Atopic Dermatitis (Eczema)

Pt with h/o atopy presents with pruritic, erythematous, and scaly skin lesions.

• Start topical steroids; agent choice pending location and severity of irritation

  • Group 7: Hydrocortisone cream 2.5%

  • Group 6: Triamcinolone acetonide cream 0.025%

  • Group 5: Triamcinolone acetonide ointment 0.025%

  • Group 4: Triamcinolone acetonide cream 0.1%

  • Group 3: Triamcinolone acetonide cream 0.5%

  • Group 2: Clobetasol propionate cream 0.025%

  • Group 1: Clobetasol propionate cream 0.05% (group 1)

• Refractory eczema in pt age 2 + years: Start pimecrolimus 1% cream

• Counseling

  • Educated about skin atrophy risk with topical corticosteroid use

  • Regular, liberal use of emollients recommended

Note: Group 1 is the most potent and group 7 is the least potent