The existing evidence for treatment of atopic eczema (atopic dermatitis, AE) is evaluated using the national standard Appraisal of Guidelines Research and Evaluation. The consensus process consisted of a nominal group process and a DELPHI procedure. Management of AE must consider the individual symptomatic variability of the disease. Basic therapy is focused on hydrating topical treatment, and avoidance of specific and unspecific provocation factors. Anti-inflammatory treatment based on topical glucocorticosteroids and topical calcineurin inhibitors (TCI) is used for exacerbation management and more recently for proactive therapy in selected cases. Topical corticosteroids remain the mainstay of therapy, but the TCI tacrolimus and pimecrolimus are preferred in certain locations. Systemic immune-suppressive treatment is an option for severe refractory cases. Microbial colonization and superinfection may induce disease exacerbation and can justify additional antimicrobial treatment. Adjuvant therapy includes UV irradiation preferably with UVA1 wavelength or UVB 311 nm. Dietary recommendations should be specific and given only in diagnosed individual food allergy. Allergen-specific immunotherapy to aeroallergens may be useful in selected cases. Stress-induced exacerbations may make psychosomatic counselling recommendable. 'Eczema school' educational programs have been proven to be helpful. Pruritus is targeted with the majority of the recommended therapies, but some patients need additional antipruritic therapies.

https://www.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1468-3083.2012.04635.x

Guidelines for treatment of atopic eczema (atopic dermatitis) part I.

The existing evidence for treatment of atopic eczema (atopic dermatitis, AE) is evaluated using the national standard Appraisal of Guidelines Research and Evaluation. The consensus process consisted of a nominal group process and a DELPHI procedure. Management of AE must consider the individual symptomatic variability of the disease. Basic therapy is focused on hydrating topical treatment, and avoidance of specific and unspecific provocation factors. Anti‐inflammatory treatment based on topical glucocorticosteroids and topical calcineurin inhibitors (TCI) is used for exacerbation management and more recently for proactive therapy in selected cases. Topical corticosteroids remain the mainstay of therapy, but the TCI tacrolimus and pimecrolimus are preferred in certain locations. Systemic immune‐suppressive treatment is an option for severe refractory cases. Microbial colonization and superinfection may induce disease exacerbation and can justify additional antimicrobial treatment. Adjuvant therapy includes UV irradiation preferably with UVA1 wavelength or UVB 311 nm. Dietary recommendations should be specific and given only in diagnosed individual food allergy. Allergen‐specific immunotherapy to aeroallergens may be useful in selected cases. Stress‐induced exacerbations may make psychosomatic counselling recommendable. ‘Eczema school’ educational programs have been proven to be helpful. Pruritus is targeted with the majority of the recommended therapies, but some patients need additional antipruritic therapies.

/pdf/guidelines-for-treatment-of-atopic-eczema-atopic-dermatitis-4ot3xmztfw.pdf

Guidelines for Treatment of Atopic Eczema (Atopic Dermatitis)

http://fundacja-alabaster.org.pl/wp-content/uploads/2012/09/3.pdf

Psychiatrie et dermatologie

Contexte : Le concept general d’education therapeutique du patient (ETP), defini par le Bureau europeen de l’Organisation Mondiale de la Sante (OMS) en 1998, pourrait etre discutable lorsqu’il est applique a l’enfant, en raison des nombreuses specificites de cette population dans le champ de la sante et de l’education.Objectif : Identifier les specificites de l’Education Therapeutique du Patient appliquee a la population pediatrique.Methodes : L’analyse du concept s’inspire de la methode de Rodgers en cinq phases : 1) Identification du concept, 2) Selection du domaine approprie de la litterature, 3) Collecte des donnees a partir des publications retenues, 4) Analyse des resultats permettant de determiner les caracteristiques du concept etudie, 5) Discussion sur l’implication et les perspectives du developpement du concept.Resultats : Trente-cinq publications ont ete incluses dans cette clarification de concept. Cinq attributs ont emerge : la triade relationnelle, les partenariats collaboratifs, l’adaptation de l’apprentissage, l’acquisition progressive et evolutive des competences, et la creativite.Discussion : Les resultats issus de cette premiere analyse de concept permettent d’eclairer le processus de transfert de connaissances a travers le temps. Les cinq specificites, en cohesion avec le domaine de la promotion de la sante, pourraient etre consolidees par une theorisation ancree.

