Allergy Asthma Respir Dis.  2024 Oct;12(4):170-176. 10.4168/aard.2024.12.4.170.

The KAPARD guidelines for atopic dermatitis in children and adolescents: Part I. Skin care and topical treatment

Affiliations
  • 1Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
  • 2Department of Pediatrics, The Catholic University of Korea, Seoul, Korea
  • 3Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
  • 4Department of Pediatrics, Pediatric Allergy and Respiratory Center, Soonchunhyang University School of Medicine, Seoul, Korea
  • 5Department of Pediatrics, Busan St. Mary’s Hospital, Busan, Korea
  • 6Department of Pediatrics, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea
  • 7Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea
  • 8Department of Pediatrics, College of Medicine, Ewha Women’s University, Seoul, Korea
  • 9Department of Pediatrics, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, Korea
  • 10Department of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 11Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, College of Medicine, Hallym University, Dongtan, Korea
  • 12Department of Pediatrics, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea
  • 13Department of Pediatrics, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
  • 14Department of Pediatrics, National Health Insurance Service Ilsan Hospital, Ilsan, Korea

Abstract

Atopic dermatitis is one of the most common chronic skin inflammatory diseases in children. Appropriate treatment is difficult due to chronic course with frequent exacerbations, especially in children. Treatment requires caution due to a lack of safety data and information regarding the long-term prognosis of management strategies. The Korean Academy of Pediatric Allergy and Respiratory Disease (KAPARD) published the Atopic Dermatitis Treatment Guidelines in 2008, which has been used to direct atopic dermatitis treatment. Accumulating evidence suggests that the guidelines need to be updated regarding bathing methods (duration of bath, temperature, etc.), wet wrap therapy, and topical treatments in line with environmental changes over time and changes in the management strategies of atopic dermatitis. This KAPARD guidelines for atopic dermatitis applied an adaptation based on a systematic review and analysis of selected literature. They are intended to support front-line doctors treating pediatric and adolescent patients with atopic dermatitis in making reasoned, safe, effective empirical treatment decisions. In Part I of the KAPARD guidelines for atopic dermatitis, we included evidence-based skin care management strategies and topical treatment options.

Keyword

Atopic dermatitis; Child; Treatment; Guidelines
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