ETFAD/EADV eczema task force 2009 position paper on diagnosis and treatment of atopic dermatitis
| Autor: | U, Darsow, A, Wollenberg, 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 |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Exacerbation diagnosis Provocation test atopic eczema Eczema Histamine Antagonists Dermatology Dermatitis Atopic Atopy Diagnosis Differential Pimecrolimus Pharmacotherapy Adjuvant therapy medicine Humans atopic dermatitis treatment business.industry Atopic dermatitis Phototherapy medicine.disease Tacrolimus Anti-Bacterial Agents Infectious Diseases Practice Guidelines as Topic Dermatologic Agents Periodicals as Topic business medicine.drug |
| Zdroj: | Darsow, U, Wollenberg, A, Simon, D, Taïeb, A, Werfel, T, Oranje, A, Gelmetti, C, Svensson, A, Deleuran, M, Calza, A-M, Giusti, F, Lübbe, J, Seidenari, S & Ring, J 2009, ' ETFAD/EADV eczema task force 2009 position paper on diagnosis and treatment of atopic dermatitis ', Journal of the European Academy of Dermatology and Venereology . https://doi.org/10.1111/j.1468-3083.2009.03415.x |
| Popis: | Udgivelsesdato: 2009-Aug-31 Abstract Background 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. |
| Databáze: | OpenAIRE |
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