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Hi there, I have a 14 year old who's had eczema from birth and although flare ups only usually happen in summer, she repeatedly has eczema appears at the front of her neck, which is a really thin area so i'm very reluctant to put steroid here.

What do you advise?

Thanks in advance.

Many thanks for your question. I would suggest the general principles of eczema management:

1. No soaps or shower gels or fragranced washes - opt for emollient agents for skin cleansing
2. Regular emollients or moisturisers to be used at least twice daily
3. Topical steroids to be used for 7-10 days then switch to anti-inflammatory treatments such as Protopic or Elidel longer term as maintenance. these avoid the long term concerns about steroid treatments.

Best wishes,

Anjali