Changes

==Treatment==

==Treatment==

Initial medical treatment is to control any ectoparasites. Secondly a diet trial and skin testing may be carried out to rule out food allergy and atopy. If there is evidence of a bacterial infection [[Antibiotics|antibiotics]].

**Control ectoparasites

[[Steroids|Corticosteroid]] If the patient is refractory to the above. Treatment should be tapered gradually once a response is seen then discontinued once signs have completely disappeared.

**Diet trial and skin testing may be carried out to rule out food allergy and atopy

**[[Antibiotics]] if there is evidence of a bacterial infection

**[[Steroids|Corticosteroid]] therapy if the patient is refractory to the above. Treatment should be tapered gradually once a response is seen then discontinued once signs have completely disappeared.

**Chlorambucil may be useful in resistent cases

**Chlorambucil may be useful in resistent cases