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Effectiveness of Systemic Treatments for Atopic Dermatitis in the Head-and-Neck-Area: A Systematic Review and Meta-analysis - PubMed

3 days ago
  • #Systemic Treatments
  • #Atopic Dermatitis
  • #Head-and-Neck Area
  • Systemic treatments for atopic dermatitis (AD) in the head-and-neck area were evaluated through a systematic review and meta-analysis.
  • The study focused on the effectiveness of biologics and Janus kinase inhibitors (JAKis) in treating AD in the head-and-neck region.
  • Mean reductions in Eczema Area and Severity Index for the head-and-neck region (EASI-HN) after 16 weeks ranged from 59% to 85% across different treatments.
  • Proportion of patients achieving 75% improvement in EASI-HN (EASI75-HN) after 16 weeks varied from 20% to 66%.
  • Upadacitinib and dupilumab showed significant effectiveness, with upadacitinib 30 mg once daily achieving an 80% reduction in EASI-HN and 66% in EASI75-HN.
  • Limited and non-comparable evidence was found for conventional systemic therapies like cyclosporine and methotrexate.
  • The study concluded that biologics and JAKis are effective for AD in the head-and-neck region, with responses comparable to other body areas.
  • Further research is needed for direct comparisons between therapies.