Pathway for Evaluation/Treatment of
Suspected Atopic Dermatitis
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Topical Steroids Treatment Recommendations by Flare Severity, Skin Location, Patient Age

Severity Location Age < 3 yrs Age ≥ 3 yrs Potency
Class
Ointment covered by most insurance payers Ointment covered by most insurance payers
Mild Face/Genitals 2.5% Hydrocortisone base 2.5% Hydrocortisone base Lowest
Class VII
Body 0.025% Triamcinolone acetonide Lower-Medium
Class VI
Moderate Face/Genitals 0.025% Triamcinolone acetonide 0.025% Triamcinolone acetonide Lower-Medium
Class VI
Body 0.1% Triamcinolone acetonide Medium
Class V
Severe Face/Genitals 0.025% Triamcinolone acetonide 0.025% Triamcinolone acetonide Lower-Medium
Class VI
Body 0.1% Triamcinolone acetonide 0.05% Fluocinonide High
Class II
  • FLOC, RN Team Assessment
  • Always use Steroid Medication in ointment formulation, Recommended ointment covered by most insurance payers If patient already using applicable medication, refer to Steroid Potency Table
  • CHOP Formulary +
Posted: October 2018
Authors: L. Castelo-Soccio MD, K. Woo Castelo CRNP, M. Jen MD, C. Tucker MD, K. Gupta MD, C. Yun MD, J Hart MD
E. Delgado MD, L. Wilson RN, B. Johnson RN, A. Verma MD, M. Perman MD, J. Treat MD