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Basic skin care liberal use of moisturizers1 2 esp applied soon after bathing 2 3 avoidance of aggravating factors eg long hot baths showers irritants such as soaps cleansers fragrances wool etc 1 3

Submitted by vgreene on Thu, 06/16/2022 - 11:27
  • Read more about Basic skin care liberal use of moisturizers1 2 esp applied soon after bathing 2 3 avoidance of aggravating factors eg long hot baths showers irritants such as soaps cleansers fragrances wool etc 1 3

Basic skin care plus optimized TSC or TCI remains mainstay of care but add phototx or systemic agent if unresponsive

Submitted by vgreene on Thu, 06/16/2022 - 11:27
  • Read more about Basic skin care plus optimized TSC or TCI remains mainstay of care but add phototx or systemic agent if unresponsive

Don t recommend bath additives 2 prebiotics probiotics routine dust mite covers specific laundering techniques products SLIT SCIT 5 also don t use tar preps on acutely inflamed skin 1 topical antihistamines 2 topical abx 2 PO abx in absence of infxn 4 or

Submitted by vgreene on Thu, 06/16/2022 - 10:58
  • Read more about Don t recommend bath additives 2 prebiotics probiotics routine dust mite covers specific laundering techniques products SLIT SCIT 5 also don t use tar preps on acutely inflamed skin 1 topical antihistamines 2 topical abx 2 PO abx in absence of infxn 4 or

Insufficient evidence tar preps 1 fish oils evening primrose oil borage oil multivitamins zinc vit D may benefit those w deficiency per AAAAI 1 vit E vit B12 and B6 special clothing fabrics Chinese herbal meds massage tx aromatherapy naturopathy hypnother

Submitted by vgreene on Thu, 06/16/2022 - 10:56
  • Read more about Insufficient evidence tar preps 1 fish oils evening primrose oil borage oil multivitamins zinc vit D may benefit those w deficiency per AAAAI 1 vit E vit B12 and B6 special clothing fabrics Chinese herbal meds massage tx aromatherapy naturopathy hypnother

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 - 10:56
  • 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 - 10:55
  • 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 in significant flares or recalcitrant dz to darr severity2

Submitted by vgreene on Thu, 06/16/2022 - 10:54
  • Read more about Wet wrap tx w or w o TCS can be used in significant flares or recalcitrant dz 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 - 10:53
  • 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

Consider sedating PO antihistamines for pruritis esp if sleep interrupted1 3 4

Submitted by vgreene on Thu, 06/16/2022 - 10:52
  • Read more about Consider sedating PO antihistamines for pruritis esp if sleep interrupted1 3 4

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 - 10:51
  • 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

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