Guidelines of care for the management of atopic dermatitis : Section 1. Diagnosis and assessment of atopic dermatitis - 16/01/14

Doi : 10.1016/j.jaad.2013.10.010

Work GroupLawrence F. Eichenfield, MD ^a : Co-chair, Wynnis L. Tom, MD ^a, Sarah L. Chamlin, MD, MSCI ^b, Steven R. Feldman, MD, PhD ^c, Jon M. Hanifin, MD ^d, Eric L. Simpson, MD ^d, Timothy G. Berger, MD ^e, James N. Bergman, MD ^f, David E. Cohen, MD ^g, Kevin D. Cooper, MD ^h, Kelly M. Cordoro, MD ^e, Dawn M. Davis, MD ⁱ, Alfons Krol, MD ^d, David J. Margolis, MD, PhD ^j, Amy S. Paller, MS, MD ^k, Kathryn Schwarzenberger, MD ^l, Robert A. Silverman, MD ^m, Hywel C. Williams, PhD ⁿ, Craig A. Elmets, MD ^o, Julie Block, BA ^p, Christopher G. Harrod, MS ^q, Wendy Smith Begolka, MBS ^q,^⁎ , Robert Sidbury, MD ^r : Co-chair
^a Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital San Diego, San Diego, California
^b Department of Dermatology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois
^c Department of Dermatology, Wake Forest University Health Sciences, Winston-Salem, North Carolina
^d Department of Dermatology, Oregon Health and Science University, Portland, Oregon
^e Department of Dermatology, University of California San Francisco, San Francisco, California
^f Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada
^g Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, New York
^h Department of Dermatology, Case Western University, Cleveland, Ohio
ⁱ Department of Dermatology, Mayo Clinic, Rochester, Minnesota
^j Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
^k Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
^l Division of Dermatology, Fletcher Allen Health Care, Burlington, Vermont
^m Private practice, Fairfax, Virginia
ⁿ Centre of Evidence-Based Dermatology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
^o Department of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama
^p National Eczema Association, San Rafael, California
^q American Academy of Dermatology, Schaumburg, Illinois
^r Department of Dermatology, Seattle Children's Hospital, Seattle, Washington

^∗Reprint requests: Wendy Smith Begolka, MBS, American Academy of Dermatology, 930 E Woodfield Rd, Schaumburg, IL 60173.

Abstract

Atopic dermatitis (AD) is a chronic, pruritic, inflammatory dermatosis that affects up to 25% of children and 2% to 3% of adults. This guideline addresses important clinical questions that arise in the management and care of AD, providing updated and expanded recommendations based on the available evidence. In this first of 4 sections, methods for the diagnosis and monitoring of disease, outcomes measures for assessment, and common clinical associations that affect patients with AD are discussed. Known risk factors for the development of disease are also reviewed.

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Key words : assessment scales, atopic dermatitis, biomarkers, clinical associations, criteria, diagnosis, risk factors

Abbreviations used : AAD, AD, ADHD, CDLQI, DFI, DLQI, EASI, FLG, GREAT, IGA, IgE, IL, ISAAC, MDC, POEM, SASSAD, SCORAD, SORT, TARC, TISS, UK

Plan

Disease severity and clinical outcomes assessment

Disease severity scales

Quality of life scales and disease impact measurements

Clinical associations

Risk factors for disease development

Gaps in research

	Funding sources: None.
	The authors' conflicts of interest/disclosure statements appear at the end of the article.

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Vol 70 - N° 2

P. 338-351 - février 2014 Retour au numéro

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Guidelines of care for the management of atopic dermatitis : Section 1. Diagnosis and assessment of atopic dermatitis - 16/01/14

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