs cream. When to use one or the other?
Response: I usually use ointment but cream are cosmetically better and better for axilla and groin.

Could you please elaborate as to when we should suspect mycosis fungoides? We often see hyopigmented scaly-is lesions.
Response: Very tricky. IF an eczematous patch persistent and not going through flare and remission. If not itchy if hypopigmented think of MF.

What can you advise for management of post flare eczema plaques?
Response: Can use protopi / elidel or Eucrisa.

So for maintenance treatment with corticosteroids after a flare you tell the patient to continue using it 2x/week for how long? 1 month or indefinitely?
Response: 1 -2 months.

I’ve always been told not to bathe lately - when has this change happened to showering daily?
Response: New guidelines all say 1-2 baths per day. I go with one bath per day.

Should we put corticosteroids before emollients or emollients becore corticosteroids ?
Response: Cortico first then moisturizer. However no study to back it up.

Warm water for crusts and then remove manually?
Response: Humid compress 3 times per day 5-10 min each. No scratching. The crust falls itself.