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Atopic Eczema Management Programs

The review article in this issue gives a survey of these programs. We tried to provide an overview on the increasing number of publications on atopic eczema prevention programs and on the development in this field over the last 20 years. The articles by Bridgett et al. and van Sandwijk et al. in this issue describe the current state of treatment of patients in Great Britain and the Netherlands. Jaspers et al. report on the educational program for young adults suffering from atopic eczema and the implications for occupational aspects of the disease. Zschocke et al. as well as Lemke et al. and Staab et al. demonstrate the possibilities for therapy of young patients with atopic eczema and for increasing the quality of life of their parents. Schmid-Ott et al. give an account of the ongoing German national multicenter program for children and adolescents suffering from atopic eczema and their parents. In editorials we sometimes forget to give a résumé of case reports. On reflecting the case reports in the present issue of the journal, the feature by Hockmann et al. of two cases of prurigo nodularis and their psychodynamic aspects serves to remind the reader of what usually happens in transference and countertransference when dealing with such patients. The authors present a good discussion on the psychodynamic causes of prurigo nodularis and show that in their patients this condition is mostly non-responsive to dermatological therapy. A recent overview of the disease was given by Accioly-Filho et al. [1]. Uwe Gieler, Gießen