In this episode, we will discuss everything you need to know before seeing your first pediatric patient with eczema. We will review its pathogenesis, who gets eczema, what to look for on exam, and potential differential diagnoses. We will also elaborate upon the most recent AAP guidelines for treatment of eczema, which focuses on skin care maintenance, topical steroids, and avoidance of triggers. Show Outline: Introduction to Eczema Description of dermatologic terms Defining eczema and atopic dermatitis Pathogenesis Immune dysfunction Histological differences Involvement of filaggrin Racial disparities Who gets eczema? Age of onset Demographics of patients with eczema Atopic disease & “The Atopic March” Clinical Presentation / Diagnosis Characterization of eczematous lesions What to look for in people of color Most likely locations of eczema based on patient age Differential diagnoses Sleep disturbances Utilizing the Patient-Oriented Eczema Measure (POEM) Treatment AAP recently updated treatment guidelines The basic triad for eczema treatment Skin care maintenance Topical anti-inflammatory medications The 5-10-15 Plan Avoidance of triggers Side-effects of topical steroids (very rare) Skin atrophy Steroid withdrawal Complications Secondary infections Tinea Impetigo Eczema herpeticum Closing statements Resources/Links: POEM Eczema Questionnaire: https://www.rchsd.org/documents/2020/08/madp-poem.pdf/ Roduit C, et al. (the PASTURE study group). Phenotypes of Atopic Dermatitis Depending on the Timing of Onset and Progression in Childhood. JAMA Pediatr. 2017 Jul 1;171(7):655-662. doi: 10.1001/jamapediatrics.2017.0556. PMID: 28531273; PMCID: PMC5710337. Schoch JJ, Anderson KR, Jones AE, Tollefson MM; Section on Dermatology. Atopic Dermatitis: Update on Skin-Directed Management: Clinical Report. Pediatrics. 2025 Jun 1;155(6):e2025071812. doi: 10.1542/peds.2025-071812. PMID: 40383540.

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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