Eczema (Atopic Dermatitis)
What Is It?
Chronic, relapsing inflammatory skin condition causing dry, itchy, red, and scaly patches. Often begins in childhood but persists into adulthood. Associated with asthma and allergic rhinitis (atopic triad).
How Is It Diagnosed?
Clinical diagnosis based on morphology and distribution. Patch testing for allergic contact dermatitis. Skin biopsy rarely needed.
How Is It Treated?
Moisturizers (emollients) as cornerstone. Topical corticosteroids for flares. Topical calcineurin inhibitors (tacrolimus). Dupilumab biologic for moderate-severe disease. Antihistamines for itch.
Tests and Imaging Typically Needed
Clinical diagnosis. Consider allergen testing, CBC (eosinophils), IgE level, thyroid tests.
Approximate Self-Pay Costs
Office visit: $95-$150. Topical corticosteroids: $10-$30/month. Dupilumab: $3,000+/month (manufacturer savings program available).