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Atopic Dermatitis — RACP Paediatrics MCQ

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EasyDermatologyAtopic DermatitisRACP Paediatrics

A 3-month-old infant presents with erythematous, weeping, crusted lesions on the cheeks and scalp. The parents report the infant is irritable and scratching. There is a strong family history of atopy. What is the most appropriate first-line treatment?

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Correct answer: C — Regular emollients and a mild topical corticosteroid (e.g. hydrocortisone 1%)

Infantile atopic eczema affecting the face is common. First-line treatment includes regular emollients (applied liberally and frequently) and mild topical corticosteroids (hydrocortisone 1%) for active inflammation. Potent corticosteroids (betamethasone 0.1%) are not appropriate for the face in infants. Tacrolimus 0.03% (not 0.1%) may be used as second-line for facial eczema in children >2 years.

Reference: Therapeutic Guidelines – 2024 – Dermatology: Atopic Dermatitis