Medical dermatology
Eczema (Atopic Dermatitis)
Modern eczema care goes far beyond steroid creams — biologics and JAK inhibitors mean most patients can finally have calm skin year-round.
Why eczema is so different now
Until recently, "eczema" meant moisturize and use steroid cream. Today, we have biologics and small-molecule oral medications that target the immune signals causing the rash directly. Patients who lived with constant itch for years often clear in weeks.
Our approach
- Diagnose accurately — not all itchy rashes are eczema; we rule out allergic contact dermatitis, fungal, and other mimickers.
- Repair the barrier — daily moisturizing strategy specific to Miami's humidity.
- Use the right strength of topical — face/folds vs. body, and rotate calcineurin inhibitors when needed.
- Escalate when needed — dupilumab, tralokinumab, lebrikizumab, JAK inhibitors (upadacitinib, abrocitinib).
- Address triggers — sweat, soap, fragrance, stress patterns.
Frequently asked questions
Is biologic therapy safe long-term?
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
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