[秘鲁特应性皮炎治疗算法。专家共识]。

Pablo Butron, Cesar Galvan, Rosalía Ballona, Evelyn Giuliana Castro-Vargas, Francisco Bravo-Puccio, José Enrique Gereda-Solari, José Ignacio Larco-Sousa, Edgar Matos, Rosario Torres-Ibérico
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摘要

目的:特应性皮炎是一种具有皮肤学表现的慢性、系统性、复发性疾病,给患者、家庭和医疗保健系统带来了沉重负担,对患者的心理、社会和经济影响以及生活质量都很高。它主要影响儿科人群,在较小程度上影响成年人群。临床表现因年龄和疾病演变而异,目前有多种药物和非药物疗法可用于患者的症状管理。方法:提出一种治疗特应性皮炎的算法,并对这些患者的治疗、诊断、教育和随访提出一系列建议。结果:使用名义分组技术达成了共识。该方法分7个阶段开发,包括:提出研究问题、文献检索、建议的初步建议、最终建议的详细说明以及三个投票周期的管理算法,以80%的支持率达成共识。结论:共识过程的结果是根据专家建议制定的轻度、中度/重度特应性皮炎患者的管理算法。该算法建立了诊断和治疗标准,并提供了最新的建议,包括秘鲁可用于管理轻度、中度和重度特应性皮炎患者的所有治疗替代方案。
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[Algoritmo de tratamiento de la dermatitis atópica en Perú. Consenso de expertos].

Objective: Atopic dermatitis is a chronic, systemic, relapsing disease with dermatological manifestations, which imposes a high burden on patients, families and the health care system and has a high psychological, social, and economic impact and on the quality of life of patients. It mainly affects the pediatric population and, to a lesser extent, the adult population. The clinical presentation varies according to the age and evolution of the disease, and currently there are multiple pharmacological and non-pharmacological therapies available for the symptomatic management of patients.

Methods: To present an algorithm for the management of atopic dermatitis, proposed as a series of recommendations on the management, diagnosis, education, and follow-up of these patients.

Results: A consensus was reached using the nominal group technique. The methodology was developed in 7 phases, including: posing the research questions, literature search, an initial proposal of recommendations, elaboration of the final recommendations and the management algorithm with three voting cycles, consensus was established with 80% favorability.

Conclusions: The result of the consensus process is a management algorithm for patients with mild, moderate/severe atopic dermatitis derived from expert recommendations. The algorithm establishes diagnostic and treatment criteria and provides updated recommendations, including all therapeutic alternatives available in Peru for the management of patients with mild, moderate, and severe atopic dermatitis.

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