[Skip to Navigation]
January 1979

Atopic Dermatitis

Author Affiliations

Stanford, Calif

Arch Dermatol. 1979;115(1):110. doi:10.1001/archderm.1979.04010010076038

To the Editor.—  In view of recent discussions of the Scholtz regimen in letters to the editor (Archives 113:1616, 1978, and 114:1099, 1978), I submit the following comments. Fourteen years have elapsed since I reported1 a regimen for the management of the skin of the atopic patient. It was my purpose to (1) emphasize and focus attention on pathogenic mechanisms in the skin itself and minimize the role of "allergic" and psychiatric factors, and (2) show that the dermatitis could be successfully managed without systemic corticosteroid therapy. My own subsequent experience continues to indicate the usefulness of the essentials of the program, the two measures of greatest importance being reducing, to the extent possible, stimuli to sweating that occur in daily life (the hot bath, exercise, strong emotional reactions), and reducing the population of pathogenic bacteria in the skin with systemic antibiotics. In the past the bacterial factor in