Position paper on diagnosis and treatment of atopic dermatitis.

摘要: The diagnosis of atopic dermatitis (AD) is made using evaluated clinical criteria. Management AD must consider the symptomatic variability disease. It based on hydrating topical treatment, and avoidance specific unspecific provocation factors. Anti-inflammatory treatment used for exacerbation management. Topical corticosteroids remain first choice. Systemic anti-inflammatory should be kept to a minimum, but may necessary in rare refractory cases. new calcineurin inhibitors (tacrolimus pimecrolimus) expand available choices treatment. Microbial colonization superinfection (e.g. with Staphylococcus aureus, Malassezia furfur) can have role disease justify use antimicrobials addition Evidence efficacy systemic antihistamines relieving pruritus still insufficient, some patients seem benefit. Adjuvant therapy includes ultraviolet (UV) irradiation preferably UVA wavelength; UVB 311 nm has also been successfully. Dietary recommendations only given diagnosed individual food allergy. Stress-induced exacerbations make psychosomatic counselling recommendable. 'Eczema school' educational programmes proved helpful.