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

He was using triamcinolone cream as needed and crisaborole ointment, which a previous dermatology provider recommended. He used regular bar soap for cleansing and did not use a moisturizer regularly. He presented at the clinic with pruritic plaques on his face and body that interfered with sleep. We prescribed mometasone 0.1% ointment to be used twice daily on the plaques that, when the skin condition is improved, should be tapered twice or three times per week. The patient and his parents received education about his condition and the benefits of a consistent CER-containing skincare routine. We provided a CER-containing hydrating cleanser to the face and body daily and a CER-containing healing ointment to use once or twice daily. After using the regime for eight weeks, he reported a significant reduction in pruritus, and his skin was clear of visible disease. 

The main lessons learned: The lack of a consistent skincare routine for xerotic and atopic skin may trigger flares. CER-containing hydrating cleanser and healing ointment were applied once or twice daily