Comparison of Dermatology and Allergy Guidelines for Atopic Dermatitis Management

Mohan, Girish C.; Lio, Peter A.

doi:10.1001/jamadermatol.2015.0250

Cited by 53 publications

(37 citation statements)

References 14 publications

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“…In contrast, two RCTs by Hata et al and Sidbury et al found no significant improvement with supplementation of vitamin D (35,36) and a 2008 Cochrane review concluded that studies were of poor quality and too small to provide conclusive evidence for the benefit of vitamin D supplements in AD. Surprisingly, even the recent guidelines for vitamin D supplementation in AD are not clear; while the AAD notes that there are insufficient data to recommend it, the Joint Task Force on Practice Parameters (allergy and immunology groups) supports it (17,37). …”

Section: Discussionmentioning

confidence: 99%

Dietary modifications in atopic dermatitis: patient-reported outcomes

Nosrati

Afifi

Danesh

et al. 2017

Journal of Dermatological Treatment

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Background Patients with atopic dermatitis (AD) commonly turn to dietary modifications to manage their skin condition. Objectives To investigate patient-reported outcomes and perceptions regarding the role of diet in AD. Methods One hundred and sixty nine AD patients were surveyed in this cross-sectional study. The 61-question survey asked about dietary modifications, perceptions and outcomes. Results Eighty seven percent of participants reported a trial of dietary exclusion. The most common were junk foods (68%), dairy (49.7%) and gluten (49%). The best improvement in skin was reported when removing white flour products (37 of 69, 53.6%), gluten (37 of 72, 51.4%) and nightshades (18 of 35, 51.4%). 79.9% of participants reported adding items to their diet. The most common were vegetables (62.2%), fish oil (59.3%) and fruits (57.8%). The best improvement in skin was noted when adding vegetables (40 of 84, 47.6%), organic foods (17 of 43, 39.5%) and fish oil (28 of 80, 35%). Although 93.5% of patients believed it was important that physicians discuss with them the role of diet in managing skin disease, only 32.5% had consulted their dermatologist. Conclusions Since dietary modifications are extremely common, the role of diet in AD and potential nutritional benefits and risks need to be properly discussed with patients.

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Section: Discussionmentioning

confidence: 99%

Dietary modifications in atopic dermatitis: patient-reported outcomes

Nosrati

Afifi

Danesh

et al. 2017

Journal of Dermatological Treatment

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“…If different specialists treat AD with varying strategies, different outcomes may be obtained . Recently, a review paper compared some AD guidelines . The AD guideline published by the American Academy of Dermatology (AAD) 2014 working group with those created by the 2012 Joint Task Force (JTF) on Practice Parameters representing the American Academy of Allergy, Asthma & Immunology showed notable differences.…”

Section: Dermatologists and Immune‐mediated Allergic Cutaneous Diseasesmentioning

confidence: 99%

“…For example, about the environmental factors to avoid, e.g. sports as well as irritant sunscreen, clothing, minimizing exposure to aeroallergens without testing, elimination diet with the use of food‐specific IgE antibody testing or food challenge test if results of the IgE testing are negative, the JTF support its avoidance whilst the AAD conclude that there is not enough evidence to recommend them . Also, a different approach concerns ‘atopy patch test’ as a predictive diagnostic tool for late‐phase clinical reactions to proteins.…”

Section: Dermatologists and Immune‐mediated Allergic Cutaneous Diseasesmentioning

confidence: 99%

The role of the dermatologist in the immune‐mediated/allergic diseases – position statement of the EADV task force on contact dermatitis, EADV task force on occupational skin diseases, UEMS‐EBDV subcommission allergology and European Dermatology Forum

Balato

Raimondo

Arenberger

et al. 2019

Acad Dermatol Venereol

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Background The members of the Task Force on Contact Dermatitis and the Task Force on Occupational Dermatoses of the European Academy of Dermatology and Venereology (EADV), of the European Dermatology Forum (EDF), and the members of the UEMS Section of Dermatology‐Venereology (UEMS‐EBDV) we want to vindicate the fundamental role that the specialist in Dermatology has in the diagnosis and management of Immuno‐mediated /allergic Diseases. Objective In disagreement with the blueprint paper of the UEMS section of Allergology (2013), in which dermatologists are excluded from one of their core activities it was decided to write this consensus paper. Discussion The skin occupies a crucial place in the broad spectrum of allergic diseases; there is no other organ with such a multitude of different clinical conditions mediated by so many pathogenetic immune mechanisms. Subsequently, dermatologists play a fundamental role in the management of immune‐mediated diseases including among others contact dermatitis, atopic dermatitis, urticaria and angioedema or cutaneous adverse drug, food and arthropod reactions. The essential role of dermatology in the diagnostic, therapeutic and preventive management of immune mediated /allergic diseases which is crucial for patient management is justified from both the academic and professional point of view. Conclusion Based on the best care of the patient with cutaneous immune allergic disease a multidisciplinary approach is desirable and the dermatologist has a pivotal role in patient management. Be so good and no one will not ignore you, dermatologist. Ideally Dermatology should be governed according the following Henry Ford statement: “Arriving together is the beginning; keeping together is progress; working together is success.”

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“…Current literature supports the aggressive use of systemic agents in psoriasis to achieve maximum skin clearance, QoL, and patient satisfaction . A comparison of dermatology and allergy guidelines for AD management showed agreement for the use of systemic therapies in cases of recalcitrant AD, but no treatment goals were identified. We review the American Academy of Dermatology (AAD) guidelines for psoriasis and AD management to highlight important differences that could suggest variations in the conceptualization of disease severity and effect on QoL.…”

Section: Introductionmentioning

confidence: 99%

Comparison of psoriasis and atopic dermatitis guidelines—an argument for aggressive atopic dermatitis management

Lohman

Lio

2017

Pediatric Dermatology

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The development of effective systemic treatments has revolutionized the treatment of inflammatory skin diseases. The availability of safe new treatments and the understanding of psoriasis as a systemic disease with comorbidities and effects on quality of life have driven the current aggressive treatment paradigm of psoriasis. Historically the morbidity of atopic dermatitis (AD) has been dismissed, given the perception of AD as "just" a rash. Differences in the guidelines for psoriasis and AD management may suggest variations in the current conceptualization of disease severity and effects on quality of life. Published guidelines from the American Academy of Dermatology for the management of psoriasis and AD were reviewed. We recorded the similarities and differences in disease assessment and therapy. The threshold to use biologic agents for moderate to severe psoriasis highlights the aggressive nature of modern psoriasis treatment. AD guidelines include an assessment of quality of life but do not designate a disease severity threshold for systemic treatment. AD and psoriasis have a tremendous effect on quality of life. The AD guidelines have a less aggressive approach to disease management than the psoriasis guidelines. We should think critically about rapid advancement to systemic agents in AD management, especially now that more and better agents are being developed.

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Comparison of Dermatology and Allergy Guidelines for Atopic Dermatitis Management

Abstract: Comparison of different guidelines may ultimately augment knowledge of treatment strategies and enhance realization of biases in the understanding and management of AD.

Cited by 53 publications

References 14 publications

Dietary modifications in atopic dermatitis: patient-reported outcomes

Dietary modifications in atopic dermatitis: patient-reported outcomes

The role of the dermatologist in the immune‐mediated/allergic diseases – position statement of the EADV task force on contact dermatitis, EADV task force on occupational skin diseases, UEMS‐EBDV subcommission allergology and European Dermatology Forum

Comparison of psoriasis and atopic dermatitis guidelines—an argument for aggressive atopic dermatitis management

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