Clinical practice guidelines for the management of atopic dermatitis 2018

J Dermatol. 2019 Dec;46(12):1053-1101. doi: 10.1111/1346-8138.15090. Epub 2019 Oct 9.

Abstract

Atopic dermatitis (AD) is a disease characterized by relapsing eczema with pruritus as a primary lesion. The current strategies to treat AD in Japan from the perspective of evidence-based medicine consist of three primary measures: (i) the use of topical corticosteroids and tacrolimus ointment as the main treatment for the inflammation; (ii) topical application of emollients to treat the cutaneous barrier dysfunction; and (iii) avoidance of apparent exacerbating factors, psychological counseling and advice about daily life. The guidelines present recommendations to review clinical research articles, evaluate the balance between the advantages and disadvantages of medical activities, and optimize medical activity-related patient outcomes with respect to several important points requiring decision-making in clinical practice.

Keywords: atopic dermatitis; clinical practice guidelines; clinical questions; evidence-based medicine; treatment.

Publication types

  • Practice Guideline

MeSH terms

  • Dermatitis, Atopic* / diagnosis
  • Dermatitis, Atopic* / epidemiology
  • Dermatitis, Atopic* / etiology
  • Dermatitis, Atopic* / therapy
  • Dermatologic Agents* / therapeutic use
  • Disease Management
  • Humans

Substances

  • Dermatologic Agents