Dermatitis atópica del adulto: un desafío diagnóstico y terapéutico

Abstract

Adult atopic dermatitis is a chronically recurring inflammatory dermatosis which presents in
 various forms. Some of these forms develop mostly in adults such as head and neck dermatitis
 and chronic hand eczema. Even though the diagnosis is clinical it frequently requires further
 investigations to exclude differential diagnosis. Once confirmed, it is crucial to classify its
 severity and exclude other comorbidities. Treatment includes general measures such as the
 use of emollients and soap substitutes which are applicable in all cases regardless of its
 severity. Other therapeutic options include topical corticosteroids, topical calcineurin inhibitors,
 phototherapy and immunosuppressants. Their use will depend on the degree of severity and
 specific characteristics of each individual. Newer biologics have proven to be a safe and
 effective alternative, and seem to be a promising option in cases of adult atopic dermatitis
 refractory to conventional treatments.