Evidence map›Paper›PMID 31148854›Full record

ArticleIndian journal of dermatology

Guidelines on Management of Atopic Dermatitis in India: An Evidence-Based Review and an Expert Consensus.

Murlidhar Rajagopalan, Abhishek De, Kiran Godse, D S Krupa Shankar, Vijay Zawar, Nidhi Sharma, Samipa Mukherjee, Aarti Sarda, Sandipan Dhar

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Indian journal of dermatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  6. International survey of treatment practices for atopic dermatitis in pregnant and breastfeeding women: Physician perspectives.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Murlidhar RajagopalanDepartment of Dermatology, Apollo Hospital, Chennai, Tamil Nadu, India.
Abhishek DeDepartment of Dermatology, Calcutta National Medical College, Kolkata, West Bengal, India.
Kiran GodseDepartment of Dermatology, D Y Patil Hospital, Navi Mumbai, Maharashtra, India.
D S Krupa ShankarDepartment of Dermatology, Mallige Hospital, Bengaluru, Karnataka, India.
Vijay ZawarDepartment of Dermatology, Skin Diseases Center, Nashik, Maharashtra, India.
Nidhi SharmaDepartment of Dermatology, The Medicity, Medanta Hospital, Gurugram, Haryana, India.
Samipa MukherjeeDepartment of Dermatology, Cloud Nine Hospitals, Bengaluru, Karnataka, India.
Aarti SardaDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Sandipan DharDepartment of Dermatology, Institute of Child Health, Kolkata, West Bengal, India.
Calcutta National Medical College and Hospital · INHCG Cancer Hospital · INInstitute of Child Health · INMedanta The Medicity · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a common and chronic, pruritic inflammatory skin condition that affects all age groups. There was a dearth of consensus document on AD for Indian practitioners. This article aims to provide an evidence-based consensus statement for the management of AD with a special reference to the Indian context. This guideline includes updated definition, etiological factors, classification, and management of atopic dermatitis. METHODOLOGY: The preparation of guidelines was done in multiple phases. Indian Dermatology Expert Board Members (DEBM), recommended by the Skin Allergy Society of India, prepared 26 evidence-based recommendations for AD. An extensive literature search was done in MEDLINE, Google scholar, Cochrane, and other resources. Articles published in the past 10 years were reviewed and recommendations were graded based on the quality of evidence as per GRADE. After forming the initial structure, DEBM met in Mumbai and gave their decisions on an agree and disagree scale with an Indian perspective. Finally, their suggestions were compiled for preparing the article. After DEBM finalized the draft, a treatment algorithm was formulated for the management of AD.

resultsDEBM suggested a working definition for AD. The panel agreed that moisturizers should be used as mainstay of therapy and should be continued in all lines of therapy and in maintenance phase. Topical corticosteroids and topical calcineurin inhibitors should be considered as the first line of treatment. Among systemic therapies, cyclosporin should be considered first line, followed by azathioprine, methotrexate, and mycophenolate mofetil. Phototherapy can be an effecive alternative. Empirical food restriction was recommended against.

conclusionThese guidelines should form a reference for the management of patients with AD in an evidence-based manner.

Indexed as

Atopic dermatitisconsensusexpert opinionguidelines

Identifiers

PMID31148854
PMCPMC6537677
OpenAlexW2947724447

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.