macro

onset distribution rash type pruritus scratch until bleed sleep Anyone else in household? Systemic symptoms? triggers (ie. foods) new creams, detergents, skin products, medications? past infections and need for antibiotics current skin regimen treatments done (topical steroids, AH, etc.) current EASI score (>8yo)

Atopic dermatitis. Current control: 

> Regular moisturization (at least BID) is a crucial part of management; there is strong evidence it reduces disease severity and need for prescription creams. We reviewed options such as (but not limited to) Vaseline, CeraVe, or Cetaphil creams
> For disease flares we suggest:
  - Betaderm 0.1% ointment BID to body and Desonide 0.05% cream BID to face (or Protopic 0.1% ointment BID to face), until clear of ezcema; then switching to maintenance schedule
  - Maintenance schedule: application of topicals 2-3x/weekly to eczema-prone areas; can consider taper to OTC moisturization with sustained control
> If symptoms are refractory, we can consider systemic therapies such as Dupilimab and further investigate for mimickers such as allergic contact dermatitis, cutaneous T cell lymphoma, scabies, or immunodeficiency

Summary:

WIP

rough

topical hydrocort betaderm clobetasol

OD vs BID vs PRN

non steroidal protopic elidel eucrisa ruxolinib

dupi updacitivb