Management Of Atopic Dermatitis: Management And Treatment Of Atopic Dermatitis With Topical Therapies

The application of moisturizers should be an integral part of the treatment of patients with AD as there is strong evidence that their use can reduce disease severity and the need for pharmacologic intervention. (A)

Bathing is suggested for patients with AD as part of treatment and maintenance; however, there is no standard for the frequency or duration of bathing appropriate for those with AD. (C)

Moisturizers should be applied soon after bathing to improve skin hydration in patients with AD. (B)

Limited use of nonsoap cleansers (that are neutral to low pH, hypoallergenic, and fragrance free) is recommended. (C)

For the treatment of patients with AD, the addition of oils, emollients, and most other additives to bath water and the use of acidic spring water cannot be recommended at this time, because of insufficient evidence. (C)

Use of wet-wrap therapy with or without a topical corticosteroid can be recommended for patients with moderate to severe AD to decrease disease severity and water loss during flares. (B)