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 Nowicki; Magdalena Trzeciak; Maciej Kaczmarski; Aleksandra Wilkowska; Magdalena Czarnecka-Operacz; Cezary Kowalewski; Lidia Rudnicka; Marek Kulus; Agnieszka Mastalerz-Migas; Jarosław Peregud-Pogorzelski; Małgorzata Sokołowska-Wojdyło; Radosław Śpiewak; Zygmunt Adamski; Joanna Czuwara; Monika Kapińska-Mrowiecka; Andrzej Kaszuba; Dorota Krasowska; Beata Kręcisz; Joanna Narbutt; Sławomir Majewski; Adam Reich; Zbigniew Samochocki; Jacek Szepietowski; Katarzyna Woźniak

doi:10.5114/dr.2019.88253

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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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

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

DOI: https://doi.org/10.5114/dr.2019.88253

Online publish date: 2019/10/02

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AMA

Nowicki RJ, Trzeciak M, Kaczmarski M, et al. 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. Dermatology Review/Przegląd Dermatologiczny. 2019;106(4):354-374. doi:10.5114/dr.2019.88253.

APA

Nowicki, R. J., Trzeciak, M., Kaczmarski, M., Wilkowska, A., Czarnecka-Operacz, M.,  & Kowalewski, C. et al. (2019). 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. Dermatology Review/Przegląd Dermatologiczny, 106(4), 354-374. https://doi.org/10.5114/dr.2019.88253

Chicago

Nowicki, Roman J, Magdalena Trzeciak, Maciej Kaczmarski, Aleksandra Wilkowska, Magdalena Czarnecka-Operacz, Cezary Kowalewski,  and Lidia Rudnicka et al. 2019. "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". Dermatology Review/Przegląd Dermatologiczny 106 (4): 354-374. doi:10.5114/dr.2019.88253.

Harvard

Nowicki, R., Trzeciak, M., Kaczmarski, M., Wilkowska, A., Czarnecka-Operacz, M., Kowalewski, C., Rudnicka, L., Kulus, M., Mastalerz-Migas, A., Peregud-Pogorzelski, J., Sokołowska-Wojdyło, M., Śpiewak, R., Adamski, Z., Czuwara, J., Kapińska-Mrowiecka, M., Kaszuba, A., Krasowska, D., Kręcisz, B., Narbutt, J., Majewski, S., Reich, A., Samochocki, Z., Szepietowski, J.,  and Woźniak, K. (2019). 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. Dermatology Review/Przegląd Dermatologiczny, 106(4), pp.354-374. https://doi.org/10.5114/dr.2019.88253

MLA

Nowicki, Roman et al. "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." Dermatology Review/Przegląd Dermatologiczny, vol. 106, no. 4, 2019, pp. 354-374. doi:10.5114/dr.2019.88253.

Vancouver

Nowicki R, Trzeciak M, Kaczmarski M, Wilkowska A, Czarnecka-Operacz M, Kowalewski C et al. 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. Dermatology Review/Przegląd Dermatologiczny. 2019;106(4):354-374. doi:10.5114/dr.2019.88253.

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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