Treatment of patients with atopic dermatitis using wet‐wrap dressings with diluted steroids and/or emollients. An expert panel's opinion and review of the literature

Oranje, Arnold P.; Devillers, A. C. A.; Kunz, Barbara; Jones, Samuel L.; Deraeve, L.; Gysel, Dirk Van; Spek, Flora B. de Waard‐van der; Grimalt, Ramón; Torrelo, Antonio; Stevens, John H.; Harper, J.I.

doi:10.1111/j.1468-3083.2006.01790.x

Cited by 81 publications

(62 citation statements)

References 27 publications

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“…A wet-wrap dressing is a double layer of tubular bandage or gauze consisting of a first moist inner layer and second dry outer layer and involves the application of a topical medication (Figure 1) [14,19]. The use of dampened bandages to reduce pruritus and inflammation is an ancient medical remedy.…”

Section: Wet-wrap Dressingmentioning

confidence: 99%

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Functionalized Textile Based Therapy for the Treatment of Atopic Dermatitis

2017

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Atopic dermatitis (AD) is a common chronic inflammatory skin condition characterized by intense puritus and skin dryness. The pathogenesis for AD has not been fully understood to date. Complementary therapies are very popular as effective treatment for AD among clinical practitioners. This study presents a comprehensive review of published works associated with textiles-based complementary therapies for AD treatment such as wet-wrap dressing, functionalized textiles, and the application of hydrogel techniques in the textile industry to provide a better understanding of the development and design of new textiles-based transdermal therapies.

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Section: Wet-wrap Dressingmentioning

confidence: 99%

“…Additionally, wet-wrap dressing is a short-term therapy; the dressings easily get dried out and must be continuously dampened. This often increases the burden of caregivers and families [19].…”

Section: Wet-wrap Dressingmentioning

confidence: 99%

Functionalized Textile Based Therapy for the Treatment of Atopic Dermatitis

2017

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“…Only diluted corticosteroid preparations for occlusive dressings should be used to prevent hypothalamic-pituitary-adrenal axis suppression and local adverse effects on the skin. Wet wrap implementation should be delayed at least two to three days after beginning of antibiotic treatment for super infected lesions, to allow for observation of clinical improvement of infected sores (17).…”

Section: General Carementioning

confidence: 99%

Management of Children with Atopic Dermatitis: A Narrative Review

et al. 2016

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Context: Atopic dermatitis is a chronic, relapsing skin disorder that affects all ages including infancy and childhood. There are many proved and unproved treatments for atopic dermatitis.Evidence Acquisition: Data sources of this narrative review included studies about pediatric atopic dermatitis with the following keywords, pediatric, atopic dermatitis, immunity, acute, chronic, pruritic inflammatory skin disorder, infancy, childhood, diagnosis, management and treatment. All of the articles were written in English language with full text on management or treatment.Results: Innate and adaptive immune system involved atopic dermatitis. Major characteristics of atopic dermatitis include pruritus, chronic or relapsing lesions and personal or family history of atopic disease. There is no specific treatment for atopic dermatitis. The treatment included rehydration, emollients, topical steroid, calcineurin inhibitors and immunosuppressant. Crisaborole topical ointment, a PDE4 anti-inflammatory topical agent (phase three of the research) could be effective in atopic dermatitis. Conclusions:Avoidance from trigger factors and emollients are basic treatments of atopic dermatitis.Keywords: Pediatrics, Dermatitis, Atopic, Theapy ContextAtopic dermatitis (AD) is the most common chronic, relapsing and pruritic inflammatory skin disorder seen during infancy and childhood that has increased two to three times over the past three decades (1-3). It is characterized by an epidermal barrier abnormality, cutaneous inflammation, immune dysregulation with a systemic 'allergic' TH2 cell response, and frequent Staphylococcus aurous colonization (3). Atopic dermatitis involves approximately 10 to 30% of children (4). Ghaffari et al. (5,6) showed that children atopic dermatitis prevalence is 5.98% and 6.52% in 6 to 7 and 13 to 14 year-olds in Iran, respectively. The diagnosis is usually made clinically after exclusion of other similar disorders. There are no laboratory specific tests for diagnosis of AD. The most important in the management of Ad is rehydration of the skin. Also avoidance of irritants and allergens is more important. Baths for a few minutes followed by immediate application of an emollient can improve skin manifestations (4). Occasionally, topical steroids or calcineurin inhibitors are used for relief of skin manifestations. Rarely, systemic immunosuppressants, such as steroid, are consumed in severe or refractory AD. The aim of this study was to review up to date papers about atopic dermatitis treatment in children. Evidence AcquisitionData sources of this narrative review included studies about pediatric atopic dermatitis indexed in several international databases and also a recent paper by one of the authors about prevalence of atopic dermatitis. Keywords for searching the databases included pediatric, atopic dermatitis, immunity, acute, chronic, pruritic inflammatory skin disorder, infancy, childhood, diagnosis and treatment. Studies that were not about children were excluded. Qualitative data are presented i...

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“…El producto aplicado consistió en una mezcla de corticosteroide tópico diluido (fluticasona al 0,05%) junto con un emoliente (petrolatum cetomacrogol) 3,6 . La duración del tratamiento, en todos los casos, fue de 7 días con cambios diarios de los vendajes.…”

Section: Casos Clínicosunclassified

Vendajes húmedos: nuestra experiencia

Albarrán-Planelles

Jiménez‐Gallo

Linares‐Barrios

et al. 2014

Actas Dermo-Sifiliográficas

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Dermatitis atópica; Vendajes húmedos; CorticosteroidesResumen En la actualidad disponemos de un importante arsenal terapéutico para la dermatitis atópica grave. Entre los tratamientos sistémicos cabe destacar entre otros la ciclosporina, los glucocorticoides, la azatioprina, el metotrexato, el mofetil micofenolato o el omalizumab. La terapia con vendajes húmedos oclusivos (wet-wrap) puede suponer una excelente alternativa en pacientes en los que se pretende evitar o reducir el uso de tratamientos sistémicos.Hasta el momento los vendajes húmedos se han considerado como una alternativa en los casos de dermatitis atópica grave de la infancia. Aportamos nuestra experiencia en un grupo de 7 pacientes adultos, 5 de ellos con dermatitis atópica y 2 con prurigo nodular, destacando los resultados satisfactorios obtenidos, así como los escasos efectos secundarios observados.Abstract A wide range of treatments are currently available for severe atopic dermatitis, including systemic therapies such as ciclosporin, corticosteroids, azathioprine, methotrexate, mofetil mycophenolate, and omalizumab. In patients who can no longer take systemic drugs or who need a dose reduction, wet-wrap treatment can be an excellent option.To date, wet wraps have mostly been used in severe cases of childhood atopic dermatitis. We report our experience with wet-wrap treatment in 5 adults with atopic dermatitis and 2 with nodular prurigo. The results were satisfactory and there were few adverse effects. IntroducciónLa dermatitis atópica (DA) es una dermatosis eczematosa crónica que cursa con prurito, historia familiar de enfermedades alérgicas y lesiones en localizaciones típicas. Es causa de una considerable morbilidad, incluyendo dificultad en el * Autor para correspondencia.Correo electrónico: crisalbarran@hotmail.com (C. Albarrán-Planelles). inicio y mantenimiento del sueño, así como la afectación emocional en el paciente y sus familiares 1,2 .Existe un amplio arsenal terapéutico para la DA grave, tanto con agentes tópicos como sistémicos. Entre los sisté-micos cabe destacar los antihistamínicos, la ciclosporina, los glucocorticoides, la azatioprina, el metotrexato, el mofetilmicofenolato o el omalizumab, siendo la mayoría de ellos de uso compasivo y con efectos indeseables si se mantienen a largo plazo. La terapia con vendajes húmedos oclusivos es una buena alternativa en pacientes en los que se pretende evitar o reducir el uso de los tratamientos sistémicos, así como las complicaciones que estos pueden conllevar. Hasta

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Treatment of patients with atopic dermatitis using wet‐wrap dressings with diluted steroids and/or emollients. An expert panel's opinion and review of the literature

Cited by 81 publications

References 27 publications

Functionalized Textile Based Therapy for the Treatment of Atopic Dermatitis

Functionalized Textile Based Therapy for the Treatment of Atopic Dermatitis

Management of Children with Atopic Dermatitis: A Narrative Review

Vendajes húmedos: nuestra experiencia

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