Paediatric atopic eczema (atopic dermatitis) in South Africa: A practical algorithm for the management of mild-to-moderate disease in daily clinical practice
South African Family Practice
| Field | Value | |
| Title | Paediatric atopic eczema (atopic dermatitis) in South Africa: A practical algorithm for the management of mild-to-moderate disease in daily clinical practice | |
| Creator | Kannenberg, Susanna M. Karabus, Sarah Visser, Willem I. Aboobaker, Jamilabibi Kriel, Magdalena M. Levin, Michael Magigaba, Basil Manjra, Ahmed Misra, Rupesh Mpofu, Pholile Tshigabe, Azwitamisi Luger, Thomas | |
| Description | Background: Atopic eczema (AE) is a chronic, highly pruritic, inflammatory skin condition with increasing prevalence worldwide. Atopic eczema mostly affects children, impairing quality of life with poor disease control leading to progression of other atopic disorders. As most patients in South Africa have no access to specialist healthcare, a practical approach is needed for the management of mild-to-moderate AE in paediatric patients for daily clinical practice.Methods: A panel of experts in AE convened to develop a practical algorithm for the management of AE for children and adolescents in South Africa.Results: Regular moisturising with an oil-based emollient remains the mainstay of AE treatment. Severe AE flares should be managed with topical corticosteroids (TCSs). For mild-to-moderate AE flares in sensitive skin areas, a topical calcineurin inhibitor (TCI) should be applied twice daily from the first signs of AE until complete resolution. Topical corticosteroids may be used when TCIs are unavailable. In non-sensitive skin areas, TCSs should be used for mild-to-moderate AE, but TCIs twice daily may be considered. Proactive maintenance treatment with low-dose TCI or TCS 2–3 times weekly and the liberal use of emollients is recommended for patients with recurrent flares.Conclusions: This algorithm aims to simplify treatment of paediatric AE, optimising clinical outcomes and reducing disease burden. This approach excludes treatment of patients with severe AE, who should be referred to specialist care. Emphasis has been given to the importance of general skincare, patient education and the topical anti-inflammatory medications available in South Africa (TCSs and TCIs). | |
| Publisher | AOSIS | |
| Date | 2020-11-23 | |
| Identifier | 10.4102/safp.v62i1.5190 | |
| Source | South African Family Practice; Vol 62, No 1 (2020): Part 4; 9 pages 2078-6204 2078-6190 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://safpj.co.za/index.php/safpj/article/view/5190/6476
https://safpj.co.za/index.php/safpj/article/view/5190/6474
https://safpj.co.za/index.php/safpj/article/view/5190/6475
https://safpj.co.za/index.php/safpj/article/view/5190/6473
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