난치성 아토피피부염 Work Group 보고서: 난치성 아토피피부염의 치료에 관한 전문가 의견서KAAACI Work Group Report on the Treatment of Severe/Recalcitrant Atopic Dermatitis
- Authors
- 박준수; 김범준; 박양; 이소연; 김우경; 김정은; 염혜영; 남동호; 김현희; 홍수종; 오재원; 이애영; 김규한; 대한천식알레르기학회
- Issue Date
- 2010
- Publisher
- 대한천식알레르기학회
- Keywords
- Atopic dermatitis; Treatment; Experts' opinion; Allergen; Personalized medicine
- Citation
- 천식 및 알레르기, v.30, no.4, pp 255 - 270
- Pages
- 16
- Journal Title
- 천식 및 알레르기
- Volume
- 30
- Number
- 4
- Start Page
- 255
- End Page
- 270
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/34729
- ISSN
- 1226-8739
- Abstract
- 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > College of Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/34729)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.