Optimal Therapy in Skin Disorders

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An 8 month old child presents with a flare of his recurrent atopic dermatitis. You treat him with 1% hydrocortisone cream bid for a week, but his mother returns after 10 days and says it’s getting worse, with spreading and some crusting. You should:

a) assess compliance with administration and dosage of cream.

b) culture the surface of the lesions.

c) treat the child with oral cloxacillin 25-50 mg/kg x 10 days.

d) use topical fusidic acid cream or mupirocin tid x 10 days.

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