Systemic treatment

Antibiotics are probably the most commonly used systemic treatment. Long term antibiotics are needed for acne and cellulitis. Antifungal and antiviral drugs are indicated if topical treatment is ineffective, particularly in the immunosuppressed, and when the infection has been confirmed by laboratory tests.

Immunosuppressant drugs have had a considerable impact on the treatment of autoimmune and connective tissue diseases and diminished the need for systemic steroids—previously the only treatment available. They are increasingly used for extensive and persistently inflamed dermatoses, particularly psoriasis and eczema.

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