Which topical corticosteroid is a good choice for treating a case of atopic dermatitis?

The choice of hydrocortisone base 2.5% for treating atopic dermatitis is appropriate because it is a mild topical corticosteroid that is effective for managing inflammation and itching associated with this condition. Atopic dermatitis often affects sensitive skin areas, particularly in children, and a lower-potency corticosteroid like hydrocortisone minimizes the risk of side effects, such as skin thinning, while still providing sufficient anti-inflammatory action. It can be used for longer periods without significant concerns compared to more potent corticosteroids.

In contrast, while betamethasone dipropionate, halcinonide, and desonide have their places in dermatological treatment due to their anti-inflammatory properties, they may be too potent for sensitive skin, especially in chronic inflammatory conditions like atopic dermatitis. Using a more potent corticosteroid as a first-line treatment could increase the risk of side effects and is typically reserved for more severe or resistant cases. This makes hydrocortisone a safer first choice for typical presentations of atopic dermatitis.