Dermatite atópica grave em adulto e a dificuldade do manejo de tratamento no Brasil

Abstract

Atopic dermatitis (AD) is a chronic skin disease characterized by itching, erythema and scaling lesions, as well as a continuous inflammatory pattern. In cases of severe AD, when classic treatments such as topical corticosteroid administration and phototherapy lose their effectiveness, methotrexate,

mycophenolate mofetil and azathioprine, which belong to the systemic immunosuppressive drug class, are the alternative approach. In addition to immunobiologicals, which are the most recent medications in the studies, such as Dupilumab, used by the patient of the case, but which depend on the release of public defense most of the time. Emollients should be used in parallel to restore the skin's lipid film.