There are different strengths of topical preparations. Use the superpotent with caution because of its high potency resulting in side effects. Both the systemic and local corticosteroids have side effects as well. It shares many of the same symptoms as acute contact dermatitis, and similarly a secondary infection can result. Baths, soaks, and compresses are not as helpful here as in the acute form.
Topical corticosteroids Use the cream and ointment forumulation.
Also, use more potent corticosteroids, because the chronic form will deal with a longer treatment period. Systemic corticosteroids Use these as infrequently as possible and with extreme caution. The should be reserved for severe cases of chronic contact dermatitis. Pruritus is a problem here as well as with the acute form, and oral anti-histamines will provide only temporary relief. By removing the causative agent, the dermatits may disappear on its own.