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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 255 - 270 (16page)
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Background: Management of severe/recalcitrant atopic dermatitis (SRAD) is a difficult task for both patients and clinicians.
Method: We developed this report to provide experts' opinion on the treatment of SRAD by a literature review and repeated group discussions made at the Work Group on Severe Recalcitrant Atopic Dermatitis in the Korean Academy of Asthma,Allergy and Clinical Immunology.
Result: Specific aggravating factors, including inhalant allergens or food allergens, should be identified by laboratory tests in patients with SRAD. Patients should be educated about avoidance measures for specific aggravating factors, moisturization of the skin, and control of skin inflammation using low-potency topical corticosteroids and/or topical calcineurin inhibitors. For patients with SRAD who cannot be properly controlled by the above treatments, systemic immunoregulatory treatment such as cyclosporin could be effective. Allergen-specific immunotherapy has been attempted as a useful therapeutic option in selected patients with SRAD sensitized to aeroallergens. Psychological counseling and educational programs should be recommended for the management of patients with SRAD.
Conclusion: Therapeutic approaches aimed at personalized medicine including stepwise treatment according to clinical severity,combination therapy, proactive therapy and multi-disciplinary approach should be tried to achieve the best outcome for SRAD.
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참고문헌 (25)
참고문헌 신청
[학술지(정기간행물)] -
/ 1993 / Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis / Dermatology
Akdis CA / 2006 / Diagnosis and treatment of atopic dermatitis in children and adults: European Academy of Allergology and Clinical Immunology/American Academy of Allergy, As
Byremo G / 2006 / Effect of climatic change in children with atopic eczema / Allergy 61 : 1403 ~ 10
Chamlin SL / 2002 / Ceramide-dominant barrier repair lipids alleviate childhood atopic dermatitis: changes in barrier function provide a sensitive indicator of disease activ
/ 1993 / Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis / Dermatology
Akdis CA / 2006 / Diagnosis and treatment of atopic dermatitis in children and adults: European Academy of Allergology and Clinical Immunology/American Academy of Allergy, As
Byremo G / 2006 / Effect of climatic change in children with atopic eczema / Allergy 61 : 1403 ~ 10
Chamlin SL / 2002 / Ceramide-dominant barrier repair lipids alleviate childhood atopic dermatitis: changes in barrier function provide a sensitive indicator of disease activ
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