Question

A 14-year-old girl with a history of atopic eczema presents with an exacerbation. Her skin is erythematous, dry, and intensely itchy, affecting the flexures of her elbows and knees (moderate severity). She is already using emollients frequently. What is the most appropriate next step in management?

Accepted Answer

Moderate potency topical corticosteroid (e.g., Clobetasone butyrate 0.05%)

Answer

Oral antihistamines (e.g., Cetirizine)

Answer

Topical calcineurin inhibitor (e.g., Tacrolimus)

Answer

Mild potency topical corticosteroid (e.g., Hydrocortisone 1%)

Answer

Referral for phototherapy

Practice question

A 14-year-old girl with a history of atopic eczema presents with an exacerbation. Her skin is erythematous, dry, and intensely itchy, affecting the flexures of her elbows and knees (moderate severity). She is already using emollients frequently. What is the most appropriate next step in management?