Breaking the cycle: How I manage difficult atopic dermatitis

Jon M. Hanifin

Research output: Contribution to journalReview articlepeer-review


This review summarizes the general approach and philosophy of managing difficult atopic dermatitis. There are as many regimens as there are physicians, but too many fail to provide patients with adequate relief. This leads to the wasteful alternative - an allergy-seeking behavior that makes caring for these patients even more complicated. If we, as dermatologists, provide rational counseling on prevention and skin care along with effective, stable, anti-inflammatory therapy, our patients may stop seeking irrational approaches. The new flood of information relating to epidermal barrier provides a basis for seeking and treating xerotic conditions earlier during infancy with the hope that the increasing problems with atopic dermatitis and asthma may be lessened with simple and safe measures.

Original languageEnglish (US)
Pages (from-to)79-85
Number of pages7
JournalAnais brasileiros de dermatologia
Issue number1
StatePublished - 2007
Externally publishedYes


  • Dermatitis, atopic
  • Dermatitis, atopic/prevention and control
  • Dermatitis, atopic/therapy
  • Immunologic factors

ASJC Scopus subject areas

  • Dermatology


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