A 3-step treatment algorithm is proposed. The initial assessment should include detailed history and the extent and severity of AD, followed by delivering basic care with emollients, therapeutic patient education and avoidance of irritants/allergens. If the patient presented with acute signs and symptoms, Step 1 treatment is to provide immediate control of pruritus and inflammation by antihistamines and TCSs. If the symptoms aggravate, Step 2 treatment options such as burst use of systemic corticosteroids, phototherapy, or control of infections might be considered. If these treatments fail to provide sufficient disease control, Step 3 treatment options such as systemic immunomodulatory agents, potent TCSs, alternative medicine or psychotherapeutic approach might be helpful. All patients may be switched to maintenance therapy once the disease is under control, and they may return to continuing basic care if the lesions achieve complete remission.
A 3-step treatment algorithm is proposed. The initial assessment should include detailed history and the extent and severity of AD, followed by delivering basic care with emollients, therapeutic patient education and avoidance of irritants/allergens. If the patient presented with acute signs and symptoms, Step 1 treatment is to provide immediate control of pruritus and inflammation by antihistamines and TCSs. If the symptoms aggravate, Step 2 treatment options such as burst use of systemic corticosteroids, phototherapy, or control of infections might be considered. If these treatments fail to provide sufficient disease control, Step 3 treatment options such as systemic immunomodulatory agents, potent TCSs, alternative medicine or psychotherapeutic approach might be helpful. All patients may be switched to maintenance therapy once the disease is under control, and they may return to continuing basic care if the lesions achieve complete remission.
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