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Paediatric atopic eczema (atopic dermatitis) in South Africa: A practical algorithm for the management of

Susanna M Kannenberg1, Sarah Karabus, Willem I Visser

  • 1Division of Dermatology, Department of Medicine, Faculty of Health Sciences, Stellenbosch University, Cape Town. surethak@sun.ac.za.

South African Family Practice : Official Journal of the South African Academy of Family Practice/Primary Care
|December 14, 2020
PubMed

Insights

A practical algorithm simplifies managing mild-to-moderate atopic eczema (AE) in South African children. It emphasizes regular moisturizing, topical corticosteroids (TCSs), and topical calcineurin inhibitors (TCIs) for effective AE treatment.

Area of Science:

  • Dermatology
  • Pediatrics
  • Clinical Practice Guidelines

Background:

  • Atopic eczema (AE) is a prevalent, chronic inflammatory skin condition affecting children globally.
  • Poor disease control in AE can impair quality of life and lead to other atopic disorders.
  • Limited specialist access in South Africa necessitates a practical approach for managing paediatric AE.

Purpose of the Study:

  • To develop a practical management algorithm for mild-to-moderate atopic eczema in children and adolescents.
  • To provide guidance for daily clinical practice in South Africa.
  • To optimize clinical outcomes and reduce the burden of childhood AE.

Main Methods:

  • A panel of experts in atopic eczema convened to create the algorithm.
  • The algorithm focuses on practical management strategies for mild-to-moderate AE.
  • It considers available topical anti-inflammatory medications in South Africa.

Main Results:

  • Regular emollient use is the cornerstone of AE treatment.
  • Topical corticosteroids (TCSs) and topical calcineurin inhibitors (TCIs) are recommended for AE flares.
  • Proactive maintenance therapy with emollients, TCSs, or TCIs is advised for recurrent flares.

Conclusions:

  • The algorithm simplifies paediatric AE treatment, improving outcomes.
  • Severe AE cases require specialist referral.
  • Emphasis is placed on general skincare, patient education, and appropriate use of TCSs and TCIs.
Abstract

Keywords:
atopic dermatitisatopic eczemapimecrolimustacrolimustreatment algorithm

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