Abstract
4/2019
vol. 106
Special paper
Atopic dermatitis. Interdisciplinary diagnostic and therapeutic recommendations of the Polish Dermatological Society, Polish Society of Allergology, Polish Pediatric Society and Polish Society of Family Medicine. Part I. Prophylaxis, topical treatment and phototherapy
- Department of Dermatology, Venereology, and Allergology, Medical University of Gdansk, Poland
- Department of Paediatrics, Paediatric Gastroenterology and Allergology, Medical University of Bialystok, Poland
- Department of Dermatology, Poznan University of Medical Sciences, Poland
- Department of Dermatology and Immunodermatology, Medical University of Warsaw, Poland
- Department of Dermatology, Medical University of Warsaw, Poland
- Department of Paediatric Pneumonology and Allergology, Medical University of Warsaw, Poland
- Department of Family Medicine, Medical University of Wroclaw, Poland
- Department of Paediatrics and Paediatric Oncology, Pomeranian Medical University, Szczecin, Poland
- Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, Krakow, Poland
- Dermatology Ward, Stefan Żeromski Specialist Hospital, Krakow, Poland
- Department of Dermatology, Paediatric and Oncological Dermatology, Medical University of Lodz, Poland
- Department of Dermatology, Venereology and Paediatric Dermatology, Medical University, Lublin, Poland
- Department of Dermatology, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
- Department of Dermatology and Venereology, Medical University of Warsaw, Poland
- Department of Dermatology, University of Rzeszow, Poland
- Department of Dermatology, Venereology and Allergology, Medical University of Wroclaw, Poland
Dermatol Rev/Przegl Dermatol 2019, 106, 354-371
Online publish date: 2019/10/02
Atopic dermatitis is a chronic and recurrent inflammatory dermatosis with concomitant intensive pruritus, and is diagnosed both in children and adults. Atopic dermatitis -patients are predisposed to have bacterial, viral and fungal skin infections; they also suffer from an increased risk of developing food allergies (especially, at an infantile age), allergic rhinitis, or bronchial asthma (a so-called atopic march). Currently, an increasing atopic dermatitis incidence constitutes a serious medical problem that regards not only dermatology and allergology, but also paediatrics, and family medicine. The basis for atopic dermatitis treatment and prophylaxis is restoration of epidermal barrier functions by means of tailored emollients. Atopic dermatitis therapies should effectively eliminate clinical symptoms of the disease, prevent exacerbations as well as complications, and improve patients’ quality of life.
Keywords
atopic dermatitis, allergic march, elimination diet, emollients, topical glucocorticoids, topical calcineurin inhibitors, proactive therapy, wet dressings
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