Atopic dermatitis - the review

Atopic dermatitis (AD) is a chronic inflammatory skin disorder characterized by a disrupted epidermal barrier, immune dysregulation, and genetic predisposition. Affecting individuals across all age groups, AD presents with recurrent flare-ups and varying clinical patterns depending on age. The path...

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Main Authors: Joanna Wrona, Aleksandra Kaźmierczyk, Jędrzej Kęsik, Daria Madycka, Kacper Michta, Małgorzata Słaboń, Aleksandra Wójcik, Karol Stępniak, Wiktor Telega, Kinga Wnuczek
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/56851
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author Joanna Wrona
Aleksandra Kaźmierczyk
Jędrzej Kęsik
Daria Madycka
Kacper Michta
Małgorzata Słaboń
Aleksandra Wójcik
Karol Stępniak
Wiktor Telega
Kinga Wnuczek
author_facet Joanna Wrona
Aleksandra Kaźmierczyk
Jędrzej Kęsik
Daria Madycka
Kacper Michta
Małgorzata Słaboń
Aleksandra Wójcik
Karol Stępniak
Wiktor Telega
Kinga Wnuczek
author_sort Joanna Wrona
collection DOAJ
description Atopic dermatitis (AD) is a chronic inflammatory skin disorder characterized by a disrupted epidermal barrier, immune dysregulation, and genetic predisposition. Affecting individuals across all age groups, AD presents with recurrent flare-ups and varying clinical patterns depending on age. The pathophysiology involves key elements such as loss-of-function mutations in the filaggrin (FLG) gene, overproduction of cytokines like IL-4 and IL-13, and skin colonization by Staphylococcus aureus. Management strategies include patient education, topical therapies (e.g., corticosteroids, calcineurin inhibitors, crisaborole, and tapinarof), systemic treatments like dupilumab and methotrexate, and phototherapy for refractory cases. Preventive measures, including breastfeeding and probiotic supplementation, offer limited benefits, emphasizing the need for individualized approaches. Innovative therapies and further research into AD pathogenesis hold promise for more effective disease control and improved quality of life for patients.
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id doaj-art-6f4e1d3f8c7b442f93c485a725c495da
institution Kabale University
issn 2450-3118
language English
publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-6f4e1d3f8c7b442f93c485a725c495da2025-01-04T08:22:28ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.56851Atopic dermatitis - the reviewJoanna Wrona0https://orcid.org/0009-0004-9267-1529Aleksandra Kaźmierczyk 1https://orcid.org/0009-0007-7283-2518Jędrzej Kęsik 2https://orcid.org/0000-0001-8317-0213Daria Madycka3https://orcid.org/0000-0001-8682-1229Kacper Michta4https://orcid.org/0000-0003-3303-4859Małgorzata Słaboń5https://orcid.org/0000-0003-1627-8878Aleksandra Wójcik6https://orcid.org/0000-0003-1669-7466Karol Stępniak7https://orcid.org/0000-0002-8134-7967Wiktor Telega8https://orcid.org/0009-0007-9805-243XKinga Wnuczek9https://orcid.org/0009-0001-6687-075X4th Clinical University Hospital in Lublin, ul. Kazimierza Jaczewskiego 8, 20-954 Lublin, Poland1st Military Clinical Hospital with the Outpatient Clinic in Lublin, al. Racławickie 23, 20-049 Lublin, Poland1st Military Clinical Hospital with the Outpatient Clinic in Lublin, al. Racławickie 23, 20-049 Lublin, PolandUniversity Clinical Hospital No. 1 in Lublin, ul. Staszica 16, 20-081 Lublin, Poland4th Clinical University Hospital in Lublin, ul. Kazimierza Jaczewskiego 8, 20-954 Lublin, Poland1st Military Clinical Hospital with the Outpatient Clinic in Lublin, al. Racławickie 23, 20-049 Lublin, Poland4th Clinical University Hospital in Lublin, ul. Kazimierza Jaczewskiego 8, 20-954 Lublin, Poland1st Military Clinical Hospital with the Outpatient Clinic in Lublin, al. Racławickie 23, 20-049 Lublin, Poland1st Military Clinical Hospital with the Outpatient Clinic in Lublin, al. Racławickie 23, 20-049 Lublin, Poland4th Clinical University Hospital in Lublin, ul. Kazimierza Jaczewskiego 8, 20-954 Lublin, Poland Atopic dermatitis (AD) is a chronic inflammatory skin disorder characterized by a disrupted epidermal barrier, immune dysregulation, and genetic predisposition. Affecting individuals across all age groups, AD presents with recurrent flare-ups and varying clinical patterns depending on age. The pathophysiology involves key elements such as loss-of-function mutations in the filaggrin (FLG) gene, overproduction of cytokines like IL-4 and IL-13, and skin colonization by Staphylococcus aureus. Management strategies include patient education, topical therapies (e.g., corticosteroids, calcineurin inhibitors, crisaborole, and tapinarof), systemic treatments like dupilumab and methotrexate, and phototherapy for refractory cases. Preventive measures, including breastfeeding and probiotic supplementation, offer limited benefits, emphasizing the need for individualized approaches. Innovative therapies and further research into AD pathogenesis hold promise for more effective disease control and improved quality of life for patients. https://apcz.umk.pl/QS/article/view/56851atopic dermatitisskin disorderskin barrier dysfunctionimmune dysregulation
spellingShingle Joanna Wrona
Aleksandra Kaźmierczyk
Jędrzej Kęsik
Daria Madycka
Kacper Michta
Małgorzata Słaboń
Aleksandra Wójcik
Karol Stępniak
Wiktor Telega
Kinga Wnuczek
Atopic dermatitis - the review
Quality in Sport
atopic dermatitis
skin disorder
skin barrier dysfunction
immune dysregulation
title Atopic dermatitis - the review
title_full Atopic dermatitis - the review
title_fullStr Atopic dermatitis - the review
title_full_unstemmed Atopic dermatitis - the review
title_short Atopic dermatitis - the review
title_sort atopic dermatitis the review
topic atopic dermatitis
skin disorder
skin barrier dysfunction
immune dysregulation
url https://apcz.umk.pl/QS/article/view/56851
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AT aleksandrakazmierczyk atopicdermatitisthereview
AT jedrzejkesik atopicdermatitisthereview
AT dariamadycka atopicdermatitisthereview
AT kacpermichta atopicdermatitisthereview
AT małgorzatasłabon atopicdermatitisthereview
AT aleksandrawojcik atopicdermatitisthereview
AT karolstepniak atopicdermatitisthereview
AT wiktortelega atopicdermatitisthereview
AT kingawnuczek atopicdermatitisthereview