아토피피부염에서의 피부관리 (Skin Care for Atopic Dermatitis)

서지정보

· 발행기관 : 대한피부과학회
· 수록지 정보 : 대한피부과학회지 / 47권 / 5호 / 531 ~ 538페이지
· 저자명 : 김문범, 김범준, 서영준, 이양원, 이애영, 김규한, 김명남, 김진우, 노영석, 박영민, 박천욱, 서성준, 이광훈, 조상현, 최지호

초록

Background: Interplay of numerous constitutional and precipitating factors are involved in the development of
atopic dermatitis (AD). Most of these etiologic factors are not controllable, but barrier dysfunction can be managed.
Correction of barrier abnormalities has been accepted as a first-line therapy with effective anti-inflammatory therapy.
Objective: We wished to establish standardized skin care guidelines for Korean patients who suffer from atopic
dermatitis.
Methods: The skin care guidelines were proposed by the Korean Atopic Dermatitis Association (KADA), with a
particular emphasis for barrier dysfunction in AD from a review of more than 100 published studies and related
documents in the clinical literature by a task force team (TFT) of the KADA. The TFT also evaluated the reliability
of the studies based on scientific evidence and the size of the study populations. The TFT disregarded controversial
findings and summarized all of the collected studies.
Results: Skin care guidelines were proposed by the KADA, particularly for barrier dysfunction in AD. A warm bath
for approximately 20 minutes was recommended once daily. Soap can be used two or three times per week and
aggressive skin scrubbing should be avoided. A topical moisturizer should be applied at least twice a day. Immediate
application of emollient is required after bathing. The donning of clothing made of cotton is recommended. Nails
should be cut short to reduce skin damage caused by a skin scratch.
Conclusion: Application of moisturizer immediately after appropriate bathing may be the most important treatment
for skin care. A topical steroid should be used whenever AD develops. Nail care and proper clothing are also be
helpful for the prevention of dermatitis aggravation. Proper ways to bathe, use of moisturizer and topical steroids
and nail care and appropriate clothing were considered.

영어초록

Background: Interplay of numerous constitutional and precipitating factors are involved in the development of
atopic dermatitis (AD). Most of these etiologic factors are not controllable, but barrier dysfunction can be managed.
Correction of barrier abnormalities has been accepted as a first-line therapy with effective anti-inflammatory therapy.
Objective: We wished to establish standardized skin care guidelines for Korean patients who suffer from atopic
dermatitis.
Methods: The skin care guidelines were proposed by the Korean Atopic Dermatitis Association (KADA), with a
particular emphasis for barrier dysfunction in AD from a review of more than 100 published studies and related
documents in the clinical literature by a task force team (TFT) of the KADA. The TFT also evaluated the reliability
of the studies based on scientific evidence and the size of the study populations. The TFT disregarded controversial
findings and summarized all of the collected studies.
Results: Skin care guidelines were proposed by the KADA, particularly for barrier dysfunction in AD. A warm bath
for approximately 20 minutes was recommended once daily. Soap can be used two or three times per week and
aggressive skin scrubbing should be avoided. A topical moisturizer should be applied at least twice a day. Immediate
application of emollient is required after bathing. The donning of clothing made of cotton is recommended. Nails
should be cut short to reduce skin damage caused by a skin scratch.
Conclusion: Application of moisturizer immediately after appropriate bathing may be the most important treatment
for skin care. A topical steroid should be used whenever AD develops. Nail care and proper clothing are also be
helpful for the prevention of dermatitis aggravation. Proper ways to bathe, use of moisturizer and topical steroids
and nail care and appropriate clothing were considered.

참고자료

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