Current Treatments Options for Patients With CHE

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CHE Treatment Approaches

Key Themes:

• Treatment hierarchy: Baseline care (barrier protection, moisturization, and trigger avoidance), topical therapies, and systemic options.
• Topical treatments: Corticosteroids and calcineurin inhibitors show efficacy but have limitations for long-term use.
• Systemic options: Traditional immunosuppressants carry significant safety concerns, while newer targeted therapies for atopic dermatitis have been repurposed for CHE.

Notable Insights:

Dr Chovatiya discussed complications of long-term topical steroid use, including "skin thinning, loss of subcutaneous fat, potential systemic absorption, and even permanent depigmentation," emphasizing the need for better treatment options.