First-line treatments for discoid eczema in adults primarily involve the use of emollients and topical corticosteroids.
Emollients should be used regularly to maintain skin hydration and manage dryness, which is fundamental in eczema care.
Topical corticosteroids are recommended according to the severity of the eczema: mild-potency corticosteroids for mild cases, moderate-potency for moderate cases, and potent corticosteroids for severe cases.
Application should be once or twice daily, targeting only areas of active eczema or those recently active within 48 hours.
For facial or sensitive areas, mild-potency corticosteroids are preferred, with short-term use of moderate potency for severe flares.
If topical corticosteroids do not control the eczema within 7 to 14 days, secondary infection should be excluded, and treatment may be stepped up cautiously or specialist referral considered.