Spécificités pédiatriques du concept d'éducation thérapeutique du patient : analyse de la littérature de 1998 à 2012

Resume Introduction L’education therapeutique s’applique a de nombreuses maladies chroniques. Elle vise a ameliorer la prise en charge de ces maladies en developpant les competences des malades. La dermatite atopique est un champ de developpement de l’education therapeutique. L’objectif de ce travail etait de definir les competences propres a la gestion de la dermatite atopique pouvant faire l’objet d’une education therapeutique et de reunir ces competences sous forme d’un referentiel adapte a l’usage. Materiel et methode Trente soignants ont participe a la redaction de ce referentiel (dermatologues, medecin specialiste d’education therapeutique, psychologue, infirmieres). Tous avaient une experience en education therapeutique au cours de la dermatite atopique. Resultats Quatre tranches d’âge ont ete retenues (avant 5 ans, de 6 a 10 ans, pre adolescent/adultes, parents d’enfant de moins de 5 ans). Pour chaque tranche d’âge, les competences attendues des malades ou parents d’enfant et les methodes d’apprentissage adaptees ont ete choisies. Les competences ont ete classees en trois champs differents : (i) les connaissances (savoir) sur la maladie, les traitements, les facteurs declenchants, (ii) les savoir-faire : realisation des soins par les malades ou par les parents, (iii) les savoir etre : savoir expliquer la maladie et les soins aux proches, savoir quand et qui contacter. Enfin, un guide pour le diagnostic educatif en 10 questions a ete etabli. Discussion Nous rapportons les modalites d’elaboration et le contenu d’un referentiel de competences pour les malades atteints de dermatite atopique. Il ne s’agit pas d’exiger pour chaque malade l’ensemble des competences listees dans ce travail mais de mettre a disposition des soignants un referentiel complet permettant de choisir les competences a travailler au terme d’un diagnostic educatif. Ce referentiel s’adresse aux malades atteints de formes moderees a severes de dermatite atopique en situation d’echec therapeutique. Il est utilisable par toutes les personnes qui prennent en charge le malade : medecin, infirmiere ou psychologue selon les items explores. Il constitue un support a l’elaboration, a la diffusion et a l’evaluation d’un programme d’education therapeutique dans la dermatite atopique.

Dermatite atopique : un référentiel d'éducation du malade

Handle everyday research tasks with reliable, citation-backed results

Your personal Research Agent to handle research tasks with citation-backed results

Popular Tasks used by Researchers

How can I help with your research?

Meet SciSpace

Get more enhanced response by uploading the PDFs you want me to reference.

No relevant PDFs in your library

SciSpace is the AI research assistant for academics. Run systematic literature reviews on 280M+ papers, and write papers with cited sources. Trusted by 1M+ students, PhDs & researchers.

SciSpace | AI for Research

Analyze PDFs

Code & Manuscripts

Funding & Grants

Literature & Patents

Medical & Clinical Data

Systematic Review

Visualize & Present

Web & Data

Build a Google Scholar-like website for your research.

Build a website

Create charts and images for your research

Create a Chart

Write a paper for submission to a journal

Draft a manuscript

Patent Search

Design eye-catching scientific posters in minutes.

Scientific Poster Generation

Systematic Literature Review

One task is running at the moment. Your messages will be shown right after.

Drag and drop or click here to browse

Loved by <highlight>1 million+</highlight> researchers

Extract a list of specific topics and their sources from unstructured text

Topics

Compare and analyze relevant papers that matches with your search

Papers

Get insights from PDFs and bookmarked papers from your library

My library

Recent searches

Try searching for:

Catch AI-generated content in scholarly and non-scholarly content

{ai} Detector

Ai Writer

Get PDF Summaries, highlighted text explanations 

Chat with PDF

Effortlessly create in-text citations and bibliographies in APA and 2,500 other formats

Citation generator

Get explanations, summaries, and answers on academic papers

Ease up your research workflow with {scispace}'s cohort of exciting AI tools

Elevate your academic writing skills and convey your ideas the way you want

Paraphraser

Explore our range of reading and writing tools

Your file is being prepared and should be ready in a few minutes. If it's a large file, it might take a bit longer. You can close this window, and we'll email you the file when it's done.

You have reached a maximum limit of <strong>{limit}</strong> columns in the table. Remove at least <strong>1</strong> column to add or create another one.

J.-F. Cuny

Author Tools

Chat about Author

Papers

Dermatite atopique : un référentiel d'éducation du malade