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Larenas-Linnemann D, Rincón-Pérez C, Luna-Pech JA, Macías-Weinmann A, Vidaurri-de la Cruz H, Navarrete-Rodríguez EM, Del Río-Navarro BE, Godínez-Alderete L, Guevara-Sanginés E, Ortega-Martell JA, Toledo-Bahena ME, Elizondo-Villareal B, Madrigal-Beas IM, Amaya-Guerra M, Barreras-Salcedo JI, Boeta-Ángeles L, Campos-Rivera A, Casillas-Guzmán ME, Duarte-Abdala MR, Espinosa-Padilla SE, García-Rodríguez JC, Gómez-Flores M, Gómez-Mendoza RA, Del C Lacy-Niebla RM, Miranda-Aguirre AI, Olivares-Nolasco C, Onuma-Takane E, Pérez-Luna M, Pliego-Reyes CL, Rodríguez-Aguilera MDL, Sáez-de Ocariz-Gutiérrez MDM, Saucedo-Sánchez A, Sotelo-Ocampo AB, Valencia-Herrera AM, Vázquez-García J, Wakida-Kuzunoki GH, Camarillo-Saavedra J, Rodríguez Monroy FA. [Guidelines on atopic dermatitis for Mexico (GUIDAMEX): using the ADAPTE methodology]. GAC MED MEX 2023; 158:1-116. [PMID: 36763412 DOI: 10.24875/gmm.m22000690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
With the advancement of knowledge in relation to the physiopathogenesis of atopic dermatitis (AD), several new therapeutic forms have been developed. There are also new guidelines for self-care. On the other hand, there is still an underdiagnosis of AD in Mexico. Thus, the need was seen to develop a national guide, with a broad base among the different medical groups that care for patients with AD. The Atopic Dermatitis Guidelines for Mexico (GUIDAMEX) was developed with the ADAPTE methodology, with the endorsement and participation of ten national medical societies, from physicians in Primary Healthcare to allergists and dermatologists. Throughout the manuscript, key clinical questions are answered that lead to recommendations and suggestions for the diagnosis of AD (including differential diagnosis with immunodeficiency syndromes), the recognition of comorbidities and complications, non-pharmacological treatment including therapeutic education, treatment of flares and maintenance therapy. The latter encompasses general measures to avoid triggering factors, first-line treatment focussed on repair of the skin barrier, second-line treatment (topical proactive therapy), and third-line phototherapy or systemic treatment, including dupilumab and JAK inhibitors.
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Affiliation(s)
| | - Catalina Rincón-Pérez
- Unidad de Especialidades Médicas, Universidad de Ejército y Fuerza Aérea Mexicana, SEDENA, Ciudad de México, México
| | - Jorge A Luna-Pech
- Departamento de Disciplinas Filosóficas Metodológicas e Instrumentales, Universidad de Guadalajara, Guadalajara, Jal., México
| | - Alejandra Macías-Weinmann
- Centro Regional de Alergia e Inmunología Clínica (CRAIC), Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, N.L., México
| | | | - Elsy M Navarrete-Rodríguez
- Servicio de Alergia e Inmunología Clínica, Hospital Infantil de México Federico Gómez, Ciudad de México, México
| | - Blanca E Del Río-Navarro
- Servicio de Alergia e Inmunología Clínica, Hospital Infantil de México Federico Gómez, Ciudad de México, México
| | - Liliana Godínez-Alderete
- Hospital Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México, México
| | - Esther Guevara-Sanginés
- Servicio de Dermatología, Hospital Regional Lic. Adolfo López Mateos, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Ciudad de México, México
| | - José A Ortega-Martell
- Departamento de Inmunología, Instituto de Ciencias para la salud, Facultad de Medicina, Universidad Autónoma del Estado de Hidalgo, Pachuca, Hgo., México
| | - Mirna E Toledo-Bahena
- Servicio de Dermatología, Hospital Infantil de México Federico Gómez, Ciudad de México, México
| | | | - Ileana M Madrigal-Beas
- Unidad Médica de Alta Especialidad, Hospital de Especialidades, Centro Médico Nacional de Occidente IMSS, Guadalajara, Jal., México
| | | | | | | | | | | | | | | | | | - Minerva Gómez-Flores
- Departamento de Dermatología, Hospital Universitario Dr. José Eleuterio González, Monterrey, N.L., México
| | | | | | | | | | | | - Mariana Pérez-Luna
- Hospital Regional Lic. A. López Mateos, ISSSTE, Ciudad de México, México
| | - Carlos L Pliego-Reyes
- Hospital Ángeles Acoxpa, Ciudad de México, México.,Regional Lic. Adolfo López Mateos, ISSSTE, Ciudad de México, México
| | | | | | | | | | | | - Jorge Vázquez-García
- Centro Especializado en Atención de Diabetes y Obesidad, Ciudad de México, México
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