Summary

• Commonly presents with dry, itchy skin.
• Typically there is erythema, scaling, vesicles, or lichenification in skin flexures.
• Diagnosis is primarily clinical.
• First-line treatment is with emollients and topical corticosteroids.
• Other options that may be used in patients unresponsive to first-line therapy include topical calcineurin inhibitors, phototherapy, or immunosuppressive agents such as ciclosporin, methotrexate, azathioprine, and mycophenolate.