Journal
DERMATOLOGIC CLINICS
Volume 35, Issue 3, Pages 351-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.det.2017.02.008
Keywords
Atopic dermatitis; Seborrheic dermatitis; Atopic march; Pityriasis alba; Eczema coxsackium; Eczema herpeticum
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Atopic dermatitis is the leading cause of pediatric dermatology visits in developed nations. Recurrent, itchy rashes in typical locations and a family/personal history of atopy helps to identify children with disease. Most cases (85%) are diagnosed by age 5 years. Some comorbidities are age-based and may affect disease course. Topical corticosteroids are the mainstay of therapy; corticosteroidphobia and side effects complicate use. Topical calcineurin inhibitors are alternatives to corticosteroids, especially in sensitive locations. Systemic therapies include antihistamines, immune suppressive agents, and phototherapy, with specific pediatric modifications. This article reviews the nuances and caveats of pediatric atopic dermatitis diagnosis and management.
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