Med Quizzes

Atopic Dermatitis: Treatment Step-Up

Mouse: Drag each finding into the correct treatment category. Keyboard: 1–9 to pick up, A–D to place. ? hotkeys / cheatsheet

Click or press I to enlarge

Click anywhere to close

Keyboard Shortcuts

Key	Action
1 - 9	Pick up finding by position
A - D	Place into zone
I	Toggle image overlay
Esc	Cancel / close
/	Toggle cheatsheet
?	Toggle help

Atopic Dermatitis Treatment Cheatsheet

Key Concept: Honey-colored crusts on eczema = S. aureus superinfection → ADD mupirocin. Pimecrolimus/tacrolimus = for flares where steroids are risky (face). Emollients = daily maintenance.

Treatment	Key Features
Topical Emollients	First-line MAINTENANCE: prevents flares by restoring skin barrier Applied after bathing; petrolatum or ceramide-containing moisturizers
Topical Corticosteroids	First-line FLARE treatment: reduces inflammation, itching Low-potency for face/intertriginous areas; medium/high-potency for body Risk of skin atrophy with prolonged use; taper after control
Topical Mupirocin	When eczema has HONEY-COLORED CRUSTS → S. aureus superinfection Add topical mupirocin when exam shows impetiginization (secondary bacterial infection) NOT the same as eczema herpeticum (which needs systemic acyclovir)
Calcineurin Inhibitors	Second-line for flares on FACE or intertriginous areas (where TCS risks atrophy) No skin atrophy risk; approved age ≥2 years; black box warning (theoretical malignancy) pimecrolimus (mild-moderate) \| tacrolimus (moderate-severe)

Atopic Dermatitis: Treatment Step-Up

Findings Bank

A Topical Emollients

B Topical Corticosteroids

C Topical Mupirocin

D Calcineurin Inhibitors