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Topical Therapy in Atopic Dermatitis in Children
Dharshini Sathishkumar1, Celia Moss2
1Department of Paediatric Dermatology, Birmingham Children's Hospital, Birmingham, UK.
Indian Journal of Dermatology
|December 2, 2016
Summary
Managing childhood atopic dermatitis (AD) involves a multifaceted approach. This review details topical treatments, focusing on patient education, barrier repair, and inflammation control for better quality of life.
Area of Science:
- Dermatology
- Pediatrics
- Immunology
Background:
- Atopic dermatitis (AD) is a prevalent, chronic skin condition in children.
- It results from complex genetic, immunological, and environmental factors.
- AD significantly impacts the quality of life for children and their families.
Purpose of the Study:
- To review the management of atopic dermatitis in children using topical treatments.
- To emphasize a personalized approach considering individual, social, and emotional factors alongside disease severity.
Main Methods:
- This review focuses on topical management strategies for pediatric atopic dermatitis.
- Key areas covered include patient/caregiver education, trigger avoidance, and skin barrier repair.
- Management of inflammation, infection, and adjunctive therapies like bandages are also discussed.
Main Results:
- Effective management requires a comprehensive strategy tailored to each child.
- Patient and caregiver education empowers them in managing the condition.
- Consistent use of emollients is crucial for skin barrier repair and maintenance.
Conclusions:
- Topical treatments, including corticosteroids and calcineurin inhibitors, are central to controlling inflammation in pediatric AD.
- Minimizing infection and utilizing supportive measures like bandages can improve outcomes.
- A holistic approach integrating medical treatment with psychosocial support is essential for managing childhood atopic dermatitis effectively.
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