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Abstract: . . . Therapies Topical Cor ticosteroids Topical corticosteroids have long been the mainstay in management and are the first-line anti-inflammatory treatment for AD. They are the standard of care to which other treatments are compared. Unfortunately, most patients and families, and many healthcare providers, are concerned about topical corticosteroid use. 25 Adverse effects of topical corticosteroids include atrophy, perioral granulomatous dermatitis , acne, telangiectases,erythema,and hypopigmentation.Ocular effects can include glaucoma, ocular hypertension, and cataracts, and systemic absorption may result in hypothalamic-pituitary-adrenal axis suppression. 26 However, when used correctly, clinically significant adverse effects are rare. 2729 The patients age, disease severity, and distribution of disease should guide topical corticosteroid choice. . . . . . . medium dose UVA1 phototherapy in atopic dermatitis , J Am Acad Dermatol (2000);42(2): pp. 254257. 44.Valkova S,Velkova A,UVA/UVB therapy for atopic dermatitis revisited, J Derm.Treat (2004);15(4): pp. 239244. 45. Berth-Jones J, Finlay A Y, Zaki I et al.,Cyclosporine in severe childhood atopic dermatitis : a multicenter study, J Am Acad Dermatol (1996);34(6): pp. 1,0161,021. 46. Harper J L,Ahmed I,Barclay G et al.,Cyclosporin for severe childhood atopic dermatitis :short course versus continuous therapy Br J Dermatol (2000);142(1): pp. 5258. U S D E R M A T O L O G Y R E V I E W 2 0 0 6 6 Reference Section . . . . . . 39. Taylor J S, Praditsuwan P, Handel D, Kuffner G, Allergic contact dermatitis from doxepin cream. One-year patch test clinic experience, Arch Dermatol (1996);132(5): pp. 515518. 40. Sidbury R, Hanifin J M,Systemic therapy for atopic dermatitis , Clin Exp Dermatol (2000);25(7): pp. 559566. 41. Kelkar P S, Li J T,Cephalosporin allergy, N Engl J Med (2001);345(11): pp. 804809. 42. Grundmann-Kollmann M, Behrens S, Podda M, Phototherapy for atopic eczema with narrow-band UVB, J Am Acad Dermatol (1999);40(pt 1): pp. 995997. 43. Abeck D, Schmidt T, Fesq H et al.,Long term efficacy of medium dose UVA1 phototherapy in atopic dermatitis , J Am Acad Dermatol (2000);42(2): pp. 254257. 44.Valkova S,Velkova A,UVA/UVB therapy for atopic dermatitis revisited, J Derm.Treat (2004);15(4): pp. 239244. 45. Berth-Jones J, Finlay A Y, Zaki I et al.,Cyclosporine in severe childhood atopic dermatitis : a multicenter study, J . . . --3000,3,500,2914,30829
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