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[Atopic dermatitis in children]
Eva Bourdon-Lanoy1, Yves de Prost
1Service de dermatologie, hôpital Necker-Enfants Malades, Paris. eva.bourdon-lanoy@nck.aphp.fr
Insights
Atopic dermatitis is a chronic skin condition that is becoming more common in developed nations. Treatment involves managing flares with topical corticosteroids and using immunosuppressors if needed.
Area of Science:
- Dermatology
- Immunology
- Pediatrics
Context:
- Atopic dermatitis (AD) is a chronic, relapsing inflammatory skin disease with increasing prevalence in industrialized countries.
- Clinical presentation of AD varies significantly with age, often beginning in early infancy.
- Diagnosis is primarily clinical, though allergological testing may be required in some cases.
Purpose:
- To outline the diagnostic and therapeutic management of atopic dermatitis.
- To describe the age-dependent clinical evolution of the condition.
- To highlight current treatment strategies for managing flares and long-term care.
Summary:
- Atopic dermatitis is a common, chronic inflammatory skin condition diagnosed mainly through clinical presentation.
- Treatment focuses on managing acute flares, typically with topical corticosteroids, and employing preventive measures.
- Topical immunosuppressors serve as a valuable therapeutic option for cases unresponsive to topical corticosteroids.
Impact:
- Provides a concise overview of atopic dermatitis diagnosis and management.
- Emphasizes the importance of age-specific approaches in pediatric dermatology.
- Informs clinicians about the role of topical corticosteroids and immunosuppressors in managing AD.
Abstract:
Atopic dermatitis is a chronic inflammatory and recurrent dermatosis, the frequency of which increases regularly in industrialised countries. It begins in the first months of life and the clinical presentation changes with the age of the child. The diagnostic is clinical in the majority of cases. Sometimes allergological explorations are necessary. The treatment has two objectives: treatment of the flares (mainly topical corticosteroids) and preventive adjuvant measures. The use of topical immunosuppressors reinforces the therapeutic management, after failure of topical corticosteroids.
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