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AAP Recommends Skin-Directed Management of Eczema in Children

​​​​​​A clinical report by the American Academy of Pediatrics offers guidance to physicians treating children with atopic dermatitis, also known as eczema. The report, “Atopic Dermatitis: Skin-Directed Management,” to be published in the December 2014 Pediatrics (published online Nov. 24), cites evidence that the number of office visits for atopic dermatitis among children is increasing, and so primary care physicians are increasingly likely to care for children with this condition. New data show that abnormalities of the skin barrier are an important factor in the development of atopic dermatitis, and skin care and the use of skin medications should form the basis of managing atopic dermatitis, according to the AAP. Misconceptions and fear about topical steroids have led to undertreatment of this condition. According to the AAP, topical steroids are safe and effective in treating atopic dermatitis in children when used appropriately. Treating atopic dermatitis is important because of the tremendous impact it has on the quality of life of children and their families. Managing the condition can include an action plan for families that includes recommendations on frequency of bathing, prescription medications, moisturizers and antihistamines.


The American Academy of Pediatrics is an organization of 62,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit

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