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Practical management of atopic dermatitis

Publication at Second Faculty of Medicine |
2011

Abstract

Atopic dermatitis is a multifactorial non-infectious inflammatory skin disease of the chronic and relapsing character. It is very common disease, its incidence is still growing.

Most commonly it affects young children. Prevalence of atopic dermatitis in adults is 2-10 % and in children 15-30 %.

Relevance of this disease depends on the extent of its symptoms, frequency of the exacerbations, complications but mostly on the significant impact on the quality of life. It is of a great importance that atopic dermatitis influences quality of life not only of the patient himself but also his family.

The aims of the therapy of atopic dermatitis are: reduction of the major symptoms of the disease, prevention against exacerbations of the disease and long-term protection and care of the skin. The detailed education of the patient and his family is necessary.

The most significant topical modalities used in the treatment of atopic dermatitis are emollients, in acute exacerbations topical corticosteroids and topical immunomodulators. Those are recommended for long-term therapy in so-called "proactive" regime.