Topical therapy of atopic dermatitis

Topical therapy is first line of treatment for mild to moderate atopic dermatitis (AD) which is the commonest form of the disease in India. Avoidance of overbathing, use of a synthetic detergent preferably with a slight acidic pH is recommended. Regular use of a moisturiser preferably containing an occlusive and a humectant which perfume free is to used liberally. Topical corticosteroids are the most important pillars of topical treatment of AD. Understanding the proper and judicious use of topical corticosteroids is of prime importance. The choice of the molecule, frequency and amount and method of application and whether or not to use combination and the proper monitoring will decide the optimum outcome to the treatment. Concomittant long term use with gradual tapering of corticosteriod is recommended. Mild recurrences can be controlled by monotherapy. Proper and judicious use of all the elements of topical therapy is needed for successful treatment outcome.