What is your approach to managing moderate to severe atopic dermatitis in pregnancy?
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2 Answers
Mednet Member
Dermatology · Harvard Medical School/Brigham and Women’s Hospital
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...
Mednet Member
Dermatology · Dermatologists of Central States
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...