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[Guidelines on atopic dermatitis for Mexico (GUIDAMEX): using the ADAPTE methodology].

Désirée Larenas-Linnemann1, Catalina Rincón-Pérez2, Jorge A Luna-Pech3

  • 1Centro de Excelencia en Asma y Alergia, Médica Sur Fundación y Hospital, Ciudad de México, México.

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Summary

New guidelines address atopic dermatitis (AD) diagnosis and treatment in Mexico. GUIDAMEX offers recommendations for healthcare providers to improve patient care and reduce underdiagnosis of this common skin condition.

Keywords:
Atopic dermatitisAtopic eczemaClinical practice guidelineDupilumabFlareJAK inhibitors

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Area of Science:

  • Dermatology and Immunology
  • Clinical Practice Guidelines

Context:

  • Atopic dermatitis (AD) knowledge is advancing, with new therapies and self-care guidelines emerging.
  • However, AD remains underdiagnosed in Mexico, necessitating a unified national approach.
  • Collaboration among ten national medical societies informed the development of these guidelines.

Purpose:

  • To establish the Atopic Dermatitis Guidelines for Mexico (GUIDAMEX) using the ADAPTE methodology.
  • To provide evidence-based recommendations for diagnosing and managing AD across different medical specialties.
  • To address the underdiagnosis of AD in Mexico through a comprehensive national guide.

Summary:

  • GUIDAMEX covers AD diagnosis, including differential diagnosis with immunodeficiencies.
  • It details recognition of comorbidities, complications, and non-pharmacological management.
  • Treatment strategies include flare management, maintenance therapy, skin barrier repair, topical treatments, phototherapy, and systemic options like dupilumab and JAK inhibitors.

Impact:

  • Aims to standardize AD care and improve diagnosis rates in Mexico.
  • Empowers healthcare professionals from primary care to specialists with updated clinical recommendations.
  • Facilitates better management of AD, its comorbidities, and associated complications for improved patient outcomes.