What is your approach to managing moderate to severe atopic dermatitis in pregnancy?

Gentle skin care practices, dilute bleach baths, diligent use of topical steroids, and phototherapy will cover most moderate to severe cases. If patients have any persistent lichenified areas, intralesional steroids can help temporize until after delivery/lactation. If a biologic is needed, work wit...

At this point, the standard of care (in my opinion) is dupilumab through pregnancy. There is data showing worse pregnancy outcomes in patients not on dupilumab compared to patients on dupilumab.

It makes sense - do we really think that massive uncontrolled type 2 inflammation, poor sleep, more stres...

I always start with topical treatments for dermatologic disease in pregnancy because topicals are minimally absorbed and are the lowest risk options. I use topical corticosteroids as my first-line option, and phototherapy (NBUVB) is an excellent second-line option if topical steroids fail. There is ...