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Giornale Italiano di Dermatologia e Venereologia 2020 June;155(3):253-60

DOI: 10.23736/S0392-0488.19.06527-1

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Tuscan Consensus on the diagnosis, treatment and follow up of adult atopic dermatitis

Filomena RUSSO ¹ ✉, Nicola MILANESI ², Michela IANNONE ³, Giovanni BAGNONI ⁴, Laura BARTOLI ⁵, Mauro BELLINI ⁶, Luca BRANDINI ⁷, Gionata BUGGIANI ⁷, Roberto CECCHI ⁵, Aldo CUCCIA ⁸, Angelo M. D’ERME ⁴, Valentina DINI ³, Alessia GORI ⁹, Marta GRAZZINI ¹⁰, Franco MARSILI ¹¹, Guia MASCI ⁶, Sabrina MAZZOLI ⁸, Camilla PECCIANTI ¹², Michele PELLEGRINO ¹², Nicola PIMPINELLI ², Pietro RUBEGNI ¹, Franca TAVITI ⁹, Corrado TEDESCHI ¹¹, Giulia TONINI ³, Carlo MAZZATENTA ¹⁰, Maria L. FLORI ¹, Massimo GOLA ²

¹ Section of Dermatology, Department of Medical, Surgical and Neurological Science, University of Siena, Santa Maria alle Scotte Hospital, Siena, Italy; ² Unit of Allergological and Pediatric Dermatology, Department of Health Sciences, University of Florence, Florence, Italy; ³ Department of Dermatology, University of Pisa, Pisa, Italy; ⁴ Unit of Dermatology, Hospital of Livorno, Livorno, Italy; ⁵ Unit of Dermatology, San Jacopo Hospital, Pistoia, Italy; ⁶ Unit of Dermatology, Hospital of Carrara, Carrara, Italy; ⁷ Unit of Dermatology, San Giuseppe Hospital, Empoli, Florence, Italy; ⁸ Unit of Dermatology, San Donato Hospital, Arezzo, Italy; ⁹ Unit of Dermatology, Hospital of Prato, Prato, Italy; ¹⁰ Unit of Dermatology, Hospital of Campo di Marte, Lucca, Italy; ¹¹ Unit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy; ¹² Section of Dermatology, Department of Dermatology, Misericordia Hospital, Grosseto, Italy

Atopic dermatitis (AD) is an inflammatory disease with a chronic-relapsing course that is intensely itchy. A correct diagnosis of AD in adults and consequently appropriate clinical therapeutic management is a critical issue for extreme clinical expression heterogeneity and various grades of disease severity. In order to ensure high levels of care and standardization of clinical therapeutic management of Adult AD, the decision was taken to create an AD Tuscan Consensus Group (the Group), to work on and validate a consensus based regional clinical-therapeutic management model. The aims of the Group were to find agreement on the criteria for diagnosis, scoring of severity, multidisciplinary approach and treatment of adult atopic dermatitis and to create an easier way for patients to access specialized dermatology outpatient services and importantly to reduce waiting lists and costs related to the management of AD. The Tuscan Consensus Group adopted a simplified Delphi method, in three principal steps: 1) literature metanalysis and critical review of patient’s clinical experience to identify the main areas considered questionable or uncertain; 2) discussion of those areas requiring consensus and statement definition through four different sub-committees (diagnosis, severity evaluation, scoring and comorbidities); 3) a consensus based simplified process with final approval of each statement by plenary vote with approval >80% of the participants. The Group here presents and discusses the consensus based recommendation statements on adult atopic dermatitis.

KEY WORDS: Dermatitis, atopic; Diagnosis; Disease management; Biological therapy