Atopic dermatitis is a chronic inflammatory skin condition, frequently associated with allergic respiratory diseases (allergic rhinitis, asthma).
It is the most common chronic disease of childhood, reaching an incidence of 10-20% in children and 1-3% in adults.
The onset of the disease is early in childhood, and more than 50% of children who are affected during the first two years of life.
Also, the disease can appear in adulthood, without obvious sensitization.
The mechanisms of onset of atopic dermatitis are not precisely known. They are attributed to susceptibility genes, environmental conditions, defects in skin barrier function and local and general immunological responses.
The specialist establishes the diagnosis on the basis of clinical manifestations, as well as with the help of specific tests, which can highlight a possible sensitization to environmental aero-allergens. Based on the test results, specific measures to avoid exposure to allergens to which sensitization has developed are recommended.
The severity of the disease is assessed according to the degree of extension of the affected areas, the intensity of itching and the appearance of skin lesions. The severe form of atopic dermatitis is characterized by an involvement of more than 20% of the body surface or more than 10% when the localization is palpebral, intertriginous or on the hands and by the absence of response to the first-line treatment.
The treatment of atopic dermatitis represents a therapeutic challenge with two essential components: baseline and exacerbation treatment. Depending on the clinical form, 3 steps have been developed in the therapeutic approach: prophylaxis, topical and systemic treatment. A major role is played by prophylaxis of exposure to aggravating/irritating factors and the use of emollients to support the skin’s barrier function.
For a full assessment and treatment if necessary, you can make an appointment with a professional in our clinic.