Zusammenfassung
Ein zeitgemäßes Management des atopischen Ekzems umfaßt gleichberechtigt die der Krankheitsaktivität angepaßte Ekzemtherapie wie auch die Aufdeckung und soweit als mögliche Vermeidung von Provokationsfaktoren, durch die die genetisch determinierte Erkrankung ausgelöst und unterhalten werden kann (Abb. 78). Hierdurch sollen eine Stabilisierung des atopischen Ekzems erreicht und Exazerbationen herausgezögert werden.
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Literatur
Abeck D, Strom K (2000) Optimal management of atopic dermatitis. Am J Clin Dermatol 1:41–46
Bendsoe N, Björnberg A, Asnes H (1987) Itching from wool fibres in atopic dermatitis. Contact Derm 17:21–22
Bieber T, Fried J (2000) Aktuelle Studie zur Wirkung von Weichspülern auf die Haut von Atopikern. Deutsche Haut-und Allergiehilfe e.V., Bonn
Cremer H (1993) Children with “sensitive skin„. The role of skin irritation in the development of “atopic eczema”. Eur J Pediat Dermatol 3:13–20
Diepgen TL, Stabler A, Hornstein OP (1990) Textile intolerance in atopic eczema — a controlled clinical study. Z Hautkr 65:907–910
Eisner P (1994) Allergic and irritative textile dermatitis. Schweiz Med Wochenschr 124:111–118
Enders F, Przybilla B, Ring J, Burg G, Braun-Falco O (1988) Epikutantestung mit einer Standardreihe. Ergebnisse bei 12026 Patienten. Hautarzt 39:779–786
Fisher AA (1996) Nonallergic “Itch” and “Prickly” sensation to wool fibers in atopic and nonatopic persons. Cutis 58:323–324
Garnsworthy RK, Gully RL, Kandiah RP (1988) Report Number 64. Division of Wool Technology, CSIRO
Garnsworthy RK, Gully RL, Renins P, Mayfield RJ, Westerman RJ (1988) Physical nature of wool fiber. J Neurophysiol 59:1083–1097
Hafner J, Ruegger M, Kralicek P, Eisner P (1995) Airborne irritant contact dermatitis from metal dust adhering to semisynthetic working suits. Contact Derm 32:285–288
Hambly EM, Levia L, Wilkinson DS (1978) Wool intolerance in atopic subjects. Contact Derm 4:240–241
Hosche BN (1982) Some comfort aspects of wool textiles. Prickliness and warmth 375-391. In: Kawabata S, Posile R, Niwa M (eds) Objective specification of fabric quality, mechanical properties and performance. Textile Machining Society, Japan
Linde YW (1992) “Dry” skin in atopic dermatitis. I. A clinical study. Acta Derm Venereol (Stockh) 177(Suppl):9–13
Pièrard GE, Arrese JE, Dowlati A, Daskaleros PA, Rodriguez C (1994) Effects of softened and unsoftened fabrics on infant skin. Int J Dermatol 3:138–141
Rodriguez C, Daskaleros PA, Sauers LJ, Innis JD, Laurie RD (1994) Tronnier H: Effects of fabric softeners on the skin. Derm Beruf Umw 42:58–61
McNally NJ, Williams HC, Philipps DR, Smallmann-Raynor M, Lewis S, Venn A, Britton J (1999) Atopic eczema and water hardness. Lancet 352: 527–531
Poli F, Amoric JC, Gelmetti C, Schaefer T, Ring J, Uter W, Thestrup-Pedersen K, Arfi C (1999) Bibliographic selection of the month. Atopic eczema and domestic water. Ann Dermatol Venereol 126: 553–557
Halkier-Sorensen L, Menon GK, Elias PM, Thestrup-Pedersen K, Feingold KR (1995) Cutaneous barrier function after cold exposure in hairless mice: a model to demonstrate how cold interferes with barrier homeostasis among workers in the fish-processing industry. Br J Dermatol 132:391–401
Tupker RA, Coenraads PJ, Fidler V, De Jong MCJM, Van der Meer JB, De Monchy JGR (1995) Irritant susceptibility and weal and flare reactions to bioactive agents in atopic dermatitis. II. Influence of season. Br J Dermatol 133:365–370
