Lysosomes have been demonstrated by electron microscopy. No cure exists, and treatment is aimed at the multifactorial nature of the disease. Atopic dermatitis frequently can be controlled with topical steroids. The treatment regimen for AKC typically consists of topical steroids, mast cell stabilizers, systemic antihistamines, and systemic and topical antibiotics. Recent studies have shown that patients with eye involvement may have an increased likelihood of food sensitivity.
Ophthalmic consultation is recommended if eye involvement is noted.
Dermatology consultation may be necessary to confirm a diagnosis of atopic dermatitis. Patients with known atopic disease may have various food allergies that trigger or exacerbate their disease. Avoidance of these foods is essential. Antibiotic treatment should target S aureus, the most likely pathogen, and should be chosen based on the patient's allergies and compliance. Immunosuppressives, other than steroids, will only very rarely be required, and these likely will not be prescribed by the ophthalmologist.