Atopic dermatitis (AD) is common in children, with severity ranging from trivial to life-ruining. Itch and associated sleep loss impact quality of life. Environmental modification, topical emollients and topical corticosteroids are key, but corticosteroid phobia impedes treatment. Allergy testing is often requested, but is usually unnecessary and does not change management. When a child fails to respond to treatment , consider noncompliance, infection, allergy or combination with another dermatosis, most often psoriasis. The prognosis for AD is good, with most children recovering by the end of primary school.
Modern Medicine – Issue 6 2021