Wefers H, Melnik BC, Flur M, Bluhm Ch, Lehmann P, Plewig G (1991) Influence of UV irradiation on the composition of human stratum corneum lipids. J Invest Dermatol 96:959–962
Atherton D (1995) Atopie eczema in childhood. The facts. Oxford University Press, Oxford
Bauer CP (1998) Hausstaubmilbenallergie — Aspekte zur Sensibilisierung und Allergenreduktion. Allergol Klin Praxis 1:6–13
Darsow U, Abeck D, Ring J (1997) Allergie und atopisches Ekzem: Zur Bedeutung des „Atopie-Patch-Tests”. Hautarzt 48:528–535
Galli E, Chini L, Nardi S, Benincori N, Panei P, Fraioli G, Moschese V, Rossi P (1994) Use of a specific oral hyposensitization therapy to Dermatophagoides pteronyssinus in children with atopic dermatitis. Allergol Immunopathol (Madrid) 22: 18–22
Glover MT, Atherton DJ (1992) A double-blind controlled trial of hyposensitization to Dermatophagoides pteronyssinus in children with atopic eczema. Clin Exp Allergy 22:440–446
Noh G, Lee KY (2000) Pilot study of IFN-gamma-induced specific hyposensitization for house dust mites in atopic dermatitis: IFN-gamma-induced immune deviation as a new therapeutic concept for atopic dermatitis. Cytokine 12:472–476
Ricci G, Patrizi A, Specchia F, Mena L, Bottau P, D’Angelo V, Masi M (2000) Effect of house dust mite avoidance measures in children with atopic dermatitis. Br J Dermatol 143:379–384
Schoenecker I, Grübl A, Bartels P, Ulm K, Bauer P (2001) Klinische Effekte der Allergenreduktion durch Encasing — eine Metaanalyse. Allergo J 10: 95–99
Tan BB, Weald D, Strickland I, Friedmann PS (1996) Double-blind controlled trial of effect of house-dust-mite allergen avoidance on atopic dermatitis. Lancet 347:15–18
Weber A, Lau S, Wahn U (2000) Direkter Aero-Allergennachweis. In: Przybilla B, Bergmann K-Ch, Ring J (Hrsg) Praktische allergologische Diagnostik. Steinkopff, Darmstadt, S 77–86
Darsow U, Vieluf D, Ring J (1995) Atopy patch test with different vehicles and allergen concentrations — an approach to standardization. J Allergy Clin Immunol 95:677–684
Darsow U, Vieluf D, Ring J (1996) The atopy patch test: an increased rate of reactivity in patients who have an air-exposed pattern of atopic eczema. Br J Dermatol 135:182–186
Darsow U, Behrendt H, Ring J (1997) Gramineae pollen as trigger factors of atopic eczema: evaluation of diagnostic measures using the atopy patch test. Br J Dermatol 137:201–207
Darsow U, Vieluf D, Ring J for the APT study group (1999) Evaluating the relevance of aeroallergen sensitization in atopic eczema with the atopy patch test: a randomized, double-blind multicenter study. J Am Acad Dermatol 40:187–193
Kleine-Tebbe J, Rytter M, Haustein U-F (2001) Diagnostik beim atopischen Ekzem — Qualität versus Quantität. In: Ring J, Darsow U (Hrsg) Allergie 2000: Probleme, Strategien und praktische Konsequenzen. Dustri, München, S 129–136
Mitchell E, Chapman M, Pope F, Crow J, Jouhal S, Platts-Mills TAE (1982) Basophils in allergen-induced patch test sites in atopic dermatitis. Lancet 1:127–130
Perzanowski MS, Rönmark E, Nold B, Lundbäck B, Platts-Mills TAE (1999) Relevance of allergens from cats and dogs to asthma in the northernmost province of Sweden: schools as a major site of exposure. J Allergy Clin Immunol 103:1018–1024
Platts-Mills TAE, Chapman MD, Mitchell B, Heymann PW, Deuell B (1993) Role of inhalant allergens in atopic eczema, pp 192–203. In: Ruzicka T, Ring J, Przybilla T (Hrsg). Handbook of atopic eczema. Springer, Berlin
