Eczema (Atopic Dermatitis)

Why eczema is so different now

Until recently, "eczema" meant moisturize and use steroid cream. Today, we have biologics and small-molecule oral medications that target the immune signals causing the rash directly. Patients who lived with constant itch for years often clear in weeks.

Our approach

1. Diagnose accurately — not all itchy rashes are eczema; we rule out allergic contact dermatitis, fungal, and other mimickers.
2. Repair the barrier — daily moisturizing strategy specific to Miami's humidity.
3. Use the right strength of topical — face/folds vs. body, and rotate calcineurin inhibitors when needed.
4. Escalate when needed — dupilumab, tralokinumab, lebrikizumab, JAK inhibitors (upadacitinib, abrocitinib).
5. Address triggers — sweat, soap, fragrance, stress patterns.