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

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.