Atopic dermatitis (AD) symptoms fluctuate between stable disease and acute flare-ups. The step-up guidelines to better manage acute flare-ups, and worsening disease severity, include topical therapies for mild-to-moderate AD and systemic therapies for moderate-severe AD. Choosing different therapies is only one potential factor to improve patient outcomes. Non-adherence to treatment also limits patient outcomes for a variety of reasons, including lack of trust/understanding about disease management, inconvenience, and fear of side effects, among others.
Given an increasing range of therapeutic options for moderate AD, which include novel topical therapies, it may be useful to revisit the step-up paradigm.
- What are the key factors to consider for mild-to-moderate AD treatment choices after disease flare-ups?
- For moderate AD patients, when is a transition to additional/newer topical treatments preferable to oral therapies?
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Jeremy Moss, Medical director and physician3yrThe key factors to determine therapies for patients are extent of disease, symptom severity, quality of life issues, patient desire for certain types of therapies, and access/affordability issues. With Show More -
Barbara Honig3yrAD is a chronic autoimmune skin condition that fluctuates due to multiple environmental triggers and stressors. I have all AD patients optimize OTC care with mild cleansers and emollients, and Show More
