J Drugs Dermatol. 2023 Aug 1;22(8):SF386361s3-SF386361s10.
Variations in the epidemiology, clinical presentation, and disease course in skin of color (SOC) atopic dermatitis (AD) patients have been reported that may impact treatment approach and skincare recommendations.
The project used a modified Delphi hybrid process comprising face-to-face discussions and an online review process. A panel of physicians (advisors) who treat SOC patients with AD used information from literature searches, expert opinions, and their experience to develop a practical algorithm to improve outcomes for SOC patients with AD.
The algorithm for SOC patients with AD aims to inform dermatologists and other healthcare professionals caring for these patients. The first section of the algorithm addresses education and behavioral measures. Treatment adherence is a considerable challenge in chronic inflammatory conditions such as AD, making education essential. The second section discusses the assessment of the skin condition. The third section informs on treatment and maintenance measures for AD. Treatment and maintenance of AD in patients with SOC should be proactive, effectively control inflammation longitudinally, include effective skin barrier protective strategies, and consider cultural practices.
Robust comparative studies are needed to better understand racial/ethnic variations in AD. The algorithm supports educating healthcare professionals and patients to foster individualized treatment, prevention, and adjunctive skincare approaches across diverse patient populations. J Drugs Dermatol. 2023;22:8(Suppl 2):s3-10.
有报道称，肤色（SOC）特应性皮炎（AD）患者的流行病学、临床表现和疾病过程存在差异，这可能影响治疗方法和皮肤护理建议。
该项目使用改良 Delphi 混合流程，包括面对面讨论和在线审查流程。一组治疗 SOC-AD 患者的医生（顾问）利用文献检索、专家意见和他们的经验信息制定了一个实用的算法，以改善 SOC-AD 患者的治疗效果。
该 AD 患者 SOC 算法旨在为治疗这些患者的皮肤科医生和其他医疗保健专业人员提供信息。该算法的第一节讨论了教育和行为措施。在 AD 等慢性炎症性疾病中，治疗依从性是一个相当大的挑战，因此教育至关重要。第二节讨论了皮肤状况的评估。第三节介绍了 AD 的治疗和维持措施。SOC 患者的 AD 治疗和维持应具有前瞻性，能够从纵向有效控制炎症，包括有效的皮肤屏障保护策略，并考虑文化实践。
需要进行强有力的比较研究，以更好地了解 AD 的种族/民族差异。该算法支持教育医疗保健专业人员和患者，以促进不同患者群体的个体化治疗、预防和辅助皮肤护理方法。J 皮肤病药物杂志。2023;22:8（增刊 2）：s3-10。
