Guidelines of care for the management of atopic dermatitis in adults with topical therapies

Journal of the American Academy of Dermatology

Clinical Summary

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What was studied

A multidisciplinary group updated adult atopic dermatitis topical therapy guidelines using a systematic review and the GRADE approach. They assessed nonprescription agents and prescription TCS, TCIs, topical JAK and PDE‑4 inhibitors, antimicrobials, and antihistamines.

Key findings

They issued 12 recommendations: strong for moisturizers, TCS, TCIs, and topical PDE‑4 and JAK inhibitors; conditional for bathing and wet wrap therapy; and conditional against topical antimicrobials, antiseptics, and antihistamines.

Study limitations

The review was limited to English‑language randomized trials, which may exclude studies in other languages and long‑term follow‑up data.

Clinical implications

For adults with AD, prioritize moisturizers and appropriate TCS or TCIs, with topical PDE‑4 or JAK inhibitors as options. Use bathing and wet wraps selectively, and avoid topical antimicrobials, antiseptics, and antihistamines.