Case of the Month
This boy presented with a cheek rash. He also had an eczematous rash on the flexural folds of his arms and legs. His father has a history of asthma.
What's Your Diagnosis?
Diagnosis: (treated) Atopic Eczema
I treated him with warm-water washcloth compresses/soaks, held lightly against his cheeks by his parents for 3-5 minutes twice per day. I instructed them to gently pat dry with a cotton towel and immediately apply Bactroban cream and then a class V steroid on top of that to the cheeks. After 5 days discontinue the Bactroban and use only topical class V steroid for 5 more days (total of 10 days). Once the skin is clear I recommended a non-steroidal topical macrolactam cream (pimecrolimus) daily for maintenance in conjunction with gentle cleansers (Vanicream cleansing bar) and moisturizers (Cerave lotion).
For more dermatology cases-of-the-month visit Dr. Crutchfield's Case of the Month Archive
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Crutchfield Dermatology
1185 Town Centre Drive, Suite 101
Eagan, MN 55123 USA
Phone: (651) 209-3600 Fax: (651) 209-3601
Hours: Monday-Friday 8am-5pm
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