1. Atopic Dermatitis and the Immune System

Atopic dermatitis is a chronic inflammatory skin condition that is associated with a dysregulation of the immune system. While the immune system in affected children reacts hypersensitively to certain stimuli, this does not mean that they are excluded from vaccinations. On the contrary: Vaccinations are also important for children with atopic dermatitis, as they provide protection against potentially dangerous infectious diseases.

2. Are vaccinations safe for atopic dermatitis?

Yes, vaccinations are safe for children with atopic dermatitis. The standard vaccinations listed in the recommendations of the Standing Vaccination Committee (STIKO) can generally be carried out without concern. Studies show that children with atopic dermatitis do not have significantly higher risks of serious side effects after vaccination compared to healthy children.

However, parents should inform the treating physician about their child's atopic dermatitis so that the physician can better assess possible skin reactions.

3. Skin reactions after vaccinations

Children with atopic dermatitis may occasionally show stronger skin reactions after vaccinations. These can include:

• Round redness and swelling at the injection site

• Increased itching

• Temporary worsening of eczema

These reactions are usually mild and temporary. They typically resolve within a few days and do not pose an obstacle to future vaccinations.

4. When should vaccinations be postponed?

In some cases, it may be advisable to postpone the vaccination appointment, for example:

• During an acute atopic dermatitis flare-up, as the immune system is already stressed.

• If the child has a cold or has a fever.

Once the flare-up has subsided, the vaccination can be easily made up.

5. Can vaccinations be given despite treatment with corticosteroid cream?

A therapy with corticosteroids usually does not pose an obstacle to recommended vaccinations. There is no scientific evidence that vaccinations are significantly impaired by the treatment.

6. Conclusion

• The STIKO recommends vaccinations for toddlers and adolescents.

• If possible, vaccinations should be avoided during an illness flare-up.

• Allergic reactions related to vaccinations are extremely rare and occur in individuals with atopic dermatitis no more frequently than in those with healthy skin.

• If the skin condition worsens, one should consult a pediatrician or dermatologist.