Abstract
The article reviews modern concepts of the etiopathogenesis of eczema (atopic dermatitis) from the perspective of the synergistic interaction of genetic, microbiological, and immunological factors. The authors present the results of a clinical and laboratory study evaluating the state of the lipid barrier, transepidermal water loss (TEWL) levels, and the qualitative composition of the skin microbiome in patients during the acute phase. The study demonstrates the pivotal role of Staphylococcus aureus hypercolonization and filaggrin deficiency in maintaining chronic Th2-mediated inflammation. Furthermore, it substantiates the efficacy of incorporating modern topical agents formulated with bacterial lysates as well as targeted biological drugs into the comprehensive management of the disease.
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