Rajka G (1989) Essential aspects of atopic dermatitis. Springer, Berlin
Ring J (1991) Angewandte Allergologie, 2. Aufl. MMV, München
Ring J, Kunz B, Bieber T, Vieluf D, Przybilla B (1989) The „atopy patch test“ with aeroallergens in atopic eczema (abstr). J Allergy Clin Immunol 82:195
Arbeitsgemeinschaft Neurodermitisschulung e. V. (2000) Manual für die Schulung von Eltern mit Kindern zwischen null und sieben Jahren. Projektgruppe der Studie „Modellvorhaben zur besseren Vorsorge und Versorgung von Kindern und Jugendlichen mit atopischem Ekzem (Neurodermitis)“
Arshad S, Matthews S, Gant C, Hide D (1992) Effect of allergen avoidance on development of allergy disorders in infancy. Lancet 339:1493–1497
Bruijnzeel-Koomen C, Ortolani C, Aas KJ, BindslevJensen C, Björksten B, Moneret-Vautrin D, Wüthrich B (1995) Adverse reaction to food-position paper. Allergy 50:623–635
Burks ALJ, Mallory SB, Williams LW, Shirrell MA (1988) Atopic dermatitis: Clinical relevance of food hypersensitivity reactions. J Pediatr 113: 447–451
Chandra R, Hamed A (1991) Cumulative incidence of atopic disorders in high risk infants fed with whey hydrolysate, soy and conventional cow milk formulas. Ann Allergy 67:129–132
Ehlers I, Binder C, Constien A, Jeß S, Plank-Habibi S, Schocker F, Schwandt C, Werning A (2000) Eliminationsdiäten bei Nahrungsmittelallergie und anderen Unverträglichkeitsreaktionen aus der Sicht des Arbeitskreises Diätetik in der Allergologie. Allergologie 23:512–563
Fergusson D, Horwood L (1994) Early solid food diet and eczema in childhood: a 10-year longitudinal study. Pediatr Allergy Immunol 5(Suppl l):44–47
Guillet G, Guillet M-H (1992) Natural history of sensitizations in atopic dermatitis. Dermatol 128:187–192
Leung DYM (2000) Atopic dermatitis: new insights and opportunities for therapeutic intervention. J Allergy Clin Immunol 105:860–876
Niggemann B, Kleine-Tebbe J, Saloga J, Sennekamp J, Vieluf I, Vieths S, Werfel T, Jäger L (1998) Standardisierung von oralen Provokationstests bei IgE-vermittelten Nahrungsmittelallergien. Allergo J 7:45–50
Przybilla B, Ring J (1990) Food allergy and atopic eczema. Seminar Dermatol 9:220–225
Reekers R, Busche M, Wittmann M, Kapp A, Werfel T (1999) Birch pollen-related foods trigger atopic dermatitis in patients with specific cutaneous Tcell responses to birch pollen antigens. J Allergy Clin Immunol 104:466–472
Sampson H, Caskill Mc C (1985) Food hypersensitivity and atopic dermatitis: evaluation of 113 patients. J Pediatr 107:669–675
Sigurs N, Hattevig G, Kjellman B (1992) Maternal avoidance of eggs, cow’s milk, and fish during lactation: effect on allergy manifestations, skinprick tests, and specific IgE antibodies in children at age 4 years. Pediatrics 89:735–739
Zeiger R, Heller S (1995) The development and prediction of atopy in high-risk children: follow-up at age seven years in a prospective randomized study of combined maternal and infant food allergen avoidance. J Allergy Clin Immunol 95: 1179–1190
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Gauger, A., Brandt, O., Möhrenschlager, M., Fesq, H., Darsow, U., Schwandt, C. (2002). Rezidivvermeidung. In: Abeck, D., Ring, J. (eds) Atopisches Ekzem im Kindesalter (Neurodermitis). Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57538-9_12
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