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Рецепт. 2018; : 119-127

Атопический дерматит:настоящее и будущее фармакотерапии

Маслова Л. В.

Аннотация

Атопический дерматит (АД) - изнуряющее заболевание, которое существенно нарушает качество жизни у одного из 4 детей и одного из 10 взрослых. Современное лечение АД является комплексным, включающим симптоматическую терапию, направленную на подавление воспалительного ответа и восстановление барьерной функции кожи, снижение частоты обострений заболевания, профилактику вторичной инфекции кожи. Системная терапия АД показана пациентам с тяжелым заболеванием, рефрактерным к адекватному топическому лечению. Доступные в настоящее время препараты направлены на снижение воспаления, подавляя и/или модулируя иммунный ответ, и таким образом косвенно улучшают функцию кожного барьера, приводящую к уменьшению клинических признаков и симптомов.

Список литературы

1. Ahrens B. (2015) Chemokine levels in serum of children with atopic dermatitis with regard to severity and sensitization status. Pediatric Allergy and Immunology, vol. 26, no 7, pp. 634-640.

2. Bager P. (2016) Filaggrin genotype and skin diseases independent of atopic dermatitis in childhood. Pediatric Allergy and Immunology, vol. 27, no 2, pp. 162-168.

3. Breuer K. (2014) Predictors of benefit from an atopic dermatitis education programme. Pediatric Allergy and Immunology, vol. 25, no 5, pp. 489-495.

4. Cipriani F. (2014) Recent advances in epidemiology and prevention of atopic eczema. Pediatric Allergy and Immunology, vol. 25, no 7, pp. 630-638.

5. Gerbens L.A.A. (2016) Evaluation of the measurement properties of symptom measurement instruments for atopic eczema: a systematic review. Allergy, vol. 72, no 1, pp. 146-163.

6. Howell M.D. (2015) Past, present, and future for biologic intervention in atopic dermatitis. Allergy, vol. 70, no 8, pp. 887-896.

7. Lee E. (2016) Atopic dermatitis phenotype with early onset and high serum IL-13 is linked to the new development of bronchial hyperresponsiveness in school children. Allergy, vol. 71, no 5, pp. 692-700.

8. Luger T. (2015) Pimecrolimus in atopic dermatitis: Consensus on safety and the need to allow use in infants. Pediatric Allergy and Immunology, vol. 26, no 4, pp. 306-315.

9. Simon S., Bieber T. (2014) Systemic therapy for atopic dermatitis. Allergy, vol. 69, no 1, pp. 46-55.

10. Wang S.S. (2014) Vitamin D deficiency is associated with diagnosis and severity of childhood atopic dermatitis. Pediatric Allergy and Immunology, vol. 25, no 1, pp. 30-35.

11. Wollenberg A. (2013) Atopic dermatitis and skin allergies - update and outlook. Allergy, vol. 68, no 12, pp. 1509-1519.

12. Wollenberg A. (2016) ETFAD/EADV Eczema task force 2015 position paper on diagnosis and treatment of atopic dermatitis in adult and pediatric patients. JEADV, vol. 30, pp. 729-747.

Recipe. 2018; : 119-127

Atopic dermatitis: the present and the future of pharmacotherapy

Maslova L. .

Abstract

Atopic dermatitis (AD) is a debilitating disease that significantly alters the quality of life for one in four children and one in 10 adults. Current management of AD utilizes combinations of treatments to symptomatically alleviate disease by suppressing the inflammatory response and restoring barrier function in the skin, reducing disease exacerbation and flare, and preventing secondary skin infections. Systemic therapy for AD is indicated in patients with severe disease refractory to adequate topical treatment. Currently available drugs aim to decrease inflammation by suppressing and/or modulating immune responses and thus may indirectly improve skin barrier function, resulting in a decrease in clinical signs and symptoms.
References

1. Ahrens B. (2015) Chemokine levels in serum of children with atopic dermatitis with regard to severity and sensitization status. Pediatric Allergy and Immunology, vol. 26, no 7, pp. 634-640.

2. Bager P. (2016) Filaggrin genotype and skin diseases independent of atopic dermatitis in childhood. Pediatric Allergy and Immunology, vol. 27, no 2, pp. 162-168.

3. Breuer K. (2014) Predictors of benefit from an atopic dermatitis education programme. Pediatric Allergy and Immunology, vol. 25, no 5, pp. 489-495.

4. Cipriani F. (2014) Recent advances in epidemiology and prevention of atopic eczema. Pediatric Allergy and Immunology, vol. 25, no 7, pp. 630-638.

5. Gerbens L.A.A. (2016) Evaluation of the measurement properties of symptom measurement instruments for atopic eczema: a systematic review. Allergy, vol. 72, no 1, pp. 146-163.

6. Howell M.D. (2015) Past, present, and future for biologic intervention in atopic dermatitis. Allergy, vol. 70, no 8, pp. 887-896.

7. Lee E. (2016) Atopic dermatitis phenotype with early onset and high serum IL-13 is linked to the new development of bronchial hyperresponsiveness in school children. Allergy, vol. 71, no 5, pp. 692-700.

8. Luger T. (2015) Pimecrolimus in atopic dermatitis: Consensus on safety and the need to allow use in infants. Pediatric Allergy and Immunology, vol. 26, no 4, pp. 306-315.

9. Simon S., Bieber T. (2014) Systemic therapy for atopic dermatitis. Allergy, vol. 69, no 1, pp. 46-55.

10. Wang S.S. (2014) Vitamin D deficiency is associated with diagnosis and severity of childhood atopic dermatitis. Pediatric Allergy and Immunology, vol. 25, no 1, pp. 30-35.

11. Wollenberg A. (2013) Atopic dermatitis and skin allergies - update and outlook. Allergy, vol. 68, no 12, pp. 1509-1519.

12. Wollenberg A. (2016) ETFAD/EADV Eczema task force 2015 position paper on diagnosis and treatment of atopic dermatitis in adult and pediatric patients. JEADV, vol. 30, pp. 729-747.