MONDAY, May 19, 2025 -- In a clinical report published online May 19 in

2025年5月19日，星期一——在5月19日在线发表的临床报告中

Pediatrics

儿科

, the American Academy of Pediatrics presents updated guidance for the treatment of children with atopic dermatitis (AD).

美国儿科学会提出了针对特应性皮炎（AD）儿童治疗的最新指南。

Noting that many pediatricians may not feel comfortable treating AD or other dermatologic conditions, Jennifer J. Schoch, M.D., from the University of Florida in Gainesville, and colleagues reviewed pediatric AD and provided an up-to-date approach to skin-directed management incorporating recent advances..

注意到许多儿科医生可能对治疗特应性皮炎（AD）或其他皮肤病不够自信，来自佛罗里达大学盖恩斯维尔分校的Jennifer J. Schoch博士及其同事回顾了儿童AD，并提供了一种结合最新进展的皮肤导向管理的更新方法。

The authors note that successful AD treatment involves the triad of maintenance skin care, topical anti-inflammatory medications, and avoidance of triggers. General recommendations for treatment include frequent bathing (daily or every other day) with lukewarm water and gentle cleanser. Products with added fragrance, dyes, or essential oils should be avoided, as they are potential irritants and/or contact allergens.

作者指出，成功的特应性皮炎（AD）治疗涉及三大方面：维持皮肤护理、局部使用抗炎药物以及避免触发因素。治疗的一般建议包括用温水和温和清洁剂进行频繁沐浴（每天或隔天一次）。应避免使用添加香料、染料或精油的产品，因为它们是潜在的刺激物和/或接触性过敏原。

Topical anti-inflammatories, including corticosteroids and calcineurin inhibitors, should be applied once to twice daily to active eczema patches; unless specifically instructed, topical medications should not be mixed with topical emollients, as this dilutes the potency of the medication. Dupilumab and Janus kinase inhibitors are emerging treatments for AD.

局部抗炎药，包括皮质类固醇和钙调神经磷酸酶抑制剂，应每天涂抹一到两次于活跃的湿疹斑块上；除非特别指示，局部药物不应与局部润肤剂混合使用，因为这会稀释药物的效力。Dupilumab 和 Janus 激酶抑制剂是新兴的 AD 治疗方法。

In patients with AD, moisturizers should be applied liberally to the entire body skin surface at least daily, especially after a bath or shower. Flare can be reduced with reduction of triggers and proactive treatment with topical anti-inflammatories. Patients with severe, recalcitrant, and/or complicated AD should be referred to subspecialists..

阿尔茨海默病患者应至少每天将保湿剂大量涂抹于全身皮肤，尤其是在洗澡或淋浴后。减少诱因和使用局部抗炎药物进行积极治疗可以减轻病情复发。严重、顽固性和/或复杂的阿尔茨海默病患者应转诊给专科医生。

'Ongoing collaboration between pediatric primary care providers and AD specialists can optimize care for patients with complex AD,' the authors write.

“儿科初级保健提供者与特应性皮炎（AD）专科医生之间的持续合作可以优化复杂AD患者的护理，”作者写道。

One author disclosed ties to Janssen Biotech and Exactech.

一名作者透露了与杨森生物技术和Exactech的关系。

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