Conventional and biological therapies in atopic dermatitis – a literature review

Introduction: Atopic dermatitis is a chronic, relapsing disease with a multifactoral etiology. The basic disorder of the atopic dermatitis is the disruption of the epidermal barrier. The family history of atopy is a high risk factor of the development of the disease. The clinical manifestations are...

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Main Authors: Karolina Włodarczyk-Cybulska, Natalia Sergiel, Patrycja Maj, Piotr Mozer, Jakub Maternia, Michał Lazar, Agata Kania, Aleksandra Serwik-Trandasir, Malwina Gonet, Karolina Miszczyk
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-08-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/45360
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author Karolina Włodarczyk-Cybulska
Natalia Sergiel
Patrycja Maj
Piotr Mozer
Jakub Maternia
Michał Lazar
Agata Kania
Aleksandra Serwik-Trandasir
Malwina Gonet
Karolina Miszczyk
author_facet Karolina Włodarczyk-Cybulska
Natalia Sergiel
Patrycja Maj
Piotr Mozer
Jakub Maternia
Michał Lazar
Agata Kania
Aleksandra Serwik-Trandasir
Malwina Gonet
Karolina Miszczyk
author_sort Karolina Włodarczyk-Cybulska
collection DOAJ
description Introduction: Atopic dermatitis is a chronic, relapsing disease with a multifactoral etiology. The basic disorder of the atopic dermatitis is the disruption of the epidermal barrier. The family history of atopy is a high risk factor of the development of the disease. The clinical manifestations are heterogeneous and vary depending on patient’s age, disease duration and current disease activity according to the SCORAD scale.   Objective: The aim of the review is to analyze the latest information on the characteristics, diagnosis and treatment of atopic dermatitis, including new biological medications.   Methods and materials: The sources available in PubMed database have been analyzed using the keywords: „atopic dermatitis”, „epidermal barrier”, „SCORAD index”, „topical treatment”, „biological therapy”, „Janus kinase inhibitors”.   Current state of knowledge: Atopic dermatitis is only treated symptomatically. The greatest therapeutic challenge is to reduce the pruritus which significantly impairs the quality of life. Topical corticosteroids may cause local side effects. The most severe cases of the disease require systemic treatment with immunosuppressants.   Conclusions: The complex pathogenesis of atopic dermatitis is the object of research. Understanding the immunological mechanisms responsible for the development of the disease allows to introduce new therapeutic options. Previous studies have confirmed the effectiveness of biological medications in reducing disease activity, which is a chance to improve the quality of live of the patients suffering from atopic dermatitis.
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spelling doaj.art-3fbdb402d1974d6eb4589834663e08a82023-09-05T10:49:04ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-08-0146110.12775/JEHS.2023.46.01.025Conventional and biological therapies in atopic dermatitis – a literature reviewKarolina Włodarczyk-Cybulska0Natalia Sergiel1Patrycja Maj2Piotr Mozer3Jakub Maternia4Michał Lazar5Agata Kania6Aleksandra Serwik-Trandasir7Malwina Gonet8Karolina Miszczyk9Uniwersytet Medyczny w Lublinie1st Military Clinical Hospital with the SPZOZ Polyclinic in Lublin, Lublin, Poland1st Military Clinical Hospital with the SPZOZ Polyclinic in Lublin, Lublin, Poland1st Military Clinical Hospital with the SPZOZ Polyclinic in Lublin, Lublin, PolandClinical Regional Hospital No. 2 of St. Jadwiga The Queen in Rzeszów, Rzeszów, PolandClinical Regional Hospital No. 2 of St. Jadwiga The Queen in Rzeszów, Rzeszów, PolandUniversity Clinical Centre of the Medical University of Warsaw, Warszawa, PolandUniversity Clinical Centre of the Medical University of Warsaw, Warszawa, Poland Poznan University of Medical Sciences, Faculty of Medicine, Poznań, PolandNowodworskie Medical Center in Nowy Dwór Mazowiecki, Nowy Dwór Mazowiecki, Poland Introduction: Atopic dermatitis is a chronic, relapsing disease with a multifactoral etiology. The basic disorder of the atopic dermatitis is the disruption of the epidermal barrier. The family history of atopy is a high risk factor of the development of the disease. The clinical manifestations are heterogeneous and vary depending on patient’s age, disease duration and current disease activity according to the SCORAD scale.   Objective: The aim of the review is to analyze the latest information on the characteristics, diagnosis and treatment of atopic dermatitis, including new biological medications.   Methods and materials: The sources available in PubMed database have been analyzed using the keywords: „atopic dermatitis”, „epidermal barrier”, „SCORAD index”, „topical treatment”, „biological therapy”, „Janus kinase inhibitors”.   Current state of knowledge: Atopic dermatitis is only treated symptomatically. The greatest therapeutic challenge is to reduce the pruritus which significantly impairs the quality of life. Topical corticosteroids may cause local side effects. The most severe cases of the disease require systemic treatment with immunosuppressants.   Conclusions: The complex pathogenesis of atopic dermatitis is the object of research. Understanding the immunological mechanisms responsible for the development of the disease allows to introduce new therapeutic options. Previous studies have confirmed the effectiveness of biological medications in reducing disease activity, which is a chance to improve the quality of live of the patients suffering from atopic dermatitis. https://apcz.umk.pl/JEHS/article/view/45360atopic dermatitisepidermal barrierSCORAD indextopical treatmentbiological therapyJanus kinase inhibitors
spellingShingle Karolina Włodarczyk-Cybulska
Natalia Sergiel
Patrycja Maj
Piotr Mozer
Jakub Maternia
Michał Lazar
Agata Kania
Aleksandra Serwik-Trandasir
Malwina Gonet
Karolina Miszczyk
Conventional and biological therapies in atopic dermatitis – a literature review
Journal of Education, Health and Sport
atopic dermatitis
epidermal barrier
SCORAD index
topical treatment
biological therapy
Janus kinase inhibitors
title Conventional and biological therapies in atopic dermatitis – a literature review
title_full Conventional and biological therapies in atopic dermatitis – a literature review
title_fullStr Conventional and biological therapies in atopic dermatitis – a literature review
title_full_unstemmed Conventional and biological therapies in atopic dermatitis – a literature review
title_short Conventional and biological therapies in atopic dermatitis – a literature review
title_sort conventional and biological therapies in atopic dermatitis a literature review
topic atopic dermatitis
epidermal barrier
SCORAD index
topical treatment
biological therapy
Janus kinase inhibitors
url https://apcz.umk.pl/JEHS/article/view/45360
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