Atopic Dermatitis (AD) is a chronic inflammatory skin disease commonly seen in infants and children. This condition is typically associated with hyperreactivity to environmental triggers.¹ AD usually presents during early infancy and childhood and regresses by adolescence, but it can present in adulthood.²

The clinical pattern of AD may vary with age. Infants typically present with erythematous patches, papules and plaques on the cheeks, forehead, or scalp. Children (ages 2 – puberty) exhibit more lichenfied papules and plaques on the flexures, hands, feet, wrists, and ankles. The adult phase (puberty – adulthood) generally involves affected areas including: flexural folds, neck/face, upper arms and back, and the dorsa of the hands, feet, fingers, and toes.³

AD is associated with Staphyloccocus (Staph) aureus skin colonization, which is typically managed with antimicrobial therapies.⁴ ​Alkalization of the skin barrier by ​utilizing ​vinegar baths is a potential treatment target for skin biome diversification (balance of the good bacteria on the skin).⁵ Aseptic soaks with bleach baths may also be utilized to reduce Staph colonization. Topical corticosteroids and immune modulators (TIMS), are often utilized to temporarily alleviate flares.⁶