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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Eyelid Eczema. Do Not Want To Use Elidel Due To Cancer Risk. What Should I Do?

I have, what I have been told , eyelid eczema on one eyelid only. I do not want to use the Elidel as the doctor prescribed due to its association with cancer . I believe the problem is systemic and would like to figure out what is causing it and treat it that way. I don t believe it is due to allergy from cosmetics because it has only affected one eye and I have been using the same line of cosmetics for years. It burns to put cream on that particular eyelid so I have switched to a natural cream. What should I do? Will allergy testing provide the source of this issue?
Mon, 30 Sep 2013
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Dermatologist 's  Response
Hi,
Thanks for writing to us.
Elidel has a very small risk of causing cancer. Had it been so common, we would have stopped prescribing it. So if its the only reason you do not want to use it, please be assured you would never devlop one as for eczema treatment required would not be so prolonged so as to increase cancer risk.
Anyways in my practice i usually prescribe a very mild steroid like desonide to be used two times in a day over affected area along with use of moisturiser. normally eye lid eczema would respond in five to seven days maximum. Once it has cleared use desonide over affected area on alternate nights for a week and then stop. If there are episodes of recurrence, then I prescribe elidel after a short course of steroid for its steroid sparing effect( gives same results as steroids without any side effect).
Also avoid any cosmetic eye application till lesions clear completely.
TAke care
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Have Eyelid Eczema. Do Not Want To Use Elidel Due To Cancer Risk. What Should I Do?

Hi, Thanks for writing to us. Elidel has a very small risk of causing cancer. Had it been so common, we would have stopped prescribing it. So if its the only reason you do not want to use it, please be assured you would never devlop one as for eczema treatment required would not be so prolonged so as to increase cancer risk. Anyways in my practice i usually prescribe a very mild steroid like desonide to be used two times in a day over affected area along with use of moisturiser. normally eye lid eczema would respond in five to seven days maximum. Once it has cleared use desonide over affected area on alternate nights for a week and then stop. If there are episodes of recurrence, then I prescribe elidel after a short course of steroid for its steroid sparing effect( gives same results as steroids without any side effect). Also avoid any cosmetic eye application till lesions clear completely. TAke care