AD is a complex disease demonstrating different clinical phenotypes, requiring an individualized and multidisciplinary approach. Only a few detailed guidelines direct the overall management of children and adolescents with moderate-severe atopic dermatitis. Thus, appropriate interaction between primary care pediatricians, pediatric allergists, and pediatric dermatologists is vital in establishing the best management strategy.
A recent manuscript involved the members of the Italian Society of Pediatric Allergology and Immunology (SIAIP), the Italian Society of Pediatric Dermatology (SIDerP), and the Italian Society of Pediatrics (SIP) with expertise in the management of moderate-severe atopic dermatitis to review the latest scientific evidence in the field. It defined a pathway to manage children and adolescents with moderate-severe atopic dermatitis appropriately.
The manuscript provided a flow chart for the possible multidisciplinary management of pediatric moderate-severe AD as:
Galli E, Fortina AB, Ricci G, Maiello N, Neri I, Baldo E, Berti I, Bonamonte D, Capra L, Carboni E, Carello R, Caroppo F, Cavagni G, Chinellato I, Cipriani F, Comberiati P, Diociaiuti A, Di Lernia V, Duse M, Filippeschi C, Giannetti A, Giovannini M, Licari A, Marseglia GL, Pace M, Patrizi A, Pajno GB, Peroni D, Villani A, Eichenfield L. Narrative review on the management of moderate-severe atopic dermatitis in pediatric age of the Italian Society of Pediatric Allergology and Immunology (SIAIP), of the Italian Society of Pediatric Dermatology (SIDerP) and of the Italian Society of Pediatrics (SIP). Ital J Pediatr. 2022 Jun 14;48(1):95. doi: 10.1186/s13052-022-01278-7. PMID: 35701810; PMCID: PMC9195338.
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