Atopic dermatitis in children: a practical approach

Atopic dermatitis is a common condition that takes a significant time from the daily work of general paediatricians. The principles of Child Health apply well in the management of this condition including attention to details and a consideration for the impact on the quality of life of the child and family. The clinical assessment involves an enquiry about triggers as well as details of therapy. All should be done through a multidisciplinary approach and liaison with primary care.Regular daily topical emollients and intermittent topical corticosteroids are the cornerstone of therapy. Resistant eczema should raise the suspicion of secondary infection, usually staphylococcal or streptococcal, poor compliance and psychological factors.