Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process

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  • Thyssen, Jacob Pontoppidan
  • Teresa Berents
  • Maria Bradley
  • Mette Deleuran
  • Øystein Grimstad
  • Laura Korhonen
  • Tor Langeland
  • Tore Särnhult
  • Simon Francis Thomsen
  • Turid Thune
  • Carl-Fredrik Wahlgren
  • Christian Vestergaard
  • Laura B Kobyletzki
  • Anita Remitz

Similarities and differences in the everyday clinical management of moderate-to-severe atopic dermatitis in Nordic countries are unknown. Using a modified Delphi approach, 15 dermatologists from Denmark, Finland, Norway and Sweden completed face-to-face and online questionnaires and participated in summary discussions to map expert opinion on the clinical management of moderate-to-severe atopic dermatitis in these Nordic countries. Through discussions, 6 adult patient profiles, reflecting common disease presentations of atopic dermatitis, were identified. Using these case profiles, diagnostic work-up, treatment goals, patient education and treatment approaches were discussed. Patient education was identified as essential for effective management. A treatment sequence of moderate-to-potent topical glucocorticosteroids and emollients, followed by systemic treatment, was recommended, allowing 3 months to ascertain systemic treatment response before switching, if necessary. Consensus was not reached on systemic treatment choice, reflecting differences in clinical practice and reimbursement between countries. Practical, case-based clinical recommendations were developed for optimal patient care.

Original languageEnglish
Article numberadv00015
JournalActa Dermato-Venereologica
Volume100
Issue number1
Number of pages11
ISSN0001-5555
DOIs
Publication statusPublished - 7 Jan 2020

    Research areas

  • Adult, Delphi Technique, Dermatitis, Atopic/therapy, Humans, Scandinavian and Nordic Countries

ID: 249630635