- Topical Treatments:
- Use topical corticosteroids (TCS) or topical calcineurin inhibitors (TCIs) for patients whose AD remains uncontrolled despite regular use of moisturizers.
- Crisaborole 2% ointment is suggested for mild-to-moderate AD.
- Bleach Baths:
- Recommended as an add-on therapy for patients with moderate-to-severe AD, but not advised for those with mild AD.
- Elimination Diets:
- Not generally recommended due to unclear benefits and potential risks.
- Systemic Treatments:
- Biologics like dupilumab and tralokinumab are advised for moderate-to-severe AD.
- Oral JAK inhibitors may be considered in refractory cases, with careful patient selection.
References
- Atopic dermatitis (eczema) guidelines: 2023 American Academy of Allergy, Asthma and Immunology/American College of Allergy, Asthma and Immunology Joint Task Force on Practice Parameters GRADE– and Institute of Medicine–based recommendations [link]
#2023 Guidelines for Managing Atopic Dermatitis #Atopic dermatitis