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face, neck, or hands in adults) Xerosis (dry skin), cracking, and oozing Chronic lesions may become lichenified When to Refer: Dermatologists : For moderate-to-severe disease, treatment failures, or use of systemic agents Allergists/Immunologists : When eczema is associated with food allergies, asthma, or requires biologic therapy Primary Care/Family Medicine : Initial diagnosis and mild disease management Topical Treatment Options and Compounding Strategies 1