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Alergologia Polska - Polish Journal of Allergology
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3/2019
vol. 6
 
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abstract:
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

Roman J. Nowicki
1
,
Magdalena Trzeciak
1
,
Maciej Kaczmarski
2
,
Aleksandra Wilkowska
1
,
Magdalena Czarnecka-Operacz
3
,
Cezary Kowalewski
4
,
Lidia Rudnicka
5
,
Marek Kulus
6
,
Agnieszka Mastalerz-Migas
7
,
Jarosław Peregud-Pogorzelski
8
,
Małgorzata Sokołowska-Wojdyło
1
,
Radosław Śpiewak
9
,
Zygmunt Adamski
3
,
Joanna Czuwara
5
,
Monika Kapińska-Mrowiecka
10
,
Andrzej Kaszuba
11
,
Dorota Krasowska
12
,
Beata Kręcisz
13
,
Joanna Narbutt
11
,
Sławomir Majewski
14
,
Adam Reich
15
,
Zbigniew Samochocki
5
,
Jacek Szepietowski
16
,
Katarzyna Woźniak
4

  1. Department of Dermatology, Venereology, and Allergology, Medical University of Gdansk, Poland
  2. Department of Paediatrics, Paediatric Gastroenterology and Allergology, Medical University of Bialystok, Poland
  3. Department of Dermatology, Poznan University of Medical Sciences, Poland
  4. Department of Dermatology and Immunodermatology, Medical University of Warsaw, Poland
  5. Department of Dermatology, Medical University of Warsaw, Poland
  6. Department of Paediatric Pneumonology and Allergology, Medical University of Warsaw, Poland
  7. Department of Family Medicine, Medical University of Wroclaw, Poland
  8. Department of Paediatrics and Paediatric Oncology, Pomeranian Medical University, Szczecin, Poland
  9. Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, Krakow, Poland
  10. Dermatology Ward, Stefan Żeromski Specialist Hospital, Krakow, Poland
  11. Department of Dermatology, Paediatric and Oncological Dermatology, Medical University of Lodz, Poland
  12. Department of Dermatology, Venereology and Paediatric Dermatology, Medical University, Lublin, Poland
  13. Department of Dermatology, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
  14. Department of Dermatology and Venereology, Medical University of Warsaw, Poland
  15. Department of Dermatology, University of Rzeszow, Poland
  16. Department of Dermatology, Venereology and Allergology, Medical University of Wroclaw, Poland
Alergologia Polska – Polish Journal of Allergology 2019; 6, 3: 69–80
DOI: https://doi.org/10.5114/pja.2019.88548
Online publish date: 2019/10/07
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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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