Atopic dermatitis: Recommendations for environmental modifications

  • There is limited evidence to support the routine use of house dust mite covers to treat patients with AD who are sensitized to dust mites.

Level of Evidence: II  Strength of Recommendation: B

  • The use of specific laundering techniques, such as double rinsing, detergents, or other laundry products cannot be recommended for AD treatment because of the lack of clinical studies.

Level of Evidence: III  Strength of Recommendation: C

  • There is limited evidence to support the use of specialized clothing fabrics in the treatment of AD.

Level of Evidence: II  Strength of Recommendation: B

  • In the general AD population, sublingual immunotherapy and injection immunotherapy are not recommended for the treatment of AD because of the small number of studies and conflicting conclusions.

Level of Evidence: II  Strength of Recommendation: B

  • Chinese herbal therapy and massage therapy have insufficient evidence for recommendation for AD treatment.

Level of Evidence: III  Strength of Recommendation: C 
(Chinese herbal therapy)

Level of Evidence: II  Strength of Recommendation: B
(Massage therapy)

  • The use of aromatherapy, naturopathy, hypnotherapy, acupressure, or autologous blood injections cannot be recommended for the treatment of AD at this time because of insufficient evidence.

Level of Evidence: II-III  Strength of Recommendation: B 


Navigate section 4 of the AD guideline: Disease flares and adjunctive therapy

Citation note

When referencing this guideline in a publication, please use the following citation: Sidbury R, Tom WL, Bergman JN, Cooper KD, Silverman RA, Berger TG, et al. Guidelines of care for the management of atopic dermatitis: Section 4. Prevention of disease flares and use of adjunctive therapies and approaches. J Am Acad Dermatol. 2014 Dec;71(6):1218-33.

 


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