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Italian guidelines for therapy of atopic dermatitis—Adapted from consensus‐based European guidelines for treatment of atopic eczema (atopic dermatitis)

Dermatologic Therapy2019Vol. 32(6), pp. e13121–e13121

Citations Over TimeTop 10% of 2019 papers

Giovanni Damiani, Piergiacomo Calzavara‐Pinton, Luca Stingeni, Katharina Hansel, Francesco Cusano, “Skin Allergy” Group of SIDeMaST, “ADOI” (Associazione Dermatologi Ospedalieri Italiani), “SIDAPA” (Società Italiana di Dermatologia Allergologica, Professionale e Ambientale), Paolo D. Pigatto, Daniela Agostinelli, D. Albertazzi, G. Angelini, Franca Angerosa, P.L. Arigliano, D. Assalve, Fabio Ayala, Tania Barbagallo, A. Belloni‐Fortina, M Berta, C. Biale, Leonardo Bianchi, I. Biasini, Valeria Boccaletti, Domenico Bonamonte, Alessandro Borghi, Nicola Luigi Bragazzi, L. Brambilla, Marco Bressan, Alexandra Maria Giovanna Brunasso, Francesca Bruni, Piero Giovanni Bruni, Stefano Caccavale, Gianfranco Calogiuri, S.P. Cannavò, Andrea Carugno, Ivana Cataldi, G. Chiarelli, A Cirla, Monica Corazza, Mélissande Cossutta, Lidia Cova, Antonio Cristaudo, Francesco Cusano, P. Danese, Marie Canton, O. De Pità, P. De Salvo, Massimo Donini, F Fantini, Silvia Mariel Ferrucci, Maria Laura Flori, Elena Fontana, Caterina Foti, S. Francalci, L.A. Frasin, Rosella Gallo, Giulio Gasparini, Massimo Gola, M. Gravante, F. Guarniéri, D. Guastaferro, Vito Ingordo, Maria Michela Lauriola, P. Leghissa, Paolo Lisi, Pasquale Lombardi, Massimiliano Lorenzini, Giovanna Malara, L. Magrini, Gianni Marone, Emanuela Martina, Paolo Mascagni, Marcella Chiari, L. Meligeni, M. Melino, Lisa Miccio, Nicola Milanesi, A. Molinu, Giuseppe Monfrecola, Paola Morelli, Alberico Motolese, Beatrice Musumeci, Luigi Naldi, Maddalena Napolitano, Maria Rita Nasca, Alessia Pacifico, Pascal Paganini, Massimo Papini, Giorgio Pasolini, Cataldo Patruno, Michele Pellegrino, Anna Peroni, Andrea Peserico, Viviana Piras, Annamaria Pugliese, Francesca Raponi, Paolo Raviolo, Alfredo Rebora, G Recchia, Francesco Riva, Paolo Romita, Mariateresa Rossi, Martino Ruggieri, F. Saggiorato, P. Sartorelli, Donatella Schena, A. Schettino, Giulia Spano, C. Stinchi, Luca Tasin, Marta Tramontana, L Taddei, R. Valsecchi, Filomena Russo, Annalisa Vascellaro, Marina Venturini, C. Vincenzi, Annarosa Virgili, Myriam Zucca

Abstract

Atopic dermatitis (AD) therapeutic approach calls for a long-term treatment. Treatment options for AD have recently undergone a revolutionary change by the introduction of the first biologic drug. Availability in daily practice of the last version of international AD guidelines, taking peculiarities of the country into account, can contribute to good clinical practice in Italy. To adapt European Dermatology Forum (EDF) guidelines for AD to the Italian medical-legal context, the EDF guidelines were assessed independently by two independent Italian renowned experts in the field and further integrated with articles published and systematically reviewed before May 2019. The first draft was collegially corrected and updated by the members of the SIDEMAST, ADOI, and SIDAPA. Recommendation levels (A; B; C; D) were graded based on the evidence levels (1-4). The adapted guidelines presented here focus on topical and systemic therapies in AD patients, both children and adults. As opposed to previous Italian guidelines, they include indications about biologics. New relevant evidence available from very recent literature and peculiarities of the Italian medical and legal context have been integrated in the revision process. If compared to general guidelines for AD not adapted to a specific national and cultural context, a revision for specific Italian needs is now available: It comprises the option of implementing the new biologic treatments and is likely to provide an important contribution to the improvement of clinical practice in Italy. Cooperation between patients, dermatologists, allergologists, and pediatricians remains mandatory in AD management. The authors of the present revision recommend an update of the Italian guidelines to be performed at least every second year.

Citations Over TimeTop 10% of 2019 papers

Abstract

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