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Opinion|Videos|February 24, 2025

Oral Systemic Treatment Options for a 28-Year-Old Woman With Moderate Atopic Dermatitis

The panelist discusses how a 28-year-old woman with moderate atopic dermatitis requires personalized, comprehensive management addressing hand involvement, corticosteroid concerns, and potential Janus kinase (JAK) inhibitor therapy, focusing on symptom relief, safety, and patient-specific factors.

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  • Please provide your initial impressions of this case. Does the involvement of the patient’s hands influence your management plan at all?
  • How would you address the patient’s concerns regarding potential adverse effects of topical corticosteroids?
  • Describe your approach to treatment options for this patient. What patient-specific factors would you take into consideration when deciding on a treatment?
  • In what scenarios would a JAK inhibitor be preferred over another systemic agent?
  • How would decide between a topical or systemic JAK inhibitor for a patient?
  • What can the patient expect in terms of efficacy and safety with upadacitinib? When should she expect initial symptom relief?

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