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]].

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]].

[[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.

If the patient is refractory to the above [[Steroids|Corticosteroid]] should be administered. 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 also be useful in resistent cases.

 

==Prognosis==

==Prognosis==

*Good but the lesion can recur.

Good but the lesion can recur.

==References==

==References==