Home > Riviste > Giornale Italiano di Dermatologia e Venereologia > Fascicoli precedenti > Articles online first > Giornale Italiano di Dermatologia e Venereologia 2017 Dec 14

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

Rivista di Dermatologia e Malattie Sessualmente Trasmesse


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,311


eTOC

 

Giornale Italiano di Dermatologia e Venereologia 2017 Dec 14

DOI: 10.23736/S0392-0488.17.05892-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Diagnosis and management of moderate to severe adult atopic dermatitis: a consensus by the Italian Society of Dermatology and Venereology (SIDeMaST), the Italian Association of Hospital Dermatologists (ADOI), the Italian Society of Allergy, Asthma and Clinical Immunology (SIAAIC), and the Italian Society of Allergological, Environmental and Occupational Dermatology (SIDAPA)

Piergiacomo CALZAVARA PINTON 1 , Antonio CRISTAUDO 2, Caterina FOTI 3, Giorgio W. CANONICA 4, Nicola BALATO 5, Antonio COSTANZO 6, 7, Ornella DE PITÀ 8, Clara DE SIMONE 9, Cataldo PATRUNO 5, Giovanni PELLACANI 10, Ketty PERIS 8, Giampiero GIROLOMONI 11

1 Department of Dermatology, Spedali Civili of Brescia, University of Brescia, Brescia, Italy; 2 San Gallicano Dermatological Institute, IRCCS, Rome, Italy; 3 Unit of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy; 4 Personalised Medicine Asthma & Allergy Clinic, Humanitas University, Clinical & Research Hospital, Rozzano, Milan, Italy; 5 Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy; 6 Dermatology Unit, Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; 6 Dermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy; 8 Clinical Pathology, Cristo Re Hospital, Rome, Italy; 9 Department of Dermatology, Catholic University of Sacred Heart, Rome, Italy; 10 Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy; 11 Department of Medicine, Section of Dermatology, University of Verona, Verona, Italy


PDF  


Atopic dermatitis (AD) is a chronic immune-mediated inflammatory skin disease, currently recognized as a systemic disease possibly burdened by various comorbidities, including, but not limited to, other allergic conditions. Management guidelines issued by American and European dermatology and allergy scientific societies are available. However, some discrepancies exist in these guidelines, and some aspects of the management process, including diagnosis and severity assessment, as well as therapy duration and switch criteria, are not fully clarified by existing guidelines. Moreover, biologics such as dupilumab have now entered the therapeutic scenario of moderate-to-severe AD, offering a great opportunity to treat effectively and safely in need AD patients. For all these reasons, four Italian dermatology and allergy scientific societies joined to provide practical guidance for the management of moderate-to-severe adult AD suitable for the Italian clinical practice. Through a modified Delphi procedure, consensus was reached by 63 Italian dermatologists and allergists experienced in the management of adult AD on 14 statements covering five AD areas of interest, i.e. diagnosis, severity definition, current systemic therapies, eligibility criteria to biologic treatments, and comorbidities, with the aim to define treatment goals and improve adult AD management. The potential usefulness of a multidisciplinary approach is also underlined, given the complexity of AD and its comorbidities.


KEY WORDS: Atopic dermatitis - Diagnosis - Severity assessment - Management - Therapy - Biologicals - Dupilumab

inizio pagina

Publication History

Article first published online: December 14, 2017
Manuscript accepted: December 13, 2017
Manuscript received: December 13, 2017

Per citare questo articolo

Calzavara Pinton P, Cristaudo A, Foti C, Canonica GW, Balato N, Costanzo A, et al. Diagnosis and management of moderate to severe adult atopic dermatitis: a consensus by the Italian Society of Dermatology and Venereology (SIDeMaST), the Italian Association of Hospital Dermatologists (ADOI), the Italian Society of Allergy, Asthma and Clinical Immunology (SIAAIC), and the Italian Society of Allergological, Environmental and Occupational Dermatology (SIDAPA). G Ital Dermatol Venereol 2017 Dec 14. DOI: 10.23736/S0392-0488.17.05892-8

Corresponding author e-mail

piergiacomo.calzavarapinton@unibs.it