Redefining Treatment Success in Pediatric Atopic Dermatitis

When switching pediatric atopic dermatitis treatment, reframing success is key. Dr. Golant defines success as finding a doable treatment that fits the family's life and achieves a level of control with minimal impact on quality of life: prioritizing sleep, social engagement, and daily function. Dr. Eichenfield tailors his language to the family's worldview, framing therapy as "controlling" disease or "allowing rebalance," but always linking effective disease control to reduced inflammation and a better long-term prognosis. Both experts emphasize discussing the risks of untreated disease, including infection, comorbidities, and profound psychosocial impacts. Success involves meeting the family where they are, setting realistic goals for clearance, itch relief, and sustained control, and clearly outlining the consequences of inaction to secure commitment to a new management plan.