What treatments are recommended for AD?
Even with an optimized treatment, patients will have periods of exacerbation which are known to impact patients and caregivers’ quality of life.
There are several treatments approved for use in children, including topical corticosteroids and calcineurin inhibitors to control the skin inflammation, and oral antihistamines to control itching. More severe cases may also need systemic (IV, SC or orally administered) treatments, but all patients, irrespective of the AD severity, should be given basal treatment with emollient to help restore and keep skin healthy properties.
Environmental triggers should be avoided, and extra care should be considered regarding sun exposure, with adequate sunscreen products use followed by extra emollient application. Baths should not last more than 5 to 10 minutes, using warm water and adequate amounts of non-soap cleansers; skin rubbing with towels should be avoided and topical medicines and/or emollient applied as quick as possible after the bath.
The application of emollient increases hydration of the skin and reduces xerosis with proved benefit on itching, erythema, fissuring, and lichenification. They also help in preserving and restoring the skin barrier function, decrease the risk of bacterial superinfection, preventing future exacerbations and the need for other topical treatments. As such, emollient are recommended to be used daily, even when your child is not showing signs of active eczema.