Guidelines of care for the management of atopic dermatitis in adults with topical therapies
Clinical Summary
View sourceWhat 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.
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