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J Clin Outcomes Manage
2007 Aug;14(8):465-474
Atopic dermatitis: an evidence-based management approach
Pien GC, Spergel JM
Program Audience Primary care physicians Educational Needs Addressed Atopic dermatitis (AD) is a chronic, relapsing inflammatory skin disorder that affects 10% to 30% of children and 1% to 3% of adults, and its incidence appears to be increasing. AD can occur at any age, with varying distribution and severity, and can significantly impact quality of life, causing anxiety, discomfort, sleep disturbance, and poor self-confidence and self-image. Diagnosis of AD requires a careful history and physical examination and consideration of other potential causes of symptoms, including other skin disorders, immunodeficiencies, autoimmune diseases, malignancies, infections, and metabolic derangements. AD can be properly controlled with maintenance of good skin hygiene, including use of over-the-counter emollients, as well as with topical corticosteroids or calcineurin inhibitors. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. Describe the initial approach to evaluation and general management of AD 2. Identify the components of maintenance therapy 3. Discuss treatment strategies for acute flares 4. Describe potential factors or triggers for AD exacerbation
Case-Based Review, CME
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