Atopic Dermatitis: When To Call A Doctor

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When To Call a Doctor

Call your doctor if you or your child has atopic dermatitis and:

• Itching makes you or your child irritable or inconsolable.
• Itching is interfering with daily activities or with sleep.
• There are crusting or oozing sores, serious scratch marks, widespread rash, severe discoloration of the skin, or a fever that is accompanied by a rash.
• Painful cracks develop on the hands or fingers.
• Atopic dermatitis on the hands interferes with daily school, work, or home activities.
• Signs of bacterial infection develop. These include:
  • Increased pain, swelling, redness, tenderness, or heat.
  • Red streaks extending from the area.
  • A discharge of pus.
  • A fever of or higher with no other cause.

Watchful Waiting

Watchful waiting is a period of time during which you and your doctor observe your symptoms or condition without using medical treatment.

• For minor rashes, watchful waiting and home treatment are often sufficient. If home treatment clears up the rash, mention it to your doctor at your next visit.
• If home treatment does not clear up the rash, see your doctor. He or she can suggest other treatments or prescribe a stronger medicine.

Who To See

For the diagnosis and treatment of atopic dermatitis, consult with a:

• Family medicine doctor.
• Nurse practitioner.
• Physician assistant.
• Pediatrician.
• Dermatologist.

If food or other allergies are suspected to be a factor in atopic dermatitis, consider seeing an allergist (immunologist) for specialized evaluation. For more information, see the topic Food Allergies.

To prepare for your appointment, see the topic Making the Most of Your Appointment.

Last updated:	May 05, 2008
Author:	Maria G. Essig, MS, ELS
Reviewed By:	Martin Gabica, MD - Family Medicine, Anne C. Poinier, MD - Internal Medicine
Editors:	Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC