Atopic dermatitis. Interdisciplinary diagnostic and therapeutic recommendations of the Polish Dermatological Society, Polish Society of Allergology, Polish Pediatric Society and Polish Society of Family Medicine. Part II. Systemic treatment and new therapeutic methods

Roman J Nowicki; Magdalena Trzeciak; Maciej Kaczmarski; Aleksandra Wilkowska; Magdalena Czarnecka-Operacz; Cezary Kowalewski; Lidia Rudnicka; Marek Kulus; Agnieszka Mastalerz-Migas; Jarosław Peregud-Pogorzelski; Małgorzata Sokołowska-Wojdyło; Radosław Śpiewak; Zygmunt Adamski; Joanna Czuwara; Monika Kapińska-Mrowiecka; Andrzej Kaszuba; Dorota Krasowska; Beata Kręcisz; Joanna Narbutt; Sławomir Majewski; Adam Reich; Zbigniew Samochocki; Jacek Szepietowski; Katarzyna Woźniak

doi:10.5114/ada.2020.94829

Atopic dermatitis. Interdisciplinary diagnostic and therapeutic recommendations of the Polish Dermatological Society, Polish Society of Allergology, Polish Pediatric Society and Polish Society of Family Medicine. Part II. Systemic treatment and new therapeutic methods

Postepy Dermatol Alergol. 2020 Apr;37(2):129-134. doi: 10.5114/ada.2020.94829. Epub 2020 May 5.

Authors

Roman J Nowicki¹, Magdalena Trzeciak¹, Maciej Kaczmarski², Aleksandra Wilkowska¹, Magdalena Czarnecka-Operacz³, Cezary Kowalewski⁴, Lidia Rudnicka⁵, Marek Kulus⁶, Agnieszka Mastalerz-Migas⁷, Jarosław Peregud-Pogorzelski⁸, Małgorzata Sokołowska-Wojdyło¹, Radosław Śpiewak⁹, Zygmunt Adamski³, Joanna Czuwara⁵, Monika Kapińska-Mrowiecka¹⁰, Andrzej Kaszuba¹¹, Dorota Krasowska¹², Beata Kręcisz¹³, Joanna Narbutt¹¹, Sławomir Majewski¹⁴, Adam Reich¹⁵, Zbigniew Samochocki⁵, Jacek Szepietowski¹⁶, Katarzyna Woźniak⁴

Affiliations

¹ Department of Dermatology, Venereology, and Allergology, Medical University of Gdansk, Gdansk, Poland.
² Department of Paediatrics, Paediatric Gastroenterology and Allergology, Medical University of Bialystok, Bialystok, Poland.
³ Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland.
⁴ Department of Dermatology and Immunodermatology, Medical University of Warsaw, Warsaw, Poland.
⁵ Department of Dermatology, Medical University of Warsaw, Warsaw, Poland.
⁶ Department of Paediatric Pneumonology and Allergology, Medical University of Warsaw, Warsaw, Poland.
⁷ Department of Family Medicine, Medical University of Wroclaw, Wroclaw, Poland.
⁸ Department of Paediatrics and Paediatric Oncology, Pomeranian Medical University, Szczecin, Poland.
⁹ Department of Experimental Dermatology and Cosmetology, Jagiellonian University Medical College, Krakow, Poland.
¹⁰ Dermatology Ward, Stefan Żeromski Specialist Hospital, Krakow, Poland.
¹¹ Department of Dermatology, Paediatric and Oncological Dermatology, Medical University of Lodz, Lodz, Poland.
¹² Department of Dermatology, Venereology and Paediatric Dermatology, Medical University, Lublin, Poland.
¹³ Department of Dermatology, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
¹⁴ Department of Dermatology and Venereology, Medical University of Warsaw, Warsaw, Poland.
¹⁵ Department of Dermatology, University of Rzeszow, Rzeszow, Poland.
¹⁶ Department of Dermatology, Venereology and Allergology, Medical University of Wroclaw, Wroclaw, Poland.

Abstract

The treatment goal in atopic dermatitis is eliminating clinical symptoms of the disease, preventing exacerbations and complications, as well as improving patients' quality of life. In cases of severe atopic dermatitis and lack of response it is recommended to introduce systemic therapy. Patients ofter require multi-specialist consultations, and occasionally hospitalization. It is not recommended to use acupuncture, acupressure, bioresonance, homeopathy, or Chinese herbs in the treatment of atopic dermatitis.

Keywords: allergen-specific immunotherapy; alternative therapy; atopic dermatitis; biological treatment; dupilumab; immunosuppressive drugs; probiotics.