- Clinical efficacy and immunomodulatory effect of allergen-specific immunotherapy with prolonged course of probiotics at atopic dermatitis in children
Clinical efficacy and immunomodulatory effect of allergen-specific immunotherapy with prolonged course of probiotics at atopic dermatitis in children
SOVREMENNAYA PEDIATRIYA.2018.8(96):99-102; doi 10.15574/SP.2018.96.99
Mochulska O. M., Chornomydz I. B., Horishnyi I. M.
SHEE «Ternopil State Medical University named after I. Ya. Horbachevsky of Ministry of Healthcare in Ukraine»
Atopic dermatitis is particular in the structure of allergic diseases as it is one of the most prevalent and very first allergic manifestations, often transforming into other allergic forms, decreasing children's life quality independent of the age and requiring long, step-by-step treatment and follow-up care. The modern strategy for the treatment of atopic dermatitis in children is based on the principles of evidence-based medicine, summarized in the conclusions of International Consensus Conference on Atopic Dermatitis II (ICCAD). In order to unify different approaches to the diagnosis and treatment of atopic dermatitis, the European Academy of Allergology and Clinical Immunology (European Academy of Allergy and Clinical Immunology, EAACI) together with the American Academy of Allergy, Asthma and Immunology (American Academy of Allergy, Asthma & Immunology, AAAAI) created a working group PRAСTALL (Practical Allergology Consensus Report). Treatment of atopic dermatitis consists of: control of the environment to eliminate allergenic and non-allergenic factors; medical0cosmetic skin care; systemic and local pharmacotherapy; treatment of concomitant diseases; patient education; rehabilitation and prevention. Systemic pharmacotherapy includes using drugs of the following groups: antihistamines, membrane's stabilizators (kromons), leukotriene receptor antagonists, anti-IgE, glucocorticosteroids, sedative medications, enzymes, sorbents, hepatoprotectors, probiotics, antioxidants, antibacterial and antifungal, immunomodulatory and immunosuppressive drugs.
Key words: atopic dermatitis, glucocorticosteroids, antihistamines, membrane stabilizing (kromons), antagonists of leukotriene receptors, anti-IgE drugs.
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Article received: Jun 13, 2018. Accepted for publication: Nov 26, 2018.