{"id":10253,"date":"2025-11-25T15:50:55","date_gmt":"2025-11-25T15:50:55","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=10253"},"modified":"2025-11-25T16:01:48","modified_gmt":"2025-11-25T16:01:48","slug":"dermatita-atopica-cea-mai-frecventa-boala-inflamatorie-dermatologica","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/dermatita-atopica-cea-mai-frecventa-boala-inflamatorie-dermatologica\/","title":{"rendered":"Dermatita atopic\u0103, cea mai frecvent\u0103 boal\u0103 inflamatorie dermatologic\u0103"},"content":{"rendered":"

Dermatita atopic\u0103 nu este doar o afec\u021biune a pielii, o \u201dm\u00e2nc\u0103rime\u201d- cum este adesea gre\u0219it perceput\u0103, ci o boal\u0103 cronic\u0103 sistemic\u0103 cu impact major psihosocial, care afecteaz\u0103 profund calitatea vie\u021bii. Din p\u0103cate, adesea pacien\u021bii prefer\u0103 s\u0103 tolereze boala din motive psihologice sau de teama stigmatiz\u0103rii, \u0219i este momentul s\u0103-\u0219i schimbe perspectiva. Medicii atrag aten\u021bia c\u0103 exist\u0103 \u0219i \u00een Rom\u00e2nia solu\u021bii de tratament eficiente \u0219i sigure, dar trebuie accesate la timp. De asemenea, avem la \u00eendem\u00e2n\u0103 instrumente digitale validate (cum ar fi Instrumentul de control al dermatitei atopice – ADCT sau ghidurile specifice bolii) care ofer\u0103 informa\u021bii valoroase despre diagnosticarea bolii, dar trebuie ca acestea s\u0103 fie integrate \u00een practica clinic\u0103, indiferent c\u0103 vorbim de medic dermatolog, alergolog, medic de familie sau alt\u0103 specialitate medical\u0103 implicat\u0103 \u00een managementul dermatitei atopice.<\/strong><\/p>\n

Traseul pacientului cu dermatit\u0103 atopic\u0103 \u0219i problemele cu care se confrunt\u0103 medicii \u0219i pacien\u021bii au fost discutate \u00een cadrul Mesei rotunde \u201dS-ar putea s\u0103 tr\u0103ie\u0219ti cu dermatit\u0103 atopic\u0103 (DA). Dar asta nu \u00eenseamn\u0103 c\u0103 trebuie s\u0103 o supor\u021bi\u201d, organizat\u0103 de Revista Politici de S\u0103n\u0103tate \u00een cadrul campaniei \u201eSpune DA\u201d 2025.<\/p>\n

Date de revalen\u021b\u0103<\/strong><\/p>\n

Potrivit unui studiu realizat de Societatea Rom\u00e2n\u0103 de Dermatologie, prevalen\u021ba dermatitei atopice \u00een Rom\u00e2nia este de 9,49% la adul\u021bi, ceea ce \u00eenseamn\u0103 c\u0103 1 din 10 rom\u00e2ni cu v\u00e2rsta de peste 18 ani are o form\u0103 de boal\u0103. Prevalen\u021ba la copii este \u0219i mai mare, statisticile interna\u021bionale estim\u00e2nd 20%.<\/p>\n

\u201dPrea des dermatita atopic\u0103- de fapt, cea mai frecvent\u0103 boal\u0103 inflamatorie dermatologic\u0103 – a fost confundat\u0103 cu o alergie, ceea ce a \u00eensemnat timp pierdut pentru pacien\u021bi \u0219i tratament neadecvat. Trebuie s\u0103 \u00een\u021belegem c\u0103 este o boal\u0103 inflamatorie de tip doi, iar tratamentul necorespunz\u0103tor sau lipsa acestuia poate duce la complica\u021bii. De exemplu, o form\u0103 sever\u0103 de dermatit\u0103 atopic\u0103, \u00een lipsa tratamentului, poate duce \u00een c\u00e2\u021biva ani la astm bron\u0219ic \u00een 60%-80% din cazuri. Avem tratamentele adecvate, avem terapii noi \u0219i singurele condi\u021bii sunt ca pacientul s\u0103 vin\u0103 la medic, iar acesta s\u0103 recunoasc\u0103 afec\u021biunea \u0219i s\u0103 aleag\u0103 tratamentul personalizat \u0219i predictiv\u201d, a explicat conf. dr. Alin – Codru\u021b Nicolescu, pre\u0219edinte Societatea Rom\u00e2n\u0103 de Dermatologie.<\/p>\n

Importan\u021ba tratamentului corect<\/strong><\/p>\n

Dermatita atopic\u0103 afecteaz\u0103 at\u00e2t copiii, c\u00e2t \u0219i adul\u021bii. Studiile arat\u0103 c\u0103 simptomele precum m\u00e2nc\u0103rimea intens\u0103, ro\u0219ea\u021ba, usc\u0103ciunea sau pielea cr\u0103pat\u0103 au un impact semnificativ nu doar la nivel fizic, ci \u0219i psihologic \u0219i social: perturbarea somnului, afectarea stimei de sine, evitarea rela\u021biilor sociale \u0219i sc\u0103derea performan\u021bei \u0219colare sau profesionale.<\/p>\n

\u201dLa mine totul a \u00eenceput c\u00e2nd aveam 4 ani. Ini\u021bial leziunile erau doar \u00een jurul g\u00e2tului, pe m\u00e2ini \u0219i \u00een spatele genunchilor, dar pe m\u0103sur\u0103 ce am crescut, s-au extins pe majoritatea corpului, iar pruritul nu disp\u0103rea niciodat\u0103, de\u0219i am urmat tratamentul corect. Stresul era singurul factor pe care nu-l puteam controla; anxioliticele au redus temporar m\u00e2nc\u0103rimea, dar nu le puteam folosi constant. Din fericire, c\u00e2nd aveam 17 ani am \u00eenceput administrarea unui tratament biologic nou ap\u0103rut, iar dup\u0103 3-4 luni, leziunile au \u00eenceput s\u0103 dispar\u0103 treptat. Acum duc o via\u021b\u0103 normal\u0103, f\u0103r\u0103 restric\u021bii, iar leziunile apar doar c\u00e2teva zile \u00eenainte de administrarea tratamentului sau \u00een perioadele de stres intens\u201d, a povestit Alexandra Antonescu, pacient\u0103 cu dermatit\u0103 atopic\u0103.<\/p>\n

\u00cen prezent, pacien\u021bii din Rom\u00e2nia au la dispozi\u021bie terapii avansate, inclusiv terapii sistemice \u0219i biologice, care pot s\u0103-i reintegreze \u00een via\u021ba personal\u0103 \u0219i profesional\u0103 \u0219i s\u0103 le redea respectul de sine.<\/p>\n

\"\"\u201dTotu\u0219i, diagnosticul poate fi uneori dificil, ceea ce duce la subdiagnostic \u00een Rom\u00e2nia comparativ cu Vestul Europei. Este esen\u021bial ca medicii s\u0103 recunoasc\u0103 boala complet, nu doar par\u021bial, iar biopsiile pot fi utile pentru diferen\u021bierea de alte afec\u021biuni. Ghidurile de tratament rom\u00e2ne\u0219ti, actualizate permanent, se aliniaz\u0103 celor europene \u0219i interna\u021bionale. \u00cen func\u021bie de severitate, putem folosi terapii topice, corticoterapie, inhibitori de calcineurin\u0103, fototerapie, ciclosporin\u0103 sau terapii sistemice inovatoare precum JAK inhibitorii \u0219i moleculele biologice\u201d, a completat prof. univ. dr. Maria Magdalena Constantin, medic primar dermatovenerolog.<\/p>\n

Traseul pacientului<\/strong><\/p>\n

Medicul de familie este primul punct de contact \u0219i poate trimite pacientul c\u0103tre medicul specialist dermatolog pentru diagnostic \u0219i tratament corect.<\/p>\n

\"\"\u201dOdat\u0103 diagnosticat, pacientul are acces la medicul curant f\u0103r\u0103 bilet de trimitere, ceea ce reduce pierderea de timp, zile de concediu medical sau scutiri de la \u0219coal\u0103. Medicul specialist poate recomanda investiga\u021bii conform anexei 17 din normele metodologice ale Contractului-Cadru, \u00een func\u021bie de nevoile pacientului. Este esen\u021bial ca at\u00e2t medicii, c\u00e2t \u0219i pacien\u021bii s\u0103 respecte protocoalele, pentru c\u0103 nerespectarea tratamentului poate complica boala. Pentru a accesa aceste servicii, persoana trebuie s\u0103 fie asigurat\u0103 \u00een sistemul de asigur\u0103ri sociale de s\u0103n\u0103tate. Dup\u0103 primul pachet de reform\u0103 din vara acestui an, aproape 7 milioane de persoane sunt asigurate prin efectul legii, inclusiv persoane vulnerabile, minori \u0219i pensionari, f\u0103r\u0103 a pl\u0103ti contribu\u021bia\u201d, a explicat Larisa Mezinu- B\u0103lan, vicepre\u0219edinte CNAS.<\/p>\n

Potrivit acesteia, medicii \u0219i furnizorii de servicii medicale, publici sau priva\u021bi, au obliga\u021bia contractual\u0103 de a acorda toate serviciile medicale incluse \u00een pachetul de baz\u0103 \u0219i \u00een pachetul minimal, conform contractului cu Casa de Asigur\u0103ri de S\u0103n\u0103tate.<\/p>\n

\u201dPacien\u021bii au astfel acces rapid la servicii de tip preventiv \u0219i la monitorizarea bolilor cronice. Rug\u0103mintea noastr\u0103 este ca orice situa\u021bie \u00een care serviciile nu sunt furnizate corespunz\u0103tor s\u0103 fie raportat\u0103 prin formularul disponibil pe pagina web a Casei de Asigur\u0103ri de S\u0103n\u0103tate. Toate informa\u021biile primite sunt transmise corpului de control al Casei \u0219i caselor teritoriale, iar acolo unde se impune sunt luate m\u0103suri \u00een consecin\u021b\u0103\u201d, a mai spus reprezentanta Casei.<\/p>\n

Educa\u021bia medical\u0103 \u0219i informarea pacien\u021bilor, esen\u021biale<\/strong><\/p>\n

Campania na\u021bional\u0103 Spune DA! \u00ee\u0219i propune s\u0103 \u00eencurajeze pacien\u021bii s\u0103 discute deschis cu medicul dermatolog despre impactul real al bolii \u0219i s\u0103 exploreze op\u021biunile moderne de tratament disponibile<\/p>\n

\"\"\u201eScopul nostru este s\u0103 inform\u0103m \u0219i s\u0103 educ\u0103m pacien\u021bii, pentru ca ace\u0219tia s\u0103 poat\u0103 gestiona mai u\u0219or boala \u0219i s\u0103 \u00ee\u0219i \u00eembun\u0103t\u0103\u021beasc\u0103 calitatea vie\u021bii. Chiar dac\u0103 ast\u0103zi informa\u021bia este u\u0219or accesibil\u0103 online, nu tot ce g\u0103sim este corect sau util. Rolul organiza\u021biilor de pacien\u021bi este s\u0103 vin\u0103 al\u0103turi de speciali\u0219ti \u0219i s\u0103 ofere suport practic, inclusiv \u00een comunicarea cu medicul \u0219i \u00een \u00een\u021belegerea tratamentului. \u0218tim c\u0103 pacien\u021bii uit\u0103 sau nu transmit toate informa\u021biile la consulta\u021bii, iar diferen\u021bele de comunicare pot afecta aderarea la tratament. De aceea, sprijinim Asocia\u021bia pentru Dermatita Atopic\u0103 \u0219i ini\u021biativele care ajut\u0103 pacien\u021bii s\u0103 fie mai bine informa\u021bi \u0219i mai activi \u00een gestionarea bolii lor. Ei pot g\u0103si pe site-ul nostru (www.copac.ro<\/a>) informa\u021bii utile despre dermatita atopic\u0103, inclusiv instrumentul de evaluare ADCT\u201d, a explicat Radu G\u0103nescu, pre\u0219edinte Coali\u021bia Organiza\u021biilor Pacien\u021bilor cu Afec\u021biuni Cronice din Rom\u00e2nia (COPAC).<\/p>\n

Colaborarea \u00eentre medici de diferite specialit\u0103\u021bi, dar \u0219i \u00eentre medici \u0219i pacien\u021bi este esen\u021bial\u0103 pentru succesul terapiei. Un pacient informat este un pacient care ader\u0103 la tratament.<\/p>\n

\"\"\u201dColaborarea interdisciplinar\u0103 este esen\u021bial\u0103: pacien\u021bii pot avea comorbidit\u0103\u021bi care necesit\u0103 alergolog, psiholog sau chiar psihiatru. Uneori, simptomele dermatitei atopice pot fi confundate cu ADHD sau alte afec\u021biuni, iar tratarea corect\u0103 a dermatitei normalizeaz\u0103 starea copilului. Primul e\u0219alon de interven\u021bie sunt medicii de familie, pediatrii \u0219i medicina \u0219colar\u0103, care pot identifica semnele \u0219i pot direc\u021biona pacientul c\u0103tre dermatolog. Dermatita atopic\u0103 este o boal\u0103 dermatologic\u0103, nu alergologic\u0103; test\u0103rile alergologice inutile reprezint\u0103 un efort financiar care nu aduce beneficii. Educa\u021bia pacientului este cheia: un pacient educat \u00een\u021belege boala, \u00ee\u0219i respect\u0103 tratamentul \u0219i are \u0219anse reale de succes \u00een gestionarea dermatitei atopice. Acesta este rolul medicilor \u0219i al asocia\u021biilor de pacien\u021bi\u201d, a afirmat \u0219i dr. Irina Antonescu, pre\u0219edinte Asocia\u021bia pentru Dermatit\u0103 Atopic\u0103.<\/p>\n

\n","protected":false},"excerpt":{"rendered":"

Dermatita atopic\u0103 nu este doar o afec\u021biune a pielii, o \u201dm\u00e2nc\u0103rime\u201d- cum este adesea gre\u0219it perceput\u0103, ci o boal\u0103 cronic\u0103 sistemic\u0103 cu impact major psihosocial, care afecteaz\u0103 profund calitatea vie\u021bii. […]<\/p>\n","protected":false},"author":1,"featured_media":10254,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10253","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"\nDermatita atopic\u0103, cea mai frecvent\u0103 boal\u0103 inflamatorie dermatologic\u0103 - Jurmed - Pacienti<\/title>\n<meta name=\"description\" content=\"Dermatita atopic\u0103 nu este doar o afec\u021biune a pielii, o \u201dm\u00e2nc\u0103rime\u201d- cum este adesea gre\u0219it perceput\u0103, ci o boal\u0103 cronic\u0103 sistemic\u0103\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/dermatita-atopica-cea-mai-frecventa-boala-inflamatorie-dermatologica\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dermatita atopic\u0103, cea mai frecvent\u0103 boal\u0103 inflamatorie dermatologic\u0103 - 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