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Atopic Dermatitis: Systemic Immunosuppressive Therapy

This article reviews some of the systemic immunomodulatory agents that are used in the treatment of AD, including some of the antipsoriatic biologicals.


 

Arash Akhavan, MD, and Donald Rudikoff, MD

Atopic dermatitis (AD) is a pruritic, relapsing skin disorder that negatively impacts the quality of life of those affected and that of their families. Treatment options for AD encompass a variety of emollients, topical corticosteroids, topical immunomodulators, phototherapy, and systemic agents. Such agents as systemic corticosteroids, cyclosporine, azathioprine, interferon-, methotrexate, and mycophenolate mofetil have been shown to be efficacious in the treatment of moderate-to-severe AD but are not officially approved for this purpose. In this article, we review some of the data supporting efficacy of these medications and discuss some of the adverse events associated with their use.

*For a PDF of the full article, click on the link to the left of this introduction.

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