Excellence in Dermatology™
Excellence in Dermatologic Surgery™
Excellence in Medical Dermatology™
Excellence in Dermatopathology™

Atopic Dermatitis


A 1-year-old girl has a 3-month history of a very pruritic eruption, shown in this photo. Lesions are also present on the face and antecubital fossa. Of the following, the MOST likely diagnosis is:


A 12-year-old girl presentswith erythematous, excoriated papules with overlying crust in the antecubital fossa (see photo). She showers daily and is using a petrolatum-based emollient twice a day. What is the most appropriate next step in management?

3.*A 3 month-old baby has developed erythematous, oozing patches on the cheeks and chin and frequently rubs his face. Which of the following is the most likely diagnosis?
4.*A 12 year-old boy with a long history of atopic dermatitis presents with a patch on the arm that is not improving despite two weeks of treatment with his usual class 3 topical corticosteroid. The area is open, oozing and has honey-colored crusting. Which of the following is the most likely diagnosis?
5.*A 14 year-old girl with a history of atopic dermatitis on the hands and wrists notes that she is using hydrocortisone 2.5% ointment twice daily every day and is only getting minimal relief. On exam, there is thick lichenification of the hands and wrists with many excoriations. What is the best next step?
6.*The mother of a 2 year old with atopic dermatitis asks how frequently she should bathe her. What is the best answer?
7.*A 6 year-old girl with severe atopic dermatitis is using a class 2 topical steroid on the face and arms for 2-3 weeks out of every month and still having frequent flares. She has required 2 courses of oral corticorsteroids in the past 6 months for severe flares, and has had 4 courses of oral antibiotics in the past year. What is the next best step?
8.*A 3 year-old boy has ill-defined hypopigmented patches on the cheeks that seemed to appear over the summer. What is the best diagnosis?

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