Management of atopic dermatitis in the inpatient setting

Document Type

Journal Article

Publication Date

1-1-2021

Journal

Current Dermatology Reports

DOI

10.1007/s13671-021-00332-7

Keywords

Admission; Adults; Atopic dermatitis; Comorbid; Emergency; Hospital; Infection; Inpatient; Management; Mental health; Pediatrics; Psychiatric; Sleep

Abstract

Purpose of Review: Despite the significant burden of inpatient hospitalization for AD, there are few reviews of inpatient management of AD. In this review, we address common indications for hospitalization in AD patients, the role of dermatology consultation, treatment considerations, and discharge planning. Recent Findings: There are significant socioeconomic and racial/ethnic disparities that lead to increased risk of hospitalization and readmission for AD. A significant burden of mental health disorders in patients with AD can result in psychiatric emergencies and hospitalization in AD patients. Summary: The mainstay of hospital treatment for severe or refractory AD remains topical corticosteroid wet wraps. Dermatology should be consulted early in the hospital course. In order to prevent readmission, patients with AD need to be discharged with timely outpatient follow-up to ensure both short-term and long-term disease control. Finally, patients hospitalized for AD may benefit from a multidisciplinary team that can also address their other health conditions and barriers to care.

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