Allergic Contact Dermatitis: Therapeutic Management

Allergic Contact Dermatitis: Therapeutic Management Purpose of Review Allergic contact dermatitis (ACD) is a common condition and may entail negative impacts on people’s quality of life along with a substantial economic burden. Appropriately managing it through patient education, allergen avoidance, and symptom- atic treatment is crucial for its resolution. Our review aims to establish a practical approach to ACD management, based on a comprehensive discussion of available therapeutic options for ACD, a review of the latest findings in this field, and personal insights from our clinical practice experience. Recent Findings Topical treatments constitute the first-line therapy for ACD. Randomized clinical trials have shown topical corticosteroids to improve clinical and nonclinical outcomes, while tacrolimus has proven effective and safe. Evidence is lacking for oral corticosteroids in ACD sufferers, so recommendations for its use are primarily based on results obtained in dermatitis of other etiologies. In contrast, some studies have assessed azathioprine and phototherapy for ACD. Summary Patient education and allergen avoidance are paramount for managing ACD. However, individualized symptomatic treatment is warranted in several clinical situations. Although these treatments are widely used in clinical practice, few studies support their use for ACD. Further research is needed. Introduction Allergic contact dermatitis (ACD) is a delayed hypersen- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Treatment Options in Allergy Springer Journals

Allergic Contact Dermatitis: Therapeutic Management

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Allergology; General Practice / Family Medicine
eISSN
2196-3053
D.O.I.
10.1007/s40521-018-0156-6
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review Allergic contact dermatitis (ACD) is a common condition and may entail negative impacts on people’s quality of life along with a substantial economic burden. Appropriately managing it through patient education, allergen avoidance, and symptom- atic treatment is crucial for its resolution. Our review aims to establish a practical approach to ACD management, based on a comprehensive discussion of available therapeutic options for ACD, a review of the latest findings in this field, and personal insights from our clinical practice experience. Recent Findings Topical treatments constitute the first-line therapy for ACD. Randomized clinical trials have shown topical corticosteroids to improve clinical and nonclinical outcomes, while tacrolimus has proven effective and safe. Evidence is lacking for oral corticosteroids in ACD sufferers, so recommendations for its use are primarily based on results obtained in dermatitis of other etiologies. In contrast, some studies have assessed azathioprine and phototherapy for ACD. Summary Patient education and allergen avoidance are paramount for managing ACD. However, individualized symptomatic treatment is warranted in several clinical situations. Although these treatments are widely used in clinical practice, few studies support their use for ACD. Further research is needed. Introduction Allergic contact dermatitis (ACD) is a delayed hypersen-

Journal

Current Treatment Options in AllergySpringer Journals

Published: Jan 25, 2018

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