[The practice guideline 'Atopic dermatitis' (first revision) from the Dutch College of General Practitioners; a response from the perspective of dermatology].
The practice guideline on atopic dermatitis from the Dutch College of General Practitioners has recently been revised. The main differences from the previous edition (1996) concern the lack of value of allergy tests in the absence of immediate symptoms, the use of the stepdown approach when starting therapy with topical corticosteroids, the absence of topical or systemic side effects if topical corticosteroids are used in a controlled way, the restriction of topical calcineurin inhibitors to second-line treatment, and the lack of effect of non-sedative antihistamines.
Universitair Medisch Centrum Utrecht, afd. Dermatologie en Allergologie, Postbus 85.500, 3508 GA Utrecht. c.bruynzeel@umcutrecht.nl
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Bruijnzeel-Koomen
D000287:Administration, Topical; D003876:Dermatitis, Atopic / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D003880:Dermatology / Q000592:standards*; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D012955:Societies, Medical; D013256:Steroids / Q000008:administration & dosage / Q000627:therapeutic use*
D013256:Steroids