Atopic Dermatitis Host and Environment Model: Revisiting Therapeutic Options.

Eur Ann Allergy Clin Immunol

Allergy Unit, Pedro Hispano Hospital, Matosinhos, Portugal.

Published: January 2020

AI Article Synopsis

  • Atopic Dermatitis (AD) affects both adults and children and is influenced by a mix of genetic and environmental factors, making it a complex health issue globally.
  • Treatment for AD is diverse, typically involving emollients, topical steroids, and systemic options like immunosuppressors and monoclonal antibodies, including the approved Dupilumab.
  • The paper presents a new step-by-step strategy to manage AD effectively, highlighting the importance of addressing environmental triggers and psychological factors that can worsen the condition.

Article Abstract

Atopic Dermatitis affects both children and adults and is a serious health concern in many countries. AD is a complex disease with host and environmental factors underlying its pathology. Its treatment is multidimensional reflecting the diverse nature of its triggers and includes emollients, topical steroids and calcineurin inhibitors among others. Immunological dysfunction can be addressed broadly with systemic immunosupressors and specifically with monoclonal antibodies. Dupilumab, which targets IL-4 and IL-13 was granted approval for treatment of moderate-to-severe AD. Biologics targeting IgE/Th2 pathways may have its role in patients with overlapping AD and asthma. Psychological distress can exacerbate symptoms and is associated with increased severity of AD. Environmental triggers, such as, allergens can be addressed in selected cases with allergic immunotherapy. In this paper, we discuss AD treatment and propose a new step-by-step approach aiming at maintaining disease control and improving quality of life.

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Source
http://dx.doi.org/10.23822/EurAnnACI.1764-1489.125DOI Listing

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