Nowicki Roman J, Trzeciak Magdalena, Rudnicka Lidia, Szepietowski Jacek, Kulus Marek, Kupczyk Maciej, Mastalerz-Migas Agnieszka, Peregud-Pogorzelski Jaroslaw, Jahnz-Różyk Karina, Narbutt Joanna, Czarnecka-Operacz Magdalena, Czajkowski Rafał, Grubska-Suchanek Elżbieta, Krasowska Dorota, Kręcisz Beata, Kowalewski Cezary, Lesiak Aleksandra, Olszewska Małgorzata, Samochocki Zbigniew, Śpiewak Radosław, Wilkowska Aleksandra
Department of Dermatology, Venereology and Allergology, Medical University of Gdansk, Gdansk, Poland.
Department of Dermatology, Medical University of Warsaw, Warsaw, Poland.
Postepy Dermatol Alergol. 2020 Oct;37(5):617-624. doi: 10.5114/ada.2020.100496. Epub 2020 Nov 7.
Atopic dermatitis (AD) is secondary to genetic, immunological and microbiological disorders as well as epidermal barrier defects, which are the main targets of therapy. The disease proceeds with periodic exacerbations. Its development and course are influenced by numerous environmental and individual factors. In recent decades, in industrialized countries, there has been a threefold increase in the incidence of AD. There is also an increasing number of cases resistant to topical treatment. Effective treatment of AD should provide control of clinical symptoms, prevent exacerbations and improve the quality of life of patients. The multifactorial etiopathogenesis and various endotypes and phenotypes of AD justify the tendency to optimize and personalize the therapy. Currently, we recommend the use of dupilumab for the treatment of patients from 12 years of age with moderate and severe atopic dermatitis, who do not respond to topical treatment.
特应性皮炎(AD)继发于遗传、免疫和微生物紊乱以及表皮屏障缺陷,这些是主要的治疗靶点。该病呈周期性加重。其发生和病程受众多环境和个体因素影响。近几十年来,在工业化国家,AD的发病率增加了两倍。对局部治疗耐药的病例也越来越多。AD的有效治疗应能控制临床症状、预防病情加重并改善患者生活质量。AD的多因素病因及各种内型和表型证明了优化和个性化治疗的趋势是合理的。目前,我们推荐使用度普利尤单抗治疗12岁及以上对局部治疗无反应的中度和重度特应性皮炎患者。