Современные принципы наружной терапии атопического дерматита у детей
DOI:
https://doi.org/10.15574/SP.2018.95.78Ключевые слова:
атопический дерматит, дети, наружная терапияАннотация
В структуре аллергических заболеваний особое место занимает атопический дерматит, поскольку он: является одним из наиболее частых и первых проявлений аллергии, нередко в дальнейшем трансформируется в другие формы аллергии, существенно снижает качество жизни детей независимо от возраста, требует длительного, этапного лечения и реабилитации. Несмотря на значительное количество научных работ, остаются трудности в определении лечебной тактики при атопическом дерматите у детей. В соответствии с международными программными документами ICCAD (International Consensus Conference on Atopic Dermatitis), EAACI (European Academy of Allergy and Clinical Immunology), AAAAI (American Academy of Allergy, Asthma & Immunology), PRACТALL (Practical Allergology Consensus Report), в лечении атопического дерматита ведущее место занимает наружная терапия, которая требует индивидуального подхода и ежедневного наблюдения за состоянием кожи. Наружная терапия заключается в местном применении эмолентов, топических глюкокортикостероидов, антагонистов рецепторов лейкотриенов, антигистаминных препаратов, ингибиторов кальциневрина, а в случае осложненного клинического течения заболевания — дополнительного применения антибактериальных, противогрибковых, противовирусных лекарственных средств.
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