A new method of physiotherapeutic treatment of atopic dermatitis in children

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Abstract
Objective. To present a new method of physiotherapeutic treatment for children with atopic dermatitis in the exacerbation stage. Material and Methods. One hundred eighty-four patients (aged 5-12) with moderate atopic dermatitis in the acute stage (SCORAD 33.46±7.27 points) were included. The study group (n=92) received physiotherapy, including green and red light photochromotherapy, in addition to standard therapy. The comparison group (n=92) received inpatient treatment according to clinical guidelines. Results. After the therapy, there was a regression of subjective and objective indicators in patients of the main group: reduction of itching, improvement of sleep and psychoemotional state, significant improvement in the quality of life of children and their families according to the quality of life questionnaires (CDLQI and FDLQI); improvement of skin status (reduction of inflammatory manifestations, regression of papular elements of the rash, reduction in the degree of lichenification and manifestations of xerosis, absence of fresh rashes), a significant decrease in the SCORAD index after this type of therapy (12.41 ± 4.19 points). Conclusions. A course of photochromotherapy in children suffering from atopic dermatitis and placed in a dermatology hospital contributes to the achievement of more significant sustainable positive clinical results, as evidenced by subjective data and objective indicators. The inclusion of a new method of photochromotherapy, using green light applied to the neck and collar area and red light applied to two or three of the most affected skin areas, in the complex therapy of children with moderate atopic dermatitis expands the potential of physiotherapy for these patients as an effective and safe method in pediatric practice.

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