Managing atopic dermatitis in infants.

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Date: Nov. 7, 2022
From: CMAJ: Canadian Medical Association Journal(Vol. 194, Issue 43)
Publisher: CMA Impact Inc.
Document Type: Article
Length: 734 words
Lexile Measure: 2700L

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1 In infants, atopic dermatitis most commonly involves the cheeks, outer limbs and trunk

Classical flexural involvement may not develop until later in childhood. Other transient forms of dermatitis, including irritant dermatitis and seborrheic dermatitis, should be differentiated from atopic dermatitis. (1)

2 The best moisturizer is the one that patients will use

New evidence has shown that, applied twice daily and as required, any class of emollient (i.e., lotion, cream, gel or ointment) can help manage atopic dermatitis and prevent flares. (2) Bath emollient additives do not add benefit beyond direct skin moisturization; however, emollients can be used as soap substitutes. (3)

3 Atopic dermatitis requires anti-inflammatory treatment

The lowest effective strength of topical corticosteroid should be used. Applying treatment once daily is almost as effective as applying twice daily, and can improve adherence and reduce adverse effects and costs. (1) A reactive approach--anti-inflammatory treatment during a flare until the skin is clear--is appropriate for mild atopic dermatitis. Relapsing or persistent cases may require a "get control and keep control" approach by inducing complete remission with application of a moderate (e.g., betamethasone valerate 0.05%) or...

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Gale Document Number: GALE|A725096683