What is the primary treatment for atopic dermatitis?

Topical corticosteroids are considered the primary treatment for atopic dermatitis due to their effectiveness in reducing inflammation and controlling flare-ups. These medications work by suppressing the immune response in the skin, thereby alleviating the itching, redness, and swelling associated with the condition. They are particularly useful in treating acute exacerbations of atopic dermatitis.

Antihistamines, while not used to treat the dermatitis itself, can be beneficial for managing itching and reducing the urge to scratch, especially at night. This combination helps improve overall patient comfort and quality of life.

Other treatments, such as oral antihistamines, are primarily for symptom relief but do not address the underlying inflammation. Antibiotics and moisturizers are essential but are typically used for secondary infections or as adjuncts to maintain skin hydration rather than being frontline therapies. UV therapy is generally reserved for more severe or refractory cases, making it less suitable as a primary treatment. Thus, the combination of topical corticosteroids and antihistamines addresses both inflammation and symptomatic relief effectively.