Fast Five Quiz: Atopic Dermatitis Management

William D. James, MD


February 22, 2021

Steroids should be discontinued when lesions disappear and replaced with a moisturizer and/or topical calcineurin inhibitor (TCI) for maintenance. They may be resumed when new patches arise. This is considered a reactive approach to long-term management. However, some individuals benefit from a proactive approach, which involves the scheduled, intermittent (usually twice weekly) application of TCS or TCIs to both previously and newly involved skin, along with moisturizers.

Proactive application of TCS or TCIs is an effective strategy for the prevention of flares in atopic dermatitis. Currently, TCS are considered the first-line therapy but are only recommended for up to 2 continuous weeks, whereas TCIs may be used for up to 1 year.

Learn more about atopic dermatitis treatment and management.


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