Abstract
Goal. Determination of the skin microbiocenosis in patients with atopic dermatitis (AtD) and evaluation of the treatment efficacy for AtD patients using isoconazole nitrate and diflucortolone valerate. Materials and methods. The authors assessed skin microflora in 168 AtD patients. Skin scrapes were obtained for further microscopy, and inoculation tests were performed. As many as 59 secondary AtD patients were treated with a combination of isoconazole nitrate and diflucortolone valerate as well as methylprednisolone aceponate, drugs from the DARDIA line. The treatment efficacy was evaluated clinically based on the SCORAD index as well as skin microrelief assessed with the use of the Visioscan BW30 video camera. After the treatment with Travocort, the nature and degree of skin colonization with AtD microorganisms were also assessed. Results. The efficacy of topical administration of isoconazole nitrate and diflucortolone valerate as well as methylprednisolone aceponate, drugs from the DARDIA line, was confirmed for the treatment of secondary AtD patients. Conclusion. Making antibiotics and antimycotic agents a part of the complex therapy of secondary AtD patients seems to be expedient for eliminating pathogenic microorganisms.
Highlights
As many as 59 secondary atopic dermatitis (AtD) patients were treated with a combination of isoconazole nitrate and diflucortolone valerate as well as methylprednisolone aceponate, drugs from the DARDIA line
The treatment efficacy was evaluated clinically based on the SCORAD index as well as skin microrelief assessed with the use of the Visioscan BW30 video camera
Making antibiotics and antimycotic agents a part of the complex therapy of secondary AtD patients seems to be expedient for eliminating pathogenic microorganisms
Summary
В структуре хронических дерматозов атопический дерматит (АтД) занимает одну из лидирующих позиций. Высокий уровень заболеваемости АтД, его дебют в раннем возрасте, непрерывно рецидивирующее течение патологического процесса при наличии тенденции к увеличению устойчивых к традиционной терапии форм, снижение приверженности пациентов к лечению придают вопросам выбора рациональной стратегии и тактики терапии данного дерматоза особую актуальность [3]. В настоящее время пришли к пониманию АтД как многофакторного гетерогенного заболевания, развитие которого происходит вследствие сочетанного влияния наследственных факторов и окружающей среды. При этом наиболее активно обсуждаются две гипотезы его формирования. Известная как гипотеза outside — inside (снаружи — внутрь), во главу угла ставит состояние эпидермального барьера, нарушение которого, обусловленное сухостью кожи и/или повышенной его проницаемостью, приводит к развитию АтД [7,8,9]. Изучение микробиоценоза кожи больных атопическим дерматитом и стало целью нашего исследования
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