De standaard 'Constitutioneel eczeem' (eerste herziening) van het Nederlands Huisartsen Genootschap; reactie vanuit de huisartsgeneeskunde

- Atopic dermatitis is a chronic skin disease that is frequently encountered in general practice. The diagnostic criteria of Williams that the guideline recommends are clear. The reduced role of food-elimination procedures for infants is welcome, since there is little evidence for food allergy as a factor in atopic dermatitis. Rightfully so, the use of topical immunomodulators such as tacrolimus is not advised for general practitioners because of uncertainty about the long-term safety. The guideline provides clear instructions for the use of topical steroids. More severe forms of atopic dermatitis can safely be treated by pulse schemes and a step-down approach. In conclusion, the revised practice guideline offers general practitioners a practical and evidence-based tool for the management of atopic dermatitis.

Ned Tijdschr Geneeskd. 2007;151:1385-6