Elicit hx of environmental food or contact allergies pursue testing only w concerning hx 1 5 in kids Submitted by vgreene on Thu, 06/16/2022 - 11:36 Read more about Elicit hx of environmental food or contact allergies pursue testing only w concerning hx 1 5 in kids
Structured pt education recommended as adjunct to tx 1 nurse 5 or pharmacist led3 programs video interventions can be considered5 Submitted by vgreene on Thu, 06/16/2022 - 11:35 Read more about Structured pt education recommended as adjunct to tx 1 nurse 5 or pharmacist led3 programs video interventions can be considered5
Wet wrap tx w or w o TCS can be used to darr severity2 Submitted by vgreene on Thu, 06/16/2022 - 11:35 Read more about Wet wrap tx w or w o TCS can be used to darr severity2
Anti staph tx not routine Consider dilute bleach baths intranasal mupirocin in moderate dz w signs of secondary infxn per AAD 2 can consider more broadly per AAAAI although esp in pts w recurrent infxn 1 PO abx also appropriate w evidence of bacterial inf Submitted by vgreene on Thu, 06/16/2022 - 11:34 Read more about Anti staph tx not routine Consider dilute bleach baths intranasal mupirocin in moderate dz w signs of secondary infxn per AAD 2 can consider more broadly per AAAAI although esp in pts w recurrent infxn 1 PO abx also appropriate w evidence of bacterial inf
If eczema herpeticum Use systemic antivirals3 4 Submitted by vgreene on Thu, 06/16/2022 - 11:33 Read more about If eczema herpeticum Use systemic antivirals3 4
Consider sedating PO antihistamines for pruritis esp if sleep interrupted1 3 4 Submitted by vgreene on Thu, 06/16/2022 - 11:32 Read more about Consider sedating PO antihistamines for pruritis esp if sleep interrupted1 3 4
Systemic agents indicated when optimized topical tx and or phototx don t adequately control dz or when severity of dz substantially impacts QoL1 4 Effective options incl cyclosporine modified MTX mycophenolate mofetil variably effective and azathioprine4 Submitted by vgreene on Thu, 06/16/2022 - 11:31 Read more about Systemic agents indicated when optimized topical tx and or phototx don t adequately control dz or when severity of dz substantially impacts QoL1 4 Effective options incl cyclosporine modified MTX mycophenolate mofetil variably effective and azathioprine4
Phototx 2nd line after failure of basic skin care TCS TCI 1 3 4 can be used as maintenance tx in chronic dz4 Submitted by vgreene on Thu, 06/16/2022 - 11:30 Read more about Phototx 2nd line after failure of basic skin care TCS TCI 1 3 4 can be used as maintenance tx in chronic dz4
TCIs a steroid sparing alternative 1 3 consider using to avoid skin atrophy on face eyelids skin folds when low potency TCS not effective 1 consider w periocular AD where TCS may also uarr risk of cataracts glaucoma 3 however TCIs may initially burn itch1 Submitted by vgreene on Thu, 06/16/2022 - 11:29 Read more about TCIs a steroid sparing alternative 1 3 consider using to avoid skin atrophy on face eyelids skin folds when low potency TCS not effective 1 consider w periocular AD where TCS may also uarr risk of cataracts glaucoma 3 however TCIs may initially burn itch1
Optimize TCS 1 2 consider pt age body area degree of xerosis pt preference cost when selecting TCS 2 3 typically lower potency in areas of thin skin face neck genitals skin folds 1 3 qd application may be as effective as bid 2 3 monitor PE for cutaneous A Submitted by vgreene on Thu, 06/16/2022 - 11:28 Read more about Optimize TCS 1 2 consider pt age body area degree of xerosis pt preference cost when selecting TCS 2 3 typically lower potency in areas of thin skin face neck genitals skin folds 1 3 qd application may be as effective as bid 2 3 monitor PE for cutaneous A
