How to treat children’s atopic dermatitis (eczema) with half the effort?


Parents often ask meHow long can hormone ointment be used,This is actually a very difficult question to answer, because it is necessary to use different drugs and courses of treatment after a comprehensive assessment of the medical history and severity of different babies. I will write down the evaluation process first, and parents who still have questions,Welcome to the live broadcast room to ask questions at 9:30 tonight.
(↑Enter the live broadcast room)
Evaluate
1. History of eczema
2. Range of skin lesions
3. Severity
4. Impact of eczema on quality of life and family burden
1. Heavy moisturizing: use moisturizing and emollient multiple times a day
2. Avoiding Inducing Factors: Avoid Inducing or Aggravating Factors
3. Use the right medicine: standardize the use of hormone ointment
Low-efficiency hormone ointment once a day for 2 to 4 weeks
ifnot improved,but
1. Continue to use low-efficiency hormone ointment or replace it with ointment such as tacrolimus or criborole
2. Assess medication compliance and find predisposing factors
3. Assess and treat infection (such as short-term use of mupirocin ointment)
moderate or severe eczema
Use medium to high-efficiency hormone ointment, once or twice a day, for 2 to 4 weeks. Use low- or medium-acting steroid creams or ointments such as tacrolimus on the face, neck, and skin folds.
Reassess after 2 to 4 weeks
ifnot improved,but
1. Continue to use hormone ointment or replace it with ointment such as “tacrolimus” or “criborole”
2. Assess medication compliance and find predisposing factors
3. Assess and treat infection (such as short-term use of mupirocin ointment)
if notimprove
?? Infants and young children use dry or wet gauze soaked in moisturizer or low-efficiency hormone ointment for short-term wet compress.

?? Adults and children over 12 years old, consider phototherapy or short-term use of systemic immunosuppressants (such as cyclosporine), or consider dupilumab instead of systemic immunosuppressants.

After discontinuing phototherapy or reducing the dose of systemic immunosuppressants, restart using medium-strength corticosteroid ointment once or twice a day until symptoms are stabilized and relieved.
Continue to maintain treatment with steroid ointment or tacrolimus for two consecutive days per week.
chemical stimulation Soap, shower gel, sweat, etc.
skin infection Staphylococcus aureus, herpes simplex,
Contact, inhalation or food exposure
Min Yuan, etc.

3. Assessment of the severity of eczema

mild eczema – Partial skin dryness, infrequent itching, little effect on daily activities, sleep, mental health.

Moderate eczema—— Local skin dryness, frequent itching, skin redness with or without desquamation, and local thickening of the skin have moderate effects on daily activities and mental health, and sleep is often disturbed.

severe eczema —— Extensive skin dryness all over the body, persistent itching, skin redness with or without desquamation, thickening, hemorrhage, exudate, cracking, hyperpigmentation, serious impact on daily activities and mental health, insomnia at night.

4. Drugs
1. Criborole is approved for the treatment of children over 2 years old and adultsmild to moderateeczema.
3. The medical term for recurrent eczema is atopic dermatitis, soEczema is herein equated with atopic dermatitis.

Clinical content is for professional reference only

References: UpToDate

? Tonight 9:30~10:30