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Navigating Treatment Decisions for Pediatric Patients With Moderate to Severe Atopic Dermatitis

Case Challenge
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This activity is available for 0.50 CME/CE credit(s).

Released: September 30, 2025

Expiration: September 29, 2026

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Despite advances in atopic dermatitis (AD) management, many children and adolescents continue to experience persistent itch, disrupted sleep, recurrent flares, and reduced quality of life, underscoring the need for individualized, family-centered treatment strategies. In this Interactive Case Challenge, learners will follow a pediatric patient with moderate to severe AD through key treatment decision points, including initial flare management, escalation after inadequate control with optimized topical therapy, and long-term maintenance planning.

Pediatric Atopic Dermatitis in Practice

Pre Assessment

Assess your current knowledge and clinical approach before beginning your Case Challenge.
1.

Alex is a 10-year-old girl with a history of atopic dermatitis (AD) that has been quiet since it was diagnosed. During the past 2 months, she has developed widespread erythematous, scaly plaques all over her body, causing nocturnal pruritus, which has affected her sleep. Her family has tried several dietary restrictions without benefit and gentle skin care techniques since they are worried about medication adverse effects. Today, she presents exhausted and scratching during the visit. 

What is the best initial management today?