Atopic Dermatitis by Johannes Ring

Author:Johannes Ring
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

4.4.4 In-patient Treatment

In the acute flare, patients can benefit greatly from a short inpatient therapy, since not only the adequate treatment procedures can be better performed, but also the change of environment often brings improvement (e.g., aeroallergens like house dust mites).

It is important that this phase of acute treatment is followed by consequent further treatment according to the stepwise management.

4.4.5 Amount of Topicals

One of the most common mistakes made by patients or inexperienced doctors is to prescribe and apply not enough emollients and specific topicals. Therefore, I usually ask the patients to bring me the empty tubes for the next visit, so I can immediately see how much has been really used.

A simple guide is the so-called fingertip rule: The amount of ointment on a fingertip of an adult corresponds to approx. 0.5 g ointment (tube opening 5 mm). This amount is good for an area of two adult palms (1 % of body surface).

This makes clear how much ointment has to be used with regard to body surface involved at different ages.

With the use of specific anti-inflammatory substances, one has to consider that penetration of substances differs greatly between various body areas (Table 4.12).Table 4.12Absorption of topically applied drugs is different, depending on body sites

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