Atopic dermatitis is common in childhood. For infants it affects the cheeks, limbs, and trunk, only affecting flexor surfaces as kids age. Here are five key takeaways for managing atopic dermatitis in infants:

Differentiate atopic dermatitis from other common similar rashes like seborrheic dermatitis and irritant dermatitis

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Liberal use of moisturizers twice daily helps manage symptoms and prevent flares

Use . Once-daily applications are as effective as twice-daily usage while reducing side effects and cost

Use the ! Treat acute flares with moderate or potent topical steroids, followed by maintenance therapy with lower potency topical steroids or topical pimecrolimus

Monitor for secondary bacterial infections and treat systemic infections with oral antibiotics

 

Bonus: Food avoidance may not improve atopic dermatitis but may increase the risk of food allergies. The CPS recommends the introduction of allergenic foods starting at 6 months old.

 

Reference:

https://www.cmaj.ca/content/194/43/E1485

 

Anna Whalen-Browne, Hywel C. Williams and Derek K. Chu

CMAJ November 07, 2022 194 (43) E1485; DOI: https://doi.org/10.1503/cmaj.212094