Wet Wrap Therapy in Children with Moderate to Severe Atopic Dermatitis in a Multidisciplinary Treatment Program Noreen Heer Nicol, PhD, RN, FNP, Mark.

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Wet Wrap Therapy in Children with Moderate to Severe Atopic Dermatitis in a Multidisciplinary Treatment Program Noreen Heer Nicol, PhD, RN, FNP, Mark Boguniewicz, MD, Matthew Strand, PhD, Mary D. Klinnert, PhD The Journal of Allergy and Clinical Immunology: In Practice Volume 2, Issue 4, Pages 400-406 (July 2014) DOI: 10.1016/j.jaip.2014.04.009 Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 1 Treatment algorithm from the update to the AD Practice Parameter. Reproduced with permission from Schneider et al.7 The Journal of Allergy and Clinical Immunology: In Practice 2014 2, 400-406DOI: (10.1016/j.jaip.2014.04.009) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 2 SCORAD on admission (blue bars) and at discharge (red bars) paired for 72 patients, sorted by SCORAD at admission (high to low). By using a paired t test, differences between SCORAD index means at admission and discharge were significant (t, 18.93; df, 71; P < .001). Of note, the gap between the blue and red bars gets smaller from left to right, which demonstrates that the greater the severity of AD at admission, the greater the improvement. The Journal of Allergy and Clinical Immunology: In Practice 2014 2, 400-406DOI: (10.1016/j.jaip.2014.04.009) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 3 Mean ADQ (black) vs SCORAD (red), with 95% confidence limits. The mean ± SD ADQ scores were 43.28 ± 12.03 at admission, 12.33 ± 8.42 at discharge, and 15.59 ± 12.53 1 month after discharge. The mean ± SD SCORAD index on admission was 49.68 ± 17.7, and the mean ± SD SCORAD index on discharge was 14.83 ± 7.4. The Journal of Allergy and Clinical Immunology: In Practice 2014 2, 400-406DOI: (10.1016/j.jaip.2014.04.009) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions