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Wet-wrap treatment in children with atopic dermatitis: a practical guideline
Arjan C A Devillers1, Arnold P Oranje
1Department of Dermatology, Maasstad Hospital, Rotterdam, The Netherlands. devillersa@maasstadziekenhuis.nl
Insights
Wet-wrap treatment (WWT) offers a safe and effective option for managing severe atopic dermatitis (AD) in children when other treatments are contraindicated. This guideline provides practical advice for clinicians incorporating WWT into pediatric AD care.
Area of Science:
- Pediatric Dermatology
- Clinical Therapeutics
Background:
- Severe atopic dermatitis (AD) in children presents treatment challenges due to contraindications of standard therapies.
- Wet-wrap treatment (WWT) has emerged as a promising intervention for severe or refractory pediatric AD.
Purpose of the Study:
- To provide a practical guideline for clinicians on implementing wet-wrap treatment (WWT) for severe childhood atopic dermatitis.
- To outline key considerations and address practical issues for initiating WWT in clinical practice.
Main Methods:
- Review of clinical experiences with wet-wrap treatment (WWT) in pediatric patients.
- Supplementation of practical insights with relevant scientific literature data.
Main Results:
- Wet-wrap treatment (WWT) is presented as a relatively safe and efficacious method for severe pediatric AD.
- The guideline addresses practical aspects of WWT application, drawing from clinical practice and literature.
Conclusions:
- Wet-wrap treatment (WWT) is a valuable therapeutic option for managing severe atopic dermatitis in children.
- This guideline serves as a starting point for clinicians seeking to utilize WWT effectively in their practice.
Abstract:
Treatment of children with severe atopic dermatitis (AD) can be especially challenging because several possible intervention treatments have (relative) contraindications in childhood. In recent years, wet-wrap treatment (WWT) has been advocated as a relatively safe and efficacious intervention in children with severe or refractory AD. The goal of this article is to provide a practical guideline as a starting point for clinicians who are interested in using WWT in their own clinical practice. We will address several practical issues surrounding the use of WWT by describing our own experiences, supplemented with data from the literature.
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