Update on therapy of atopic dermatitis

Jon Hanifin, Susan Tofte

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Atopic dermatitis (AD) is complicated and often difficult to manage. Effective therapy is commonly impeded by 3 ambivalencies: (1) prioritization of skin care versus allergy treatment; (2) uncertainty about optimal bathing and moisturizing, and (3) hesitation about the use of adequate topical corticosteroid therapies. With a confident, well-planned approach, effective therapy management may be achieved. On initial assessment, an evaluation form is a tool to keep the focus on important history and physical features critical for the diagnosis and to review trigger factors and past therapies. Patients and parents must be educated to become more aware of the trigger factors that may lead to an exacerbation of their disease. Errors in bathing and moisturizing are the major cause of persistent AD, and the confusing paradox that water is both good and bad for the skin must be resolved to achieve therapeutic success. Avoidance/approach conflicts regarding recommendations of topical steroid use has a detrimental effect on patient outcomes. With the proper use of mid-strength topical agents and with the recent development of topical macrolides for use in AD, effective management for this disease can be realized.

Original languageEnglish (US)
JournalJournal of Allergy and Clinical Immunology
Volume104
Issue number3 II
StatePublished - 1999

Fingerprint

Atopic Dermatitis
Therapeutics
Skin Care
Macrolides
Disease Management
Uncertainty
Disease Progression
Adrenal Cortex Hormones
Hypersensitivity
Parents
History
Steroids
Skin
Water

Keywords

  • Atopic dermatitis
  • Bathing/moisturizing
  • Trigger factors

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

Cite this

Update on therapy of atopic dermatitis. / Hanifin, Jon; Tofte, Susan.

In: Journal of Allergy and Clinical Immunology, Vol. 104, No. 3 II, 1999.

Research output: Contribution to journalArticle

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