Guidelines of care for the management of atopic dermatitis: Section 4. Prevention of disease flares and use of adjunctive therapies and approaches

Robert Sidbury; Wynnis L Tom; James N Bergman; Kevin D Cooper; Robert A Silverman; Timothy G Berger; Sarah L Chamlin; David E Cohen; Kelly M Cordoro; Dawn M Davis; Steven R Feldman; Jon M Hanifin; Alfons Krol; David J Margolis; Amy S Paller; Kathryn Schwarzenberger; Eric L Simpson; Hywel C Williams; Craig A Elmets; Julie Block; Christopher G Harrod; Wendy Smith Begolka; Lawrence F Eichenfield

doi:10.1016/j.jaad.2014.08.038

Guidelines of care for the management of atopic dermatitis: Section 4. Prevention of disease flares and use of adjunctive therapies and approaches

J Am Acad Dermatol. 2014 Dec;71(6):1218-33. doi: 10.1016/j.jaad.2014.08.038. Epub 2014 Sep 26.

Authors

Robert Sidbury¹, Wynnis L Tom², James N Bergman³, Kevin D Cooper⁴, Robert A Silverman⁵, Timothy G Berger⁶, Sarah L Chamlin⁷, David E Cohen⁸, Kelly M Cordoro⁶, Dawn M Davis⁹, Steven R Feldman¹⁰, Jon M Hanifin¹¹, Alfons Krol¹¹, David J Margolis¹², Amy S Paller⁷, Kathryn Schwarzenberger¹³, Eric L Simpson¹¹, Hywel C Williams¹⁴, Craig A Elmets¹⁵, Julie Block¹⁶, Christopher G Harrod¹⁷, Wendy Smith Begolka¹⁸, Lawrence F Eichenfield²

Affiliations

¹ Department of Dermatology, Seattle Children's Hospital, Seattle, Washington.
² University of California, San Diego and Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California.
³ Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada.
⁴ Department of Dermatology, Case Western University, Cleveland, Ohio.
⁵ private practice, Fairfax, Virginia.
⁶ Department of Dermatology, University of California San Francisco, San Francisco, California.
⁷ Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
⁸ Department of Dermatology, New York University School of Medicine, New York, New York.
⁹ Department of Dermatology, Mayo Clinic, Rochester, Minnesota.
¹⁰ Department of Dermatology, Wake Forest University Health Sciences, Winston-Salem, North Carolina.
¹¹ Department of Dermatology, Oregon Health & Science University, Portland, Oregon.
¹² Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
¹³ Kaplan-Amonette Department of Dermatology, University of Tennessee Health Science Center, Memphis, Tennessee.
¹⁴ Centre of Evidence-Based Dermatology, Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom.
¹⁵ Department of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
¹⁶ National Eczema Association, San Rafael, California.
¹⁷ American Academy of Dermatology, Schaumburg, Illinois.
¹⁸ American Academy of Dermatology, Schaumburg, Illinois. Electronic address: [email protected].

Abstract

Atopic dermatitis is a common, chronic inflammatory dermatosis that can affect all age groups. This evidence-based guideline addresses important clinical questions that arise in its management. In this final section, treatments for flare prevention and adjunctive and complementary therapies and approaches are reviewed. Suggestions on use are given based on available evidence.

Keywords: aeroallergens; allergy testing; atopic dermatitis; calcineurin inhibitors; complementary therapy; corticosteroids; diet; education; flare; food allergy; topicals.

Publication types

Consensus Development Conference

MeSH terms

Dermatitis, Atopic / drug therapy*
Dermatitis, Atopic / immunology
Dermatitis, Atopic / prevention & control*
Dermatologic Agents / therapeutic use*
Evidence-Based Medicine*
Humans
Hypersensitivity / drug therapy
Hypersensitivity / immunology
Hypersensitivity / prevention & control
Immunosuppressive Agents / therapeutic use*
Practice Guidelines as Topic*

Substances

Dermatologic Agents
Immunosuppressive Agents

Abstract

Publication types

MeSH terms

Substances

Grants and funding