ATOPIC DERMATITIS

Atopic dermatitis is a prevalent form of eczema that can affect individuals of all ages, including children. Especially in children, this skin condition is characterized by persistent itching and the appearance of red patches, often found on the face, arms, and legs. It primarily affects children, but can also continue or manifest in adulthood.

The cyclical nature of atopic dermatitis means rashes may flare up, subside, and then reappear periodically. These flare-ups can be particularly distressing for children and their caregivers due to the intense itching and potential for skin damage from scratching.

Although the exact cause of atopic dermatitis isn’t fully understood, genetic and environmental factors are believed to play a role. A family history of allergies, asthma, or atopic dermatitis can make a child more susceptible to the condition.

Treatment

Management of pediatric atopic dermatitis requires a careful and tailored approach, considering the delicate nature of a child’s skin and their unique needs.

Dr. Ciocca is a highly regarded dermatologist and an esteemed researcher who is actively involved as a principal investigator in ongoing clinical trials for phase 2 and 3 of innovative immunomodulatory treatments for Atopic Dermatitis.

If you are interested in participating in these promising trials or seeking more information, we encourage you to reach out to our dedicated research team at www.skinresearchsf.com.

They will provide you with the necessary details and assist you professionally throughout the process.

Topical

Skincare routine

A gentle skincare routine is especially important for children. This involves using mild, fragrance-free cleansers and applying emollients or moisturizers frequently to maintain skin hydration.

Topical corticosteroids

In children with mild to moderate atopic dermatitis, crisaborole can be an effective topical option to manage inflammation and symptoms.

Topical corticosteroids

While these are commonly prescribed for atopic dermatitis, in children, it’s essential to use milder formulations or as directed by a pediatric dermatologist. These medications help soothe inflamed skin and reduce itching.

Topical or oral antihistamines

These can help manage itching in children. Non-sedating antihistamines are often preferred to minimize drowsiness, especially during school hours.

Topical calcineurin inhibitors

These, like tacrolimus or pimecrolimus, are alternative treatments suitable for sensitive areas on children, like the face or folds of the skin. These creams are also used as a type of control medication for flares.

Wet wrap therapy

This therapy can be particularly beneficial for children, as it not only enhances the absorption of topical treatments but also provides immediate relief from itching.

Immunomodulatory therapies

Recent advancements have introduced new treatments tailored for children with atopic dermatitis.

Dupilumab

Suitable for older children and adolescents with moderate to severe atopic dermatitis, Dupilumab has shown promising results in reducing symptoms. These medications are FDA approved for kids as young as 6 months of age.

Omalizumab

Although primarily used for allergic asthma, it has potential benefits for children with severe atopic dermatitis.

Janus kinase (JAK) inhibitors

Some JAK inhibitors have been studied and found effective in children, offering another avenue for treatment. These immunomodulators can be used in cream or as an oral systemic medication depending on the severity of the disease.

recommendations

Here are some general recommendations for managing atopic dermatitis:

Moisturize
regularly

Children’s skin can dry out quickly. Regular application of pediatric-friendly moisturizers, especially after baths, is crucial.

Stress
management

For older children, stress can be a trigger. Engage them in stress-relieving activities suitable for their age.

Soft
Clothing

Children’s clothing should be soft, breathable, and free from irritants. Always wash new clothes before they wear them.

Seek medical
advice

Always consult a pediatric dermatologist for a proper diagnosis and treatment plan tailored for your child.

Identify and
avoid triggers

Be observant of potential triggers in your child’s environment, such as certain foods, fabrics, or allergens.

Supportive
care

Engaging in support groups for parents or caregivers of children with atopic dermatitis can be beneficial. Sharing experiences and coping techniques can make managing the condition easier.

Distraction
techniques

To prevent scratching, keep children engaged in activities, or use mittens for infants.

Children’s needs and responses to treatments may differ from adults. Collaborate closely with a pediatric dermatologist to create a personalized plan for your child’s atopic dermatitis.