This section outlines the clinical approach to the management of atopic dermatitis, from initial assessment and diagnosis through to taking a decision to treat and ongoing treatment (for a detailed description of the available treatment options, please refer to the treatment section of this Knowledge Centre). An overview of the clinical management of atopic dermatitis is shown below.
The management pathway for atopic dermatitis

Following a diagnosis of atopic dermatitis, the choice of management strategy depends on the severity of the condition, and should take into account the patient’s and their family’s needs and concerns.
All patients should receive appropriate lifestyle advice to help them identify and avoid the factors that may trigger a disease flare. In addition, the ongoing use of non-pharmacological therapies (for example, emollient creams) is recommended to restore and maintain the skin’s natural moisture.
A range of pharmacological treatments are available to manage disease flares. However, the use of topical anti-inflammatory agents (topical corticosteroids and topical calcineurin inhibitors) is considered standard practice. A new management option for patients with frequent flares and moderate-to-severe disease – twice weekly anti-inflammatory treatment to control persistent subclinical inflammation once lesions have been controlled – has been demonstrated to prevent flares and prolong flare-free periods.
The physician plays a key role in educating the patient on the management options available to them and in encouraging compliance with the chosen treatment strategy.
© February 2010 Astellas Pharma Europe LTD.
Disclaimer:
The Atopic Dermatitis Knowledge centre contained within www.epgonline.org and available at www.atopicdermatitisinfo.org is intended to be for educational use only and not designed to provide medical advice or professional services.