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Japanese guidelines for atopic dermatitis 2017.
Ichiro Katayama1, Michiko Aihara2, Yukihiro Ohya3
1Department of Dermatology, Course of Integrated Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan.
This guideline outlines a three-pronged approach to atopic dermatitis treatment: identifying triggers, improving skin function through skincare, and using pharmacotherapy. The goal is to manage symptoms and enhance patients' quality of life.
Area of Science:
- Dermatology
- Allergology
- Clinical Practice Guidelines
Background:
- Atopic dermatitis is an inflammatory skin condition influenced by multiple factors.
- Effective treatment requires accurate diagnosis and assessment of cutaneous symptoms.
- Patient education and partnership are crucial for successful management.
Purpose of the Study:
- To present a comprehensive guideline for the basic treatment of atopic dermatitis.
- To emphasize the integration of various therapeutic strategies.
- To improve patient quality of life by controlling symptoms and enabling social participation.
Main Methods:
- The guideline is based on established Japanese guidelines from 2008 and 2015.
- It integrates etiological, pathological, and physiological information into treatment strategies.
- Treatment involves identifying and managing causes, correcting skin dysfunction, and pharmacotherapy.
Main Results:
- A three-pronged approach to atopic dermatitis management is proposed: 1. Investigating and counteracting causes/exacerbating factors. 2. Correcting skin dysfunction via skincare. 3. Pharmacotherapy.
- These mainstays are equally important and should be tailored to individual patient needs.
- Successful treatment aims to enable patients to lead normal social lives and achieve satisfactory quality of life.
Conclusions:
- Integrated management of atopic dermatitis is essential for optimal patient outcomes.
- Patient-physician collaboration, informed by clear information, enhances treatment adherence and effectiveness.
- This guideline provides a foundational framework for managing atopic dermatitis, referencing previous expert recommendations.
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