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Minerva

Guidelines on eczema . . . and other stories

BMJ 2023; 383 doi: https://doi.org/10.1136/bmj.p2617 (Published 16 November 2023) Cite this as: BMJ 2023;383:p2617

Atopic eczema

Considering the misery it causes, atopic eczema doesn’t get the attention it deserves. But, as a review of guidelines by the American Academy of Dermatology points out, a wide range of effective topical treatments is available. The revised guidelines make strong recommendations for the use of moisturisers, calcineurin inhibitors, corticosteroids, Janus kinase inhibitors, and phosphodiesterase-4 inhibitors. On the other hand, they strongly advise against the use of topical antimicrobials, antiseptics, and antihistamines (J Am Acad Dermatol doi:10.1016/j.jaad.2022.12.029).

Recurrent vascular events after trans ischaemic attack

A registry study of 4000 people who had sustained a transient ischaemic attack or a minor stroke reveals, perhaps not surprisingly, that the subsequent risk of a major vascular event varies …

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