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- Title
Current practice in treatment approach for bullous pemphigoid: comparison between national surveys from the Netherlands and the UK.
- Authors
Meijer, J. M.; Jonkman, M. F.; Wojnarowska, F.; Wiliams, H. C.; Kirtschig, G.
- Abstract
Treatment approaches for bullous pemphigoid ( BP), the most common autoimmune skin blistering disease, are largely based on national and international guidelines. We conducted a national survey among dermatologists in the Netherlands to explore the current treatment of BP, and compared the results with those of a previously published survey from the UK. Almost all responders in the Netherlands ( n = 175) used very potent topical corticosteroids, both as monotherapy and as adjunctive therapy. In contrast to UK dermatologists, the majority recommended whole-body application rather than local application to lesions. Systemic antibiotics were used by > 70% of responders. Half of the responders in the Netherlands considered systemic steroids the first-choice treatment, with the majority also using adjunctive therapy as a routine. Despite many similarities in treatment approach between the two countries, these surveys provide an important insight into the gap between actual and recommended practice at a country level in relation to the best external evidence.
- Subjects
BULLOUS pemphigoid; AUTOIMMUNE diseases; DERMATOLOGISTS; ADRENOCORTICAL hormones; HEALTH surveys; PATIENTS; THERAPEUTICS
- Publication
Clinical & Experimental Dermatology, 2016, Vol 41, Issue 5, p506
- ISSN
0307-6938
- Publication type
Article
- DOI
10.1111/ced.12831