Special Considerations for Therapy of Pediatric Atopic Dermatitis

Nanette B. Silverberg, Carola Durán-McKinster

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


Atopic dermatitis is the leading cause of pediatric dermatology visits in developed nations. Recurrent, itchy rashes in typical locations and a family/personal history of atopy helps to identify children with disease. Most cases (85%) are diagnosed by age 5 years. Some comorbidities are age-based and may affect disease course. Topical corticosteroids are the mainstay of therapy; corticosteroidphobia and side effects complicate use. Topical calcineurin inhibitors are alternatives to corticosteroids, especially in sensitive locations. Systemic therapies include antihistamines, immune suppressive agents, and phototherapy, with specific pediatric modifications. This article reviews the nuances and caveats of pediatric atopic dermatitis diagnosis and management.

Original languageEnglish
Pages (from-to)351-363
Number of pages13
JournalDermatologic Clinics
Issue number3
StatePublished - Jul 2017
Externally publishedYes


  • Atopic dermatitis
  • Atopic march
  • Eczema coxsackium
  • Eczema herpeticum
  • Pityriasis alba
  • Seborrheic dermatitis


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