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Atopic dermatitis — CCFP MCQ

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HardDermatologyAtopic dermatitisCCFP

A 7-year-old has recurrent flexural atopic dermatitis controlled by seven days of appropriate topical corticosteroid but flares within days of stopping. There is no infection. What is the best maintenance strategy?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Use daily emollient plus intermittent corticosteroid on recurrent sites

Explanation lettering: E = shown as A · C = shown as B · B = shown as C · A = shown as D · D = shown as E

E is correct. After control, daily moisturization plus intermittent proactive anti-inflammatory treatment on frequent flare sites reduces relapse and limits total steroid exposure. A creates systemic toxicity. B confuses disease recurrence with steroid harm and invites undertreatment. C adds unnecessary antimicrobial exposure. D damages the barrier and may irritate skin. Potency, quantity, site and follow-up should be taught explicitly to address steroid fear safely.

Reference: Canadian Family Physician: Topical corticosteroids for atopic dermatitis: https://www.cfp.ca/content/70/9/558