Atopic eczema of adult type in Japan

SUMMARY Atopic eczema of adult type presents with the classical features of eczema in combination with a red face subject to oozing attacks, rippling hyperpigmentation of the neck and an exudative erythema of the trunk and limbs. The red face and hyperpigmentation appear to follow topical corticosteroid use while the exudative erythema is postulated to be due to late phase reaction of IgE. Treatment involves the avoidance of exacerbating factors together with topical emollients. Topical corticosteroids are ineffective and appear to exacerbate the red face, which causes a significant social problem, affecting the patient's quality of life. New therapies promoted through the media have caused confusion.