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Use of immunobiologicals in atopic eczema refractory to conventional treatment: a systematic review
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Keywords

Dermatitis atopic
Eczema
Dermatitis eczematous
Immunologic factors
Drug therapy

How to Cite

Use of immunobiologicals in atopic eczema refractory to conventional treatment: a systematic review. (2025). Revista Eletrônica Acervo Científico, 25, e20704. https://doi.org/10.25248/reac.e20704.2025

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Abstract

Objective: To evaluate the efficacy and safety of immunomodulators in the treatment of atopic dermatitis, analyzing the evidence available in the literature. Methods: A literature review was performed based on the selection of relevant scientific studies, considering scientific clinical trials. The search was conducted in five national and international scientific databases, using specific descriptors related to the topic. Results: The results indicate that immunomodulators have benefits in controlling inflammation and reducing the severity of symptoms, but there are variations in the clinical response among patients. In addition, the methodological specifications of the studies studied make it difficult to make a definitive decision on the superiority of this approach in relation to other available options. Therefore, there is a need for more robust and longer-lasting clinical trials to assess long-term safety. The heterogeneity of protocols and the lack of standardization in the inclusion and exclusion criteria of patients are challenges for the consolidation of immunomodulators as the treatment of choice. Conclusion: Immunomodulators represent a relevant therapeutic alternative for severe atopic dermatitis, but their clinical application still requires greater scientific support. Future studies should focus on methodological standardization and prolonged patient monitoring to ensure greater safety and efficacy in the use of these medications.

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