Atopic Dermatitis: The Daily PANCE Blueprint
A 22-year-old male presents with chronic pruritic, dry skin, and erythematous papules with crusting on the flexor surfaces of the arms. Which of the following is the most appropriate management for the most likely diagnosis?
A. Biologics
B. Emollients and topical steroids
C. Systemic corticosteroids
D. Oral antibiotics
E. UV phototherapy
Answer and topic summary
The answer is B. Emollients and topical steroids
Atopic dermatitis is a chronic, inflammatory skin disease. Risk factors include genetics and environmental exposures. Clinical features include pruritus, dry skin, and erythematous papules and vesicles with exudation and crusting. Skin thickening and lichenification may develop over time. Classically, the lesions are located on the neck, face, and flexor surfaces of the arms. The diagnosis is often clinical. Management includes avoiding exacerbating factors, optimizing skin hydration with emollients, topical steroids, oral H1 antihistamines for pruritus, and topical calcineurin inhibitors.
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Covered under ⇒ PANCE Blueprint Dermatology ⇒ ⇒
