Categories
Change Password!
Reset Password!
Allergists and dermatologists often differ in how they approach the management of children with atopic dermatitis (AD).
Allergists emphasize diagnostic testing while dermatologists prioritize prescribing therapies for pediatric atopic dermatitis, with combined clinics offering more comprehensive care.
Allergists and dermatologists often differ in how they approach the management of children with atopic dermatitis (AD). This study sought to evaluate the differences between dermatology and allergy in referral, assessment, and management patterns for pediatrics battling AD.
A retrospective review of medical records was executed for patients under 18 years of age who were treated for AD. Information was collected on patient demographics, referring providers, and the evaluation and management strategies used at the initial visit.
Among the study population, 269 children were first evaluated in allergy clinics, 685 in dermatology clinics, and 14 in a joint allergy-dermatology clinic. Referrals most commonly came from general practitioners, although dermatology received a higher proportion from specialty providers. Allergists more frequently ordered diagnostic tests such as IgE levels, allergen panels, and complete blood counts.
On the other hand, dermatologists prescribed a wider range of treatments, including topical corticosteroids, systemic immunosuppressants, and calcineurin inhibitors. Children seen in the combined clinic were more likely to undergo diagnostic testing as opposed to those seen in dermatology alone, and more likely to receive prescriptions than those evaluated in allergy alone.
Allergists tend to emphasize identifying and testing for AD triggers, whereas dermatologists primarily focus on therapeutic interventions. Coordinated care between the two specialties may offer a more well-rounded approach to tackling pediatric AD.
Journal of Dermatological Treatment
Differences between allergy and dermatology in referral, evaluation, and management patterns for pediatric patients with atopic dermatitis
Nicole L Edmonds et al.
Comments (0)