Clinical Pathway for Evaluation/Treatment of Children
with Suspected Atopic Dermatitis

Goals and Metrics
Provider Resources
Patient Education
Child with Suspected Atopic Dermatitis (AD)
Mild
Moderate
Severe
Topical Steroids Treatment Recommendations by Flare Severity, Skin Location, Child's Age
Severity Location

Age < 3 yrs

Ointment covered by most insurance payers

Age ≥ 3 yrs

Ointment covered by most insurance payers
Mild Face/Genitals 2.5% Hydrocortisone base 2.5% Hydrocortisone base
Mild Body 2.5% Hydrocortisone base 0.025% Triamcinolone acetonide
Moderate Face/Genitals 0.025% Triamcinolone acetonide 0.025% Triamcinolone acetonide
Moderate Body 0.025% Triamcinolone acetonide 0.1% Triamcinolone acetonide
Severe Face/Genitals 0.025% Triamcinolone acetonide 0.025% Triamcinolone acetonide
Severe Body 0.1% Triamcinolone acetonide 0.05% Fluocinonide
  • Always use Steroid Medication in ointment formulation, Recommended ointment covered by most insurance payers if child is already using applicable medication, refer to Steroid Potency Table
  • CHOP Formulary  
Posted: October 2018
Revised: January 2023
Authors: K. Woo Castelo CRNP; M. Jen MD; C. Tucker MD; K. Gupta MD; J. Hart MD; E. Delgado MD;
L. Wilson RN; A. Verma MD; M. Perman MD; J. Treat MD