Update on the Clinical Management of Atopic Dermatitis in the Pediatric Emergency Department.

Atopic dermatitis, the most common inflammatory skin disease of childhood, affects up to 20% of US children and frequently prompts emergency department (ED) visits. Clinicians must distinguish uncomplicated flares from secondary infections or treatment complications and initiate appropriate acute interventions. Evidence supports the judicious use of topical corticosteroids, with systemic therapy reserved for severe or refractory cases. The therapeutic landscape has expanded to include biological and targeted agents, which, while generally initiated in specialty settings, influence long-term care and require awareness in the ED. Families benefit from structured, actionable discharge planning, including provision of an "Eczema Action Plan," clear instructions on topical regimens, moisturizer use, and guidance on follow-up with primary care and dermatology. Emphasis on communication and education helps prevent recurrence, reduces unscheduled visits, and fosters adherence to outpatient management.