Published: Jul 10, 2014 9:41 AM EDT
Updated: Jul 10, 2014 11:09 AM EDT

The number of children with atopic dermatitis, often referred to as eczema is on the rise.  Here to discuss this and recent recommendations in the treatment of eczema, is Dr. Annette St. Pierre-MacKoul. 

Atopic Dermatitis: 1 in 5 children affected

Painful, itchy skin condition

Creams and oral meds prescribed

Side effects to medications

-Wet Wrap Therapy First described in 1987

Steps:  Soak in a bathtub of warm water for 20 minutes.   

 Apply topical medications quickly while skin is damp.       

Immediately dress child in wet clothing / wraps to seal in moisture     

 Follow with a layer of dry clothing      

 Remove after > 2 hours.

Journal of Allergy and Clinical Immunology Study: Wet Wrap Therapy = dramatic resultsSymptoms reduced by 71% At follow up visits, healthy skin was maintained.Wet wraps applied 2-3 times per day. Dramatic results in usually 4 days. Taper down treatments after that. Therapy was done inpatient.-

-Current Treatments: OTC lotionsOTC steroid creams / ointmentsRX lotions, steroid creams and ointmentsOral allergy medicationsOral steroidsImmunosuppressants