Carr
 
Most barrier creams will contain substances, such as preservatives, that are irritant and frequently sensitisers. Occlusion will enhance the effect due to the hyperhydration of the stratum corneum. In fact, there are studies showing that thick creams may actually make the skin more vulnerable to the effect of irritants.
 
You say she has been diagnosed as having eczema, but do not state which form. There is a significant difference regarding management and prognosis depending upon whether the eczema is irritant or allergic (or a combination of both!). How was the diagnosis done? Was there a patch test, and if so what were the results? Without this information it is difficult to suggest what might be done.
 
Consider also the condition of the headsets. Is the sponge kept clean? How is it cleaned? Could a residue of the cleaner be left and be a contributor to the problem? Just some of the questions one needs to ask.

Regards
Chris
EnviroDerm Services (UK) Ltd.
2 Amery Lodge Farm, North Littleton, Evesham, WR11 8QY, U.K.
Tel: 0044 1386 832 311
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