Steroid Stewardship: Reducing Long-Term Steroid Use in Pediatric Atopic Dermatitis

Experts define steroid stewardship in pediatric atopic dermatitis as a "healthy respect" for topical corticosteroids, emphasizing their safety in appropriate, limited use. Dr. Golant stresses assessing a child's overall steroid burden, including inhalers for asthma, to manage cumulative exposure. While steroids remain accessible and effective, long-term use risks necessitate proper counseling. The availability of non-steroidal agents is pivotal, offering safer anti-inflammatory alternatives for maintenance therapy and reducing reliance on steroids. Dr. Eichenfield highlights unanswered questions about potential toxicities and notes higher absorption rates in younger children, reinforcing the need for caution with higher-potency formulations in pediatric patients.