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Executive summary: Guidelines of care for the management of atopic dermatitis in adults with phototherapy and systemic therapies.

Authors :
Davis DMR
Drucker AM
Alikhan A
Bercovitch L
Cohen DE
Darr JM
Eichenfield LF
Frazer-Green L
Paller AS
Schwarzenberger K
Silverberg JI
Singh AM
Wu PA
Sidbury R
Source :
Journal of the American Academy of Dermatology [J Am Acad Dermatol] 2024 Feb; Vol. 90 (2), pp. 342-345. Date of Electronic Publication: 2023 Nov 07.
Publication Year :
2024

Abstract

Background: The summarized guidelines update the 2014 recommendations for the management of AD with phototherapy and systemic therapies.<br />Methods: A multidisciplinary workgroup conducted a systematic review and applied the GRADE approach for assessing the certainty of the evidence and formulating and grading recommendations.<br />Results: The workgroup developed 11 recommendations on the management of AD in adults with phototherapy and systemic therapies, including biologics, oral Janus Kinase inhibitors, and other immunomodulatory medications.<br />Conclusions: The evidence supported strong recommendations for the use of dupilumab, tralokinumab, abrocitinib, baricitinib, and upadacitinib and conditional recommendations in favor of using phototherapy, azathioprine, cyclosporine, methotrexate, and mycophenolate, and against the use of systemic corticosteroids.<br />Competing Interests: Conflict of interest The American Academy of Dermatology (AAD) strives to produce clinical guidelines that reflect the best available evidence supplemented with the judgment of expert clinicians. Significant efforts are taken to minimize the potential for conflicts of interest to influence guideline content. The management of conflict of interest for this guideline complies with the Council of Medical Specialty Societies' Code of Interactions with Companies. Funding of guideline production by medical or pharmaceutical entities is prohibited, full disclosure is obtained and evaluated for all guideline contributors throughout the guideline development process, and recusal is used to manage identified relationships. The AAD conflict of interest policy summary may be viewed at www.aad.org.<br /> (Copyright © 2023 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1097-6787
Volume :
90
Issue :
2
Database :
MEDLINE
Journal :
Journal of the American Academy of Dermatology
Publication Type :
Academic Journal
Accession number :
37943241
Full Text :
https://doi.org/10.1016/j.jaad.2023.08.103