“However, patients with chronic atopic dermatitis, moderate to severe atopic dermatitis, refractory atopic dermatitis, and atopic dermatitis complicated by comorbid infections or contact dermatitis require customized treatment approaches that are best suited for the dermatology setting.”
Many flaring patients will have chronic disease and it is important to assess the chronicity and longitudinal course of atopic dermatitis to properly tailor treatment, and that this is often best done in dermatology, Dr. Silverberg stressed.
But the problem with most dermatology practices is that they are typically not set up to allow timely follow up and or allow enough time for thorough discussion regarding the tremendous facets of one’s atopic dermatitis. Chronic, severe eczema can not be effectively managed in a 5 minute in office dermatology visit. A different approach and treatment platform is needed to address the special needs of those with chronic severe eczema.
Given that this condition is a chronic problem for most with moderate to severe disease, a treatment model that allows for timely follow up and allows for sufficient interaction between the patient and the provider is key for any long term success to occur.