A child with eczema has been treated unsuccessfully with a topical glucocorticoid for a year and has skin atrophy and hypopigmentation. The nurse will suggest discussing which drug with the provider?
a. Higher potency topical glucocorticoids
b. Topical keratolytic agents
c. Topical immunosuppressants
d. Topical nonsteroidal anti-inflammatory drugs (NSAIDs)
ANS: C
If topical glucocorticoids fail to treat eczema without causing skin atrophy and hypopigmentation, topical immunosuppressants may be used. Higher potency glucocorticoids will only compound the adverse effects. Topical keratolytic agents are not indicated. Topical NSAIDs are not indicated.
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