Reference no: EM133720106

Question

Emily is a 5-year-old girl who presents to the pediatric dermatologist's office with complaints of recurrent skin rashes and itching. Her parents report that Emily has had dry, itchy skin since infancy, but her symptoms have worsened over the past year. Emily's medical history is significant for atopic dermatitis, and she has a family history of allergic diseases, including asthma and allergic rhinitis. Clinical Presentation: Emily presents with erythematous, scaly patches of skin on her face, neck, and flexural areas, including the elbows and knees. She also has excoriations and evidence of lichenification due to chronic scratching. Emily's symptoms are exacerbated by exposure to triggers such as heat, sweat, and certain fabrics. Physical Examination: Emily's physical examination reveals classic signs of atopic dermatitis, including dry skin, erythema, and lichenification. There are no signs of secondary infection or other dermatologic conditions. Allergy Testing: Emily may undergo allergy testing, including skin prick testing or serum IgE testing, to identify potential allergens triggering her atopic dermatitis. Using the provided patient information and clinical history, devise the most suitable pharmacological treatment for Emily's atopic dermatitis. Take into account her age, the severity of symptoms, and response to prior therapies. Explain the rationale behind.