Diagnosis and Management of Atopic Dermatitis for Primary Care Providers.

Fleming, Patrick; Yang, Yue Bo; Lynde, Charles; O'Neill, Braden; Lee, Kyle O · J Am Board Fam Med · 2020

review · Level V

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Abstract

To provide primary care providers an up-to-date approach to the diagnosis and management of atopic dermatitis (AD). PubMed, Cochrane, and MEDLINE databases were searched for relevant meta-analyses, randomized controlled trials, systematic reviews, and observational studies about the diagnosis and management of AD. AD is a common chronic skin disease characterized by immune dysregulation and skin barrier dysfunction. It has a substantial impact on quality of life across all ages. Despite this, AD is often still undertreated due to inaccurate diagnoses, even by many experienced dermatologists. Many primary care providers may not be aware of its commonly associated medical and psychiatric comorbidities or be familiar with new treatment options. In this clinical review, we describe the pathophysiology, epidemiology, diagnosis, and treatment of AD, specifically highlighting commonly used therapies and novel medications.

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