INDIVIDUAL ARTICLE: Pediatric Atopic Dermatitis Patient Cases Integrating Ceramides-Containing Cleansers and Moisturizers into Prescription Treatment and Maintenance Approaches

December 2023 | Volume 22 | Issue 12 | SF389716s3 | Copyright © December 2023


Published online November 28, 2023

Lawrence A Schachner MD FAAD FAAPa, Anneke Andriessen PhDb, Madelyn Dones MD FAAPc, Mercedes E Gonzalez MD FAADd, Linda Keller MD FAAPe, Karan Lal MD MS FAADf, Peter Lio MD FAADg, Ayleen Pinera-Llano MD FAAPh, Latanya Benjamin MD FAAD FAAPi

aDivision of Pediatric Dermatology, Department of Dermatology and Cutaneous Surgery, Department of Pediatrics, Leonard M. Miller School of Medicine, University of Miami, FL
bRadboud UMC, Nijmegen and Andriessen Consultants, Malden, The Netherlands
cBaptist Health Hospital, Nicklaus Childrens’Hosptital, Miami, FL
dMedical Director, Pediatric Skin Research, Assistant Professor Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery at the University of Miami Miller School of Medicine Miami, FL
eBaptist Health Baptist Hospital, Baptist Health South Miami Hospital, Miami, FL
fSchweiger Dermatology Group, New York, NY
gClinical Assistant Professor of Dermatology & Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL
hKing Bay Pediatrics, Maimi, FL, General Pediatrics, Nicklaus Children's Hospital, Miami, FL
iAssociate Professor of Pediatric Dermatology, Department of Women's and Children's Health, Florida Atlantic University, Boca Raton, FL

Prompt and rigorous AD therapy is required to prevent sequelae such as hyper or hypopigmentation. In addition, early and ongoing skincare using a CER-containing hydrating cleanser once daily and a CER-containing moisturizer twice daily promotes maintaining a healthy skin barrier. 

Patient 4: This otherwise healthy 8-year-old boy with Fitzpatrick phototype II had seasonal allergies and recurrent AD since early childhood (Table 4). As an infant, he had frequent flares, which now rarely occur. Currently, he has no treatment for his AD. He presents at the clinic with white, slightly rough patches on bilateral cheeks present for two months, which worsened over the summer months. He spent his summer in a swimming camp. The patient and parents were educated about AD and the situations and products that may trigger flares, such as excessive sun exposure and swimming in pools. The benefits CER-containing skincare may offer for AD treatment and maintenance were discussed with the patient and his parents. 

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