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J Am Acad Dermatol. 2014 Dec;71(6):1218-33. doi: 10.1016/j.jaad.2014.08.038. Epub 2014 Sep 26.

Guidelines of care for the management of atopic dermatitis: Section 4. Prevention of disease flares and use of adjunctive therapies and approaches.

Author information

  • 1Department of Dermatology, Seattle Children's Hospital, Seattle, Washington.
  • 2University of California, San Diego and Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California.
  • 3Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada.
  • 4Department of Dermatology, Case Western University, Cleveland, Ohio.
  • 5private practice, Fairfax, Virginia.
  • 6Department of Dermatology, University of California San Francisco, San Francisco, California.
  • 7Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
  • 8Department of Dermatology, New York University School of Medicine, New York, New York.
  • 9Department of Dermatology, Mayo Clinic, Rochester, Minnesota.
  • 10Department of Dermatology, Wake Forest University Health Sciences, Winston-Salem, North Carolina.
  • 11Department of Dermatology, Oregon Health & Science University, Portland, Oregon.
  • 12Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
  • 13Kaplan-Amonette Department of Dermatology, University of Tennessee Health Science Center, Memphis, Tennessee.
  • 14Centre of Evidence-Based Dermatology, Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom.
  • 15Department of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
  • 16National Eczema Association, San Rafael, California.
  • 17American Academy of Dermatology, Schaumburg, Illinois.
  • 18American Academy of Dermatology, Schaumburg, Illinois. Electronic address:


Atopic dermatitis is a common, chronic inflammatory dermatosis that can affect all age groups. This evidence-based guideline addresses important clinical questions that arise in its management. In this final section, treatments for flare prevention and adjunctive and complementary therapies and approaches are reviewed. Suggestions on use are given based on available evidence.

Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.


aeroallergens; allergy testing; atopic dermatitis; calcineurin inhibitors; complementary therapy; corticosteroids; diet; education; flare; food allergy; topicals

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