ETFAD/EADV eczema task force 2009 position paper on diagnosis and treatment of atopic dermatitis
Articolo
Data di Pubblicazione:
2010
Citazione:
ETFAD/EADV eczema task force 2009 position paper on diagnosis and treatment of
atopic dermatitis / U. Darsow, A. Wollemberg, D. Simon, A. Taïeb, T. Werfel, A. Oranje, C. Gelmetti, A. Svensson, M. Deleuran, A.M. Calza, F. Giusti, J. Lübbe, S. Seidenari, J. Ring, European Task Force on Atopic Dermatitis/EADV Eczema Task Force. - In: JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY. - ISSN 0926-9959. - 24:3(2010), pp. 317-328. [10.1111/j.1468-3083.2009.03415.x]
Abstract:
The diagnosis of atopic dermatitis (AD) is made using evaluated clinical criteria. Management of AD must consider the symptomatic variability of the disease. Methods EADV eczema task force developed its
guideline for atopic dermatitis diagnosis and treatment based on literature
review and repeated consenting group discussions. Results and Discussion Basic
therapy relies on hydrating topical treatment and avoidance of specific and
unspecific provocation factors. Anti-inflammatory treatment based on topical
glucocorticosteroids and topical calcineurin antagonists is used for exacerbation
management and more recently for proactive therapy in selected cases. Topical
corticosteroids remain the mainstay of therapy, but the topical calcineurin
inhibitors, tacrolimus and pimecrolimus are preferred in certain locations.
Systemic anti-inflammatory treatment is an option for severe refractory cases.
Microbial colonization and superinfection may induce disease exacerbation and can
justify additional antimicrobial/antiseptic treatment. Systemic antihistamines
(H1)can relieve pruritus, but do not have sufficient effect on eczema. Adjuvant
therapy includes UV irradiation preferably of UVA1 wavelength or UVB 311 nm.
Dietary recommendations should be specific and given only in diagnosed individual
food allergy. Allergen-specific immunotherapy to aeroallergens may be useful in selected cases. Stress-induced exacerbations may make psychosomatic counselling recommendable. 'Eczema school' educational programmes have been proven to be
helpful.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Atopic dermatitis ; eczema ; guideline ; therapy
Elenco autori:
U. Darsow, A. Wollemberg, D. Simon, A. Taïeb, T. Werfel, A. Oranje, C. Gelmetti, A. Svensson, M. Deleuran, A.M. Calza, F. Giusti, J. Lübbe, S. Seidenari, J. Ring, E. Task Force on Atopic Dermatitis/EADV Eczema Task Force
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