As the saying goes, “the details make the difference,” and for a complex disease like atopic dermatitis/eczema, which is affected by a variety of factors, every detail of the treatment is relevant to the outcome of the treatment. The details of the treatment of atopic dermatitis/eczema are still controversial, and are related to different cultures and habits. However, there is a basic consensus in European, American, Japanese and Korean treatment guidelines that eczema patients should bathe, and the number of baths should be once a day or three times a week. The bathing time should not exceed 5-10 minutes, the water temperature should not be too high, you can choose mild, weak acidic, soap-free cleaning products. 2, emollient: emollient can not replace anti-inflammatory treatment, skin inflammation when only emollient, without the use of adequate anti-inflammatory drugs, will increase the risk of infection; emollient use at least 2 times a day, immediately after the bath; dosage of children 150-200 grams / week, adults 30 grams / day, 1000 grams / month; medical skin care ingredients containing ceramide, urea, hyaluronic acid and other ingredients have a better moisturizing The role of emollients containing peanut oil, olive oil ingredients will increase the risk of allergy, especially children under 2 years of age should not be used; apply emollients should follow the direction of hair growth, so as not to block the hair follicles cause folliculitis. 3, anti-inflammatory drugs: to have enough strength, generally children choose weak and medium to strong hormones, for some special areas such as hands and feet, or rash is very thick can also use strong hormones; with enough dose is very important, you can judge the dosage according to the fingertip unit; master the correct method of medication, 1-2 times a day is enough, when the itching is reduced, the rash subsided can gradually reduce the amount or reduce the strength of the drug or When the itching is reduced and the rash subsides, the dosage can be gradually reduced or the strength of the drug can be lowered or the number of times the drug is used reduced. Other details that need attention 1. In the outpatient clinic, we encounter some patients who have been followed up for a long time, but the effect is always unsatisfactory, and occasionally talk about “the medicine prescribed by the doctor is not enough every time”. The benefits of cotton swabs are hygienic, but there are more disadvantages: cotton swabs will absorb some of the medication, reducing the amount of medication effectively applied to the skin; cotton swabs do not facilitate the quantitative calculation of the actual amount of medication after the absorption of the medication; cotton swab head is rough and will rub the eczema skin causing further damage. The actual amount of money that you need to spend on the products and services you need to get is the best. 2. Do topical hormone creams need to be mixed with other topical antibiotics? I often encounter patients who use the medication in this way: 1:1 mixture of Denide cream and Fusidic acid cream is used topically. This combination is intended to control inflammation with hormones (Denide) and prevent bacterial infection with antibiotics (Fusidic acid or Bactrim). The intention is good, but the approach is wrong. Different creams need a certain concentration to play a therapeutic role, and when mixed 1:1, the concentration drops by half, and the effect will be reduced. In addition, different topical drugs have different dosage forms, different fat solubility, and different pH (acidity), so simply mixing some drugs together will affect the effect. So how should I use it? You can apply topical antibiotic ointment first, and then apply topical hormone ointment half an hour later, so as to avoid the mutual influence between drugs. Or choose the compounded creams. 3.Do I need to change the brand of moisturizer often? Nowadays, there are more and more brands of medical moisturizers, giving you more choices, and I usually recommend several brands of products in my clinic. In terms of the basic efficacy of moisturizing, there is no essential difference between different brands, but different patients may have different feelings after using them, so you can choose the product that you feel is effective and comfortable to apply among more brands. Once chosen, there is no need to change it often. It is important to note that in different seasons, the dosage form can be adjusted according to the dryness of the skin and sweating: ointment (ointment) and cream (cream) are more greasy and are mostly used in winter; lotion (lotion) is lighter and is mostly used in summer and in areas where sweating is more frequent.