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ATOPIC DERMATITIS Definition: Characterized by intense pruritus accompanied by excoriations, erythematous papules, lichenified skin, plaques, serous exudates. |
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Treatment: |
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Class |
Drug |
Indication |
When to give |
|
Topical corticosteroids |
Diprolene AF or Temovate 0.05% cream/ointment Then Synalar 0.025% cream or Kenalog 0.1% lotion HC 1-2.5% cream/ointment |
Acute phase maintenance Acute & maintenance |
Trunk and extremities ONLY, short course Face and neck |
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Topical calcineurin inhibitors |
Elidel or Protopic cream |
Itching and inflammation |
Sever cases – relieves quickly- VERY costly |
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Systemic drugs |
Prednisone boost and taper- start topical steroids as oral dose is being tapered Antihistamines |
Itching and inflammation Need to be in higher dose than for allergic rhinitis |
Short course only Short course only |
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Non-pharmacologic treatment |
Emollients, moisturizers, eliminating harsh soap or offending foods, humidify air |
Maintenance |
Ongoing |
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References: Geriatrics At Your Fingertips, 2004 Edition, p. 50-51. The Medical Letter Treatment Guidelines: Drugs for Allergic Disorders, Vol. 1, #15, November 2003. 5/04 |
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