The article summarizes the treatment options and principles for atopic dermatitis (AD) in children which are based on the knowledge of aetiopathogenesis and pathophysiology of AD. The mainstays of AD treatment have remained the same; however, some recommendations have changed due to updated knowledge (e. g. atopic skin hygiene, pattern of use of local corticosteroids and local immunomodulators).
Due to updated knowledge on AD and a wide choice of local agents, the management of atopic patients can be individualized and continues to improve. Biological therapy, which is still in the phase of clinical trials, appears to be most effective in the most severe cases.