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1-800-FLARE-MD
Eczema & Atopic Dermatitis Specialists

The 2 a.m.
scratching
stops here.

We map every centimeter of inflamed skin, calibrate immunosuppressant dosing to the nanogram, and write treatment protocols with your name on them — not a generic leaflet.

Barrier mapping across 12 body zones
Biologic and JAK inhibitor calibration
Pediatric and adult protocols
Written flare response plan at discharge
Flare clinic dermatologist 1Flare clinic dermatologist 2Flare clinic dermatologist 3

4.9/5 from 847 patient assessments

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Step 1 of 3 — Patient Profile

Who is the patient?

We calibrate every assessment to the patient's age — skin physiology changes everything.

Which image matches most closely?

Select the severity that best represents your current condition. No perfect match required.

Mild Dryness

Slight roughness, occasional itch

Moderate Inflammation

Redness, persistent itch, some scaling

Severe Eczema

Cracking, bleeding, widespread lesions

Crisis — Weeping Lesions

Open wounds, weeping, infection risk

How long have you been managing this?

Duration shapes our diagnostic pathway. Long-standing cases require a different entry point.

What Is Actually Happening

Your skin is not just dry. It is structurally compromised.

Eczema is a barrier disease, not a surface condition. Every cream that failed you was treating the symptom, not the architecture. Tap each layer to understand why.

Cross-Section Diagram — Tap a Layer

Stratum Corneum

The Broken Outer Shield

Living Epidermis

Immune Overactivation Zone

Dermis

Nerve Sensitization

Subcutaneous Layer

Systemic Inflammatory Signal

Surface
Deep

Diagram not to scale. Illustrative of inflammation pathways.

Stratum Corneum

In eczema, this layer loses 40% of its ceramide content — the mortar between skin cells crumbles, allowing water to escape and irritants to flood in.

Living Epidermis

Th2 and Th22 immune cells flood this layer, releasing IL-4, IL-13, and IL-31 — the cytokines that drive itch, inflammation, and the itch-scratch cycle.

Dermis

Chronic inflammation sensitizes C-fiber nerve endings here, lowering the itch threshold so that even light touch or warmth triggers the cascade.

Subcutaneous Layer

Mast cells and dendritic cells in this layer prime the systemic immune response — explaining why severe eczema correlates with asthma, food allergy, and hay fever.

"We don't prescribe to the surface. We prescribe to the mechanism."

— Flare Clinical Protocol, 2026

The Flare Protocol

Four phases. Zero guesswork. Written in specifics.

Every patient receives a protocol document with their name on it. Not a pamphlet. A treatment plan.

01

Barrier Assessment

Week 1

We map every square centimeter using transepidermal water loss (TEWL) measurement, pH mapping, and dermoscopy. Most patients have never had their skin measured — only described.

What We Do

  • TEWL mapping across 12 body zones
  • Filaggrin mutation screening
  • pH gradient assessment
  • Baseline EASI and IGA scoring

Patient Voice

"They found a trigger pattern in my elbow crease that three other dermatologists missed entirely."

Margaret T., 47

22 years with eczema

02

Trigger Identification

Weeks 2–3

Environmental, dietary, microbial, and psychological triggers are catalogued through structured elimination and patch testing. The itch-scratch cycle has a cause — we find it.

What We Do

  • Extended patch test panel (80+ allergens)
  • Staphylococcus aureus colonization swab
  • Food-skin reactivity correlation
  • Sweat and temperature threshold testing

Patient Voice

"I wore long sleeves for six years. Finding out it was a specific detergent fragrance — not my skin — changed everything."

Daniel K., 19

6 years with eczema

03

Targeted Therapy

Weeks 4–8

Immunosuppressant dosing calibrated to body surface area, disease severity, and comorbidity profile. Dupilumab, JAK inhibitors, and cyclosporine are titrated — never guessed.

What We Do

  • Biologic eligibility assessment
  • Weight-adjusted immunosuppressant dosing
  • Wet wrap therapy protocol
  • Topical steroid taper schedule

Patient Voice

"My toddler slept through the night for the first time in two years at week six. I cried."

Priya S., parent

Child, 3 years old

04

Maintenance Calibration

Month 3 onward

Remission is not the end — it is the beginning of a maintenance protocol built for your specific trigger landscape. Quarterly check-ins adjust dosing as seasons and life circumstances shift.

What We Do

  • Proactive topical therapy scheduling
  • Seasonal trigger recalibration
  • Microbiome-supportive skincare protocol
  • Flare response action plan (written, specific)

Patient Voice

"I have a written plan now. When a flare starts, I know exactly what to do. That certainty alone is worth it."

James O., 38

14 years with eczema

Clinical Outcomes

Not case studies. Patient records.

Time-to-improvement data from actual Flare patients. Severity scored using validated EASI, SCORAD, and IGA instruments — the same tools used in clinical trials.

Reddened arm skin with visible eczema inflammation before treatment
Before

Moderate Eczema — Adult

Score change

EASI score 28 → 4

Time

6 weeks

Protocol: Dupilumab + ceramide barrier repair

Female, 34

Child with severe atopic dermatitis showing red, inflamed skin patches before treatment
Before

Severe Pediatric Atopic Dermatitis

Score change

SCORAD 72 → 9

Time

10 weeks

Protocol: Proactive topical + trigger elimination

Male, 4 years

Hands with chronic eczema showing cracked, inflamed skin before treatment
Before

Chronic Hand Eczema — Adult

Score change

IGA 4 → 1

Time

8 weeks

Protocol: JAK inhibitor + patch-guided avoidance

Male, 52

All clinical photography used with written patient consent. Individual results vary. Severity scores (EASI, SCORAD, IGA) are validated instruments used in published atopic dermatitis research. Photographs are desaturated for clinical clarity.

Complete the Loop

Your skin deserves a specialist, not another cream.

The intake form you completed above already tells us where to start. The assessment takes 90 minutes. Most patients leave with a written plan.

Primary Path

Book Your Skin Assessment

90-minute comprehensive assessment. We'll contact you within 4 hours to confirm.

No payment required to book. Insurance accepted. Most assessments covered under dermatology benefits.

Not Ready to Book?

Your Eczema Trigger Checklist

A 47-item clinical checklist used in our intake process — free to download. Identify environmental, dietary, and microbial triggers before your first appointment.

47 validated trigger categories
Seasonal and occupational patterns
Pediatric-specific trigger section
Printable for GP or specialist visits

94%

Patients see improvement within 90 days

12+

Years average patient history at intake

4 hrs

Average response time after booking