https://scholars.lib.ntu.edu.tw/handle/123456789/516533
標題: | Taiwanese Dermatological Association consensus for the management of atopic dermatitis: A 2020 update | 作者: | CHIH-CHIEH CHAN Wu, Nan-Lin Wong, Lai-San YUNG-TSU CHO Yang, Chin-Yi Yu, Yu Lai, Po-Ju Chang, Yun-Ting Shih, I-Hsin Lee, Chih-Hung CHIA-YU CHU |
關鍵字: | Atopic dermatitis; Consensus; Treatment | 公開日期: | 2020 | 出版社: | Elsevier B.V. | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Atopic dermatitis (AD) is a chronic inflammatory disease commonly seen in children and increasingly recognized in adults. With recent advances in the therapeutic development for AD, the Taiwanese Dermatological Association (TDA) established a committee to update the consensus for AD management in Taiwan. This report describes the 2020 updated consensus for the management of AD. Methods: A panel of 11 core members was convened to review and discuss aspects of AD management and draft recommendation during the first two meetings. The 2015 TDA consensus and the 2017 European guideline, along with recent peer-reviewed articles, serve as the foundation for the update. In the third meeting, AD expert dermatologists selected on a national scale were invited to vote on the final statements. A total of 27 dermatologists attended the final meeting. The consensus was achieved when ratings of 7–9 (out of a total score of 9) accounted for ? 75% of the total votes. Results: Consensus was achieved on the therapeutic options for AD by lines of treatment. A treatment algorithm was presented to illustrate the place of each modality in terms of basic care, acute disease control, and maintenance therapy. Special considerations for the pediatric population, as well as for women during pregnancy and lactation, are discussed. Conclusion: Topical corticosteroids with long-term emollient-based therapies remain the cornerstone of AD treatment. Systemic treatments are indicated when topical therapies and phototherapy fail to control the disease. The recent approval of dupilumab and emerging targeted therapies are expected to bring significant clinical benefit for patients whose disease is inadequately managed by existing options. ? 2020 Formosan Medical Association |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086517692&doi=10.1016%2fj.jfma.2020.06.008&partnerID=40&md5=63e520c1d9ca07e67cf0d4a33c6a6939 https://scholars.lib.ntu.edu.tw/handle/123456789/516533 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2020.06.008 | SDG/關鍵字: | antibiotic agent; antihistaminic agent; calcineurin inhibitor; corticosteroid; emollient agent; immunomodulating agent; alternative medicine; Article; atopic dermatitis; consensus; human; medical literature; medical society; patient education; peer review; phototherapy; practice guideline; systematic review; Taiwan; Asian continental ancestry group; atopic dermatitis; consensus; female; pregnancy; Taiwan; Asian Continental Ancestry Group; Consensus; Dermatitis, Atopic; Female; Humans; Pregnancy; Taiwan |
顯示於: | 醫學系 |
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