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A practical guide to topical therapy in children

C C Long¹, C M Mills, A Y Finlay

¹Department of Dermatology, University of Wales College of Medicine, Heath Park, Cardiff, U.K.

The British Journal of Dermatology

|May 29, 1998

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New guidelines help determine topical corticosteroid amounts for children with eczema. The fingertip unit (FTU) method accurately predicts required medication, simplifying treatment for parents and healthcare providers.

Area of Science:

Pediatric Dermatology
Dermatological Therapeutics

Background:

Parents often struggle with appropriate topical therapy application for pediatric skin conditions.
Uncertainty exists regarding the precise quantity of topical corticosteroids for children.

Purpose of the Study:

To develop simple, accurate guidelines for topical therapy in children.
To validate these guidelines in clinical practice for pediatric patients.

Main Methods:

Guidelines based on adult fingertip unit (FTU), 'rule of 9s', and pediatric growth charts.
Recruitment of 24 children with atopic eczema (6 months to 9 years).
Calculation and comparison of predicted versus actual FTUs for topical application.

Main Results:

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No child required more FTUs than predicted by the guidelines.
Predictions for each anatomical region were accurate within 1 FTU.
The developed guidelines accurately indicated the required amount of topical therapy.

Conclusions:

The proposed guidelines offer a reliable method for determining topical therapy dosage in children.
Advice sheets have been created to support age-appropriate application for pediatric patients.