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Diagnosis and Japanese Guideline

  • Hidehisa SaekiEmail author
Chapter

Abstract

Based on the definition and diagnostic criteria for atopic dermatitis (AD) by the Japanese Dermatological Association (JDA), patients meeting three basic items – (1) pruritus, (2) typical morphology and distribution of the eczema, and (3) chronic or chronically relapsing course – are regarded as having AD. Eruption is symmetrically distributed and frequently develops on the forehead, periorbital area, perioral area, lips, periauricular area, neck, joint areas of limbs, and trunk. Its distribution is characterized by age. The clinical practice guidelines for the management of AD 2016 by the JDA were prepared as a regular revision for all children to adults with all severity of AD, involving internationally published novel findings on AD in 2016. Treatment measures for AD basically consist of drug therapy, skin care with emollients for physiological abnormalities in the skin, and investigations/elimination of exacerbating factors based on its pathogenesis. Drugs that potently reduce AD-related inflammation and of which the efficacy and safety have been scientifically examined include topical corticosteroids and tacrolimus. It is important to promptly and accurately reduce inflammation related to AD, and treatments are based on how topical corticosteroids and tacrolimus should be selected/combined for this purpose.

Keywords

Atopic dermatitis Diagnostic criteria Japanese guideline Tacrolimus Topical corticosteroids 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Department of DermatologyNippon Medical SchoolTokyoJapan

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