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Update on the Clinical Management of Atopic Dermatitis in the Pediatric Emergency Department

Peter Y Ch'en1, Alisa McQueen2,3, Peter A Lio4

  • 1Resident, Department of Dermatology, University of Washington, Seattle, WA.

Pediatric Emergency Care
|June 1, 2026
PubMed

Insights

Atopic dermatitis (eczema) is common in children and often leads to emergency department visits. Effective management involves distinguishing flares from infections and using a structured eczema action plan for better outcomes.

Area of Science:

  • Dermatology
  • Pediatrics
  • Emergency Medicine

Background:

  • Atopic dermatitis is the most common inflammatory skin condition in children, affecting up to 20% in the US.
  • It frequently necessitates emergency department (ED) visits for acute management.
  • Distinguishing between uncomplicated flares, secondary infections, and treatment complications is crucial for appropriate intervention.

Purpose of the Study:

  • To outline best practices for managing atopic dermatitis flares in the pediatric emergency department.
  • To emphasize the importance of structured discharge planning and patient education.

Main Methods:

  • Review of current evidence supporting topical and systemic therapies for atopic dermatitis.
  • Discussion of the role of newer biological and targeted agents in long-term care.
  • Highlighting the components of effective discharge planning, including Eczema Action Plans.

Main Results:

  • Topical corticosteroids are recommended for flares, with systemic therapy reserved for severe cases.
  • Newer targeted therapies, though initiated in specialty settings, impact ED management considerations.
  • Structured discharge planning with clear instructions and follow-up guidance improves adherence and reduces recurrence.

Conclusions:

  • Effective emergency department management of atopic dermatitis requires accurate diagnosis and appropriate acute interventions.
  • Comprehensive discharge planning, including patient education and an Eczema Action Plan, is vital for preventing recurrence and unscheduled visits.
  • Collaboration between ED clinicians, primary care, and dermatology ensures optimal long-term management of pediatric atopic dermatitis.

Keywords:
atopic dermatitiseczemasteroidstreatment

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