Child with Atopic Dermatitis
A five-year-old male was being treated atopic dermatitis that started when he was a year old. Over time, the rash became worse and extremely itchy. The child would awaken at night in order to scratch his legs which is where the rash was localized.
He was started on a four-course medication management plan of prednisone for one week. His mother reported temporary relief with this treatment, but the rash reoccurred soon afterward. The boy was then started on cyclosporine for one month with no improvement reported by his mother.
What do you recommend for medication management for this patient and why?