Your browser doesn't support javascript.
loading
Consensus on the therapeutic management of atopic dermatitis - Brazilian Society of Dermatology
Aoki, Valeria; Lorenzini, Daniel; Orfali, Raquel Leão; Zaniboni, Mariana Colombini; Oliveira, Zilda Najjar Prado de; Rivitti-Machado, Maria Cecília; Takaoka, Roberto; Weber, Magda Blessmann; Cestari, Tania; Gontijo, Bernardo; Ramos, Andrea Machado Coelho; Silva, Claudia Marcia de Resende; Cestari, Silmara da Costa Pereira; Souto-Mayor, Silvia; Carneiro, Francisca Regina; Cerqueira, Ana Maria Mosca de; Laczynski, Cristina; Pires, Mario Cezar.
  • Aoki, Valeria; Universidade de São Paulo. Faculdade de Medicina. Department of Dermatology. São Paulo. BR
  • Lorenzini, Daniel; Irmandade Santa Casa de Misericórdia de Porto Alegre. Dermatology Service. Porto Alegre. BR
  • Orfali, Raquel Leão; Universidade de São Paulo. Faculdade de Medicina. Department of Dermatology. São Paulo. BR
  • Zaniboni, Mariana Colombini; Universidade de São Paulo. Faculdade de Medicina. Department of Dermatology. São Paulo. BR
  • Oliveira, Zilda Najjar Prado de; Universidade de São Paulo. Faculdade de Medicina. Department of Dermatology. São Paulo. BR
  • Rivitti-Machado, Maria Cecília; Universidade de São Paulo. Faculdade de Medicina. Department of Dermatology. São Paulo. BR
  • Takaoka, Roberto; Universidade de São Paulo. Faculdade de Medicina. Department of Dermatology. São Paulo. BR
  • Weber, Magda Blessmann; Universidade Federal de Ciências da Saúde de Porto Alegre. Dermatology Service. Porto Alegre. BR
  • Cestari, Tania; Universidade Federal do Rio Grande do Sul. Hospital de Clínicas de Porto Alegre. Dermatology Service. Porto Alegre. BR
  • Gontijo, Bernardo; Universidade Federal de Minas Gerais. Hospital das Clínicas. Dermatology Service. Belo Horizonte. BR
  • Ramos, Andrea Machado Coelho; Universidade Federal de Minas Gerais. Hospital das Clínicas. Dermatology Service. Belo Horizonte. BR
  • Silva, Claudia Marcia de Resende; Universidade Federal de Minas Gerais. Hospital das Clínicas. Dermatology Service. Belo Horizonte. BR
  • Cestari, Silmara da Costa Pereira; Hospital Sírio-Libanês. Instituto de Ensino e Pesquisa. Medical Dermatology Residency Program. São Paulo. BR
  • Souto-Mayor, Silvia; Faculdade de Medicina da Santa Casa de São Paulo. Department of Medicine. Clinic of Dermatology. São Paulo. BR
  • Carneiro, Francisca Regina; Universidade do Estado do Pará. Dermatology Service. Belém. BR
  • Cerqueira, Ana Maria Mosca de; Hospital Municipal Jesus. Dermatology Service. Rio de Janeiro. BR
  • Laczynski, Cristina; Faculdade de Medicina do ABC. Dermatology Outpatient Clinic. Santo André. BR
  • Pires, Mario Cezar; Hospital do Servidor Público Estadual. Dermatology Service. São Paulo. BR
An. bras. dermatol ; 94(2,supl.1): 67-75, Mar.-Apr. 2019. tab, graf
Article in English | LILACS | ID: biblio-1011092
ABSTRACT
Abstract

BACKGROUND:

Atopic dermatitis is a highly prevalent inflammatory and pruritic dermatosis with a multifactorial etiology, which includes skin barrier defects, immune dysfunction, and microbiome alterations. Atopic dermatitis is mediated by genetic, environmental, and psychological factors and requires therapeutic management that covers all the aspects of its complex pathogenesis.

OBJECTIVES:

The aim of this article is to present the experience, opinions, and recommendations of Brazilian dermatology experts regarding the therapeutic management of atopic dermatitis.

METHODS:

Eighteen experts from 10 university hospitals with experience in atopic dermatitis were appointed by the Brazilian Society of Dermatology to organize a consensus on the therapeutic management of atopic dermatitis. The 18 experts answered an online questionnaire with 14 questions related to the treatment of atopic dermatitis. Afterwards, they analyzed the recent international guidelines on atopic dermatitis of the American Academy of Dermatology, published in 2014, and of the European Academy of Dermatology and Venereology, published in 2018. Consensus was defined as approval by at least 70% of the panel. RESULTS/

CONCLUSION:

The experts stated that the therapeutic management of atopic dermatitis is based on skin hydration, topical anti-inflammatory agents, avoidance of triggering factors, and educational programs. Systemic therapy, based on immunosuppressive agents, is only indicated for severe refractory disease and after failure of topical therapy. Early detection and treatment of secondary bacterial and viral infections is mandatory, and hospitalization may be needed to control atopic dermatitis flares. Novel target-oriented drugs such as immunobiologicals are invaluable therapeutic agents for atopic dermatitis.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Consensus / Dermatitis, Atopic Type of study: Practice guideline / Qualitative research / Screening study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: An. bras. dermatol Journal subject: Dermatology Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina da Santa Casa de São Paulo/BR / Faculdade de Medicina do ABC/BR / Hospital Municipal Jesus/BR / Hospital Sírio-Libanês/BR / Hospital do Servidor Público Estadual/BR / Irmandade Santa Casa de Misericórdia de Porto Alegre/BR / Universidade Federal de Ciências da Saúde de Porto Alegre/BR / Universidade Federal de Minas Gerais/BR / Universidade Federal do Rio Grande do Sul/BR / Universidade de São Paulo/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Consensus / Dermatitis, Atopic Type of study: Practice guideline / Qualitative research / Screening study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: An. bras. dermatol Journal subject: Dermatology Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade de Medicina da Santa Casa de São Paulo/BR / Faculdade de Medicina do ABC/BR / Hospital Municipal Jesus/BR / Hospital Sírio-Libanês/BR / Hospital do Servidor Público Estadual/BR / Irmandade Santa Casa de Misericórdia de Porto Alegre/BR / Universidade Federal de Ciências da Saúde de Porto Alegre/BR / Universidade Federal de Minas Gerais/BR / Universidade Federal do Rio Grande do Sul/BR / Universidade de São Paulo/BR