See also –
NICE guidelines for
Management of eczema in under 12’s (www.nice.org.uk/CG057)
Consider referral to Consultant Allergy clinic / discuss for:
Infants < 6 months on optimal management with clear history suggestive of cow’s milk protein or egg exacerbating eczema; these require exclusion diet for 2-4 weeks and may need referral if problems re-introducing foods.
Severe eczema at any age where food allergy strongly suspected to be a major trigger
No need to refer:
Patients with eczema and no obvious temporal relationship between ingesting certain foods known to be common allergens (eg milk, egg) and worsening of condition
Dermatology referral should be considered for all cases of severe, difficult to control eczema
Guideline updated by Simon Bedwani, Consultant Paediatrician, Royal Cornwall Hospital, November 2018.
Date Reviewed 14/8/2019
Next Review Date 14/8/2020
GP Sifter Dr Rebecca Harling
Version No. 1.1