{"id":3942,"count":7,"description":"Ekz\u00e9m a psori\u00e1za pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed chronick\u00e9 z\u00e1n\u011btliv\u00e9 ko\u017en\u00ed onemocn\u011bn\u00ed \u2014 p\u0159ibli\u017en\u011b <strong>10 % dosp\u011bl\u00fdch trp\u00ed ekz\u00e9mem (atopickou dermatitidou)<\/strong> v ur\u010dit\u00e9m obdob\u00ed sv\u00e9ho \u017eivota a <strong>2\u20133 % \u017eij\u00ed s psori\u00e1zou<\/strong>. Ob\u011b jsou recidivuj\u00edc\u00ed stavy, kter\u00e9 reaguj\u00ed na l\u00e9\u010dbu, ale nelze je vyl\u00e9\u010dit; c\u00edlem terapie je spolehliv\u00e1 kontrola vzplanut\u00ed s co nejni\u017e\u0161\u00ed kumulativn\u00ed expozic\u00ed steroid\u016fm nebo syst\u00e9mov\u00e9 l\u00e9\u010db\u011b, kombinovan\u00e1 s pravidelnou udr\u017eovac\u00ed p\u00e9\u010d\u00ed pomoc\u00ed emolienci\u00ed.\n\nDermatologick\u00fd l\u00e9\u010debn\u00fd \u017eeb\u0159\u00ed\u010dek na MedsBase pokr\u00fdv\u00e1 ka\u017ed\u00fd krok tohoto pl\u00e1nu. <strong>M\u00edrn\u00e9 topick\u00e9 kortikosteroidy<\/strong> pro obli\u010dej, v\u00ed\u010dka a d\u011btsk\u00fd ekz\u00e9m \u2014 <strong>Desowen (desonid 0,05% lotio)<\/strong> od spole\u010dnosti Galderma je k dispozici zde. <strong>Siln\u00e9 topick\u00e9 kortikosteroidy<\/strong> pro st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 vzplanut\u00ed na t\u011ble \u2014 <strong>Betnovate kr\u00e9m (betamethason valer\u00e1t 0,1%)<\/strong>, p\u016fvodn\u00ed zna\u010dka GSK, kter\u00e1 definovala tuto t\u0159\u00eddu, spole\u010dn\u011b s <strong>Flutivate kr\u00e9m (flutikason 0,05%)<\/strong>. <strong>Super-siln\u00e9 (t\u0159\u00edda IV) steroidy<\/strong> jsou vyhrazeny pro kr\u00e1tkodobou l\u00e9\u010dbu tlust\u00fdch plak\u016f psori\u00e1zy a t\u011b\u017ek\u00e9 refraktern\u00ed ekz\u00e9m. <strong>Topick\u00e9 inhibitory kalcineurinu<\/strong> \u2014 <strong>Tacroz Forte mast (tacrolimus 0,1%)<\/strong> a <strong>Tacrovera roztok (tacrolimus 0,03%)<\/strong> \u2014 jsou udr\u017eovac\u00ed l\u00e9ky \u0161et\u0159\u00edc\u00ed steroidy pro dlouhodobou l\u00e9\u010dbu atopick\u00e9 dermatitidy v obli\u010deji a u d\u011bt\u00ed, bez rizika kumulativn\u00ed atrofie k\u016f\u017ee.\n\nPro t\u011b\u017ekou psori\u00e1zu, kter\u00e1 nereagovala na lok\u00e1ln\u00ed l\u00e9\u010dbu a fototerapii, nab\u00edz\u00ed MedsBase dv\u011b peror\u00e1ln\u00ed syst\u00e9mov\u00e9 mo\u017enosti. <strong>Aprezo (apremilast 30 mg)<\/strong> je peror\u00e1ln\u00ed inhibitor PDE4, modern\u00ed neimunosupresivn\u00ed alternativa k methotrex\u00e1tu a biologik\u016fm s p\u0159\u00edzniv\u00fdm profilem sn\u00e1\u0161enlivosti. <strong>Acrotac (acitretin 10\/25 mg)<\/strong> je retinoid druh\u00e9 generace \u2014 prvn\u00ed volba syst\u00e9mov\u00e9 l\u00e9\u010dby u pustul\u00f3zn\u00ed a erytrodermick\u00e9 psori\u00e1zy, pityriasis rubra pilaris a z\u00e1va\u017en\u00fdch poruch keratinizace; vysoce \u00fa\u010dinn\u00fd, ale vy\u017eaduje p\u0159\u00edsn\u00fd monitoring a opat\u0159en\u00ed k prevenci t