Environmental and behavioral mitigation strategies for patients with atopic dermatitis

Nadia Shobnam MD, Grace Ratley MSPH, Jordan Zeldin BS, Manoj Yadav PhD, Ian A. Myles MD, MPH
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Abstract

Objective

Herein, we aimed to summarize the evidence-base for these interventions with a focus on the role of specific chemicals in driving AD.

Methods

A narrative review of nonprescription mitigation strategies in AD was conducted.

Results

We identified avoidance strategies for the various routes of exposure such as air pollution, water contamination, or inclusion in home goods, skin care products, and cleansers. Evidence for and against dietary modification and emollient use as primary prevention were also elucidated. To remember these interventions we propose a mnemonic, HELPSS AD: Home decor, Emollients, Laundering, Probiotics, Soaks, Social support, Air quality, and Diet.

Limitations

Each of these categories presents nuanced molecular differences that must be considered. For example, probiotic responses vary by the specific species while home products and pollution must be analyzed by the specific toxins.

Conclusion

Although the interventions discussed lack the level of evidence required for inclusion into formal guidelines, awareness of these approaches may offer aid to, and build trust with, patients and caregivers.
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特应性皮炎患者的环境和行为缓解策略
结果我们确定了避免接触空气污染、水污染或家居用品、护肤品和清洁剂等各种途径的策略。我们还阐明了支持和反对将饮食调整和使用润肤剂作为初级预防措施的证据。为了记住这些干预措施,我们提出了一个记忆法,即 HELPSS AD:家居装饰、润肤剂、洗涤、益生菌、浸泡、社会支持、空气质量和饮食。例如,益生菌的反应因具体物种而异,而家居产品和污染则必须根据具体毒素进行分析。结论尽管所讨论的干预措施缺乏纳入正式指南所需的证据水平,但对这些方法的认识可能会为患者和护理人员提供帮助并与他们建立信任。
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来源期刊
JAAD International
JAAD International Medicine-Dermatology
CiteScore
3.60
自引率
0.00%
发文量
169
审稿时长
45 days
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