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Belgian atopic dermatitis guidelines.
Hilde Lapeere1, Reinhart Speeckaert1, Marie Baeck2
1Department of Dermatology, Ghent University Hospital, Ghent, Belgium.
Acta Clinica Belgica
|November 24, 2023
Summary
New guidelines offer evidence-based recommendations for managing atopic dermatitis (AD). While biologics and JAK inhibitors show promise for severe AD, access remains limited, emphasizing the importance of foundational treatments.
Area of Science:
- Dermatology
- Clinical Practice Guidelines
- Pharmacology
Background:
- Atopic dermatitis (AD) is a prevalent and challenging skin condition.
- Recent advancements include new systemic treatments revolutionizing AD management.
- Current treatment strategies require updated, practical guidance.
Purpose of the Study:
- To establish evidence-based recommendations for atopic dermatitis (AD) management.
- To provide practical, implementable strategies for clinicians.
- To address the Belgian healthcare context for AD treatment.
Main Methods:
- Development of recommendations by 11 Belgian AD experts.
- Consensus gathering through expert comments and online voting.
- Discussion of relevant management and treatment strategies.
Main Results:
- General measures, patient education, and topical treatments are foundational for AD.
- Biologics and JAK inhibitors demonstrate significant efficacy in moderate to severe AD.
- Limited access to advanced systemic therapies based on reimbursement criteria.
Conclusions:
- Belgian experts provide practical guidelines for AD management.
- Foundational treatments remain crucial, complemented by advanced therapies where accessible.
- Future strategies should consider broader access to effective systemic treatments for AD.
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