• Clinics in dermatology · Nov 2015

    Atopic dermatitis: Kids are not just little people.

    • Smita Awasthi, Marti Jill Rothe, and Lawrence F Eichenfield.
    • Department of Pediatric and Adolescent Dermatology, Rady Children's Hospital, 8010 Frost Street, Suite 602, San Diego, CA 92123. Electronic address: sawasthi@rchsd.org.
    • Clin. Dermatol. 2015 Nov 1; 33 (6): 594-604.

    AbstractThe approach to children and adults with atopic dermatitis is similar. In both age groups, failure to respond to conventional therapy should prompt evaluation for complicating factors such as secondary infection and secondary ACD. Immunologic, metabolic, genetic, and nutritional disorders should be considered in the differential diagnosis of refractory pediatric atopic dermatitis. Cutaneous T cell lymphoma (CTCL), cutaneous drug reactions, other spongiotic dermatoses, psoriasis, dermatomycosis, and infestations should be considered in the differential of refractory atopic dermatitis in adults. Systemic therapies prescribed to both children and adults with severe atopic dermatitis include oral corticosteroids, cyclosporine, methotrexate, azathioprine, and mycophenolate mofetil. Copyright © 2015. Published by Elsevier Inc.

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