Российское общество дерматовенерологов и косметологов федеральные клинические рекомендации по ведению больных контактным дерматитом
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Контактный дерматит
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| Требования к результатам лечения
Регресс высыпаний. Тактика при отсутствии эффекта от лечения При рефрактерном течении АКД возможно использование иммуносупрессивных препаратов: азатиоприна (В) [22] и циклоспорина (С) [23]. В случае хронического, торпидного течения АКД возможно применение фототерапии: UV-B или PUVA-терапию (С) [24]. ПРОФИЛАКТИКА При подтверждении контактного дерматита следует исключить возможность контакта с аллергенами, в том числе и профессиональными. Пациентам необходимо знать, что возникшая аллергия является пожизненной и даже кратковременное воздействие может привести к рецидиву дерматита. СПИСОК ЛИТЕРАТУРЫ Bouke J., Coulson I., English J. Guidelines for care of contact dermatitis. Br J Dermatol 2001; 145: 877–885. Ramsing D.W., Agnew T. Effect of gloves occlusion on human skin (II). Long-term experimental exposure. Contact Dermatitis. 1996; 91: 1140–1145. Berndt U., Wigger-Alberti W., Gabard B., Elsner P. Efficacy of a barrier cream and its vehicle as protective measures against occupational irritant contact dermatitis. Contact Dermatitis 2000; 42: 77–80. Halkier-Sorensen L., Thestrup-Pedersen K. The efficacy of a moisturizer (Locobase) among cleaners and kitchen assistants during everyday exposure to water and detergents Contact Dermatitis 1993; 29: 266–271. Ananthapadmanabhan K.P., Moore D.J., Subramanyan K. et al. Cleansing without compromise: the impact of cleansers on the skin barrier and the technology of mild cleansing. Dermatol Ther 2004; 17: 16–25. Cohen D.E., Heidary N. Treatment of irritant and allergic contact dermatitis. Dermatol Ther 2004; 17: 334–340. Beltrani V.S., Bernstein I.L., Cohen D.E., Fonacier L. Contact dermatitis: a practice parameter. Ann Allergy Asthma Immunol 2006; 97: S1–S33. Hachem J.P., De Paepe K., Vanpée E. et al. Efficacy of topical corticosteroids in nickel-induced contact allergy. Clin Exp Dermatol 2002; 27: 47–50. Le T.K., De Mon P., Schalkwijk J., van der Valk P.G. Effect of a topical corticosteroid, a retinoid and a vitamin D3 derivative on sodium dodecyl sulphate-induced skin irritation. Contact Dermatitis 1997: 37 : 19–26 Hachem J.P., De Paepe K., Vanpee E. et al. Efficacy of topical corticosteroids in nickel-induced contact allergy. Clin Exp Dermatol 2002; 27:47–50. Hachem J.P., De Paepe K., Vanpee E. et al. Combination therapy improves the recovery of the skin barrier function: an experimental model using a contact allergy patch test combined with TEWL measurements. Dermatology 2001;202:314–319. Kucharekova M., Hornix M., Ashikaga T. et al. The effect of the PDE-4 inhibitor (cipamfylline) in two human models of irritant contact dermatitis. Arch Dermatol Res 2003: 295: 29–32. Veien N.K., Olholm Larsen P., Thestrup-Pedersen K., Schou G. Long term, intermittent treatment of chronic hand eczema with mometasone furoate. Br J Dermatol 1999; 140: 882–886. Li L.Y., Cruz P.D. Jr. Allergic contact dermatitis: pathophysiology applied to future therapy. Dermatol Ther 2004;17: 219–223. Jovanovic M., Mimica-Dukie N., Poljacki M., Boza P. Erythema multiforme due to contact with weeds: a recurrence after patch testing. Contact Dermatitis 2003; 48: 17–25. Nasr I.S. Topical tacrolimus in dermatology. Clin Exp Dermatol 2000; 25: 250–254. Gupta A.K., Chow M. Pinecrolimus: a review. J Eur Acad Dermatol Venereol 2003; 17: 493–503. Amrol D., Keitel D., Hagaman D., Murray J. Topical pimecrolimus in the treatment of human allergic contact dermatitis. Ann Allergy Asthma Immunol 2003; 91: 563–566. Morley P.A., Munot L.D. A comparison of sodium fusidate ointment and mupirocin ointment in superficial skin sepsis. Curr Med Res Opin 1988; 11: 142–148. Sutton J.B. Efficacy and acceptability of fusidic acid cream and mupirocin ointment in facial impetigo. Curr Ther Res 1992; 51: 673–678. Jacob S.E., Castanedo-Tardan M.P. Pharmacotherapy for allergic contact dermatitis. Expert Opin. Pharmacother 2007; 8 (16): 2757–2774. Murphy G.M., Maurice P.D., Norris P.G. et al. Azathioprine treatment in chronic actinic dermatitis: a double-blind controlled trial with monitoring of exposure to ultraviolet radiation. Br J Dermatol 1989; 121: 639–646. Granlund H., Erkko P., Eriksson E., Reitamo S. Comparison of the influence of cyclosporine and topical betamethasone-17,21-dipropionate treatment on quality of life in chronic hand eczema. Acta Derm Venereol 1997; 77: 54–58. Rosen K., Mobacken H., Swanbeck G. Chronic eczematous dermatitis of the hands: a comparison of PUVA and UVB treatment. Acta Derm Venereol 1987; 67: 48–54. жүктеу/скачать 133,5 Kb. Достарыңызбен бөлісу:
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