Conflicts — water-therapies (round 1)

Conflict: [Chopra et al., Ann Allergy Asthma Immunol, 2017] says bleach baths are no more effective than water baths (pooled EASI and BSA not different). [Bakaa et al., Ann Allergy Asthma Immunol, 2022] says bleach baths probably improve EASI by a relative 22% versus no-bleach baths (moderate certainty). [Cochrane, George et al., 2019] says they may make no difference (low quality). Unresolved — see Bleach Baths.

Conflict: [AAD patient page, n.d.] says ½ cup of 6% bleach per full bathtub (¼ cup per half tub; 1 tsp per gallon in a toddler tub). [Children’s Mercy Kansas City handout, 2025] says ¼ cup per full tub (⅛ cup per half tub) and “1 capful” for a baby bath. Unresolved — see Bleach Baths.

Conflict: [National Eczema Association, 2025] says wet wraps help topical medicines work better and cites a 71% average symptom reduction in children with severe eczema (Nicol 2014, uncontrolled). [González-López et al., Br J Dermatol, 2017] says evidence that WWT beats topical steroids alone is of low quality. Unresolved — see Wet Wrap Therapy.

Conflict: [Koutroulis et al., Clin Pediatr, 2014] says bathing frequency (daily vs twice weekly) did not matter. [Cardona et al., J Allergy Clin Immunol Pract, 2020] says twice-daily soak-and-seal baths beat twice-weekly baths (SCORAD −21.2). Unresolved — see Bathing Frequency.

Conflict: [Lopez et al., Br J Dermatol, 2022] says reducing hard water exposure may reduce the eczema burden. [Thomas et al., SWET, PLoS Med, 2011] found water softeners gave no benefit for established childhood eczema. Unresolved — see Hard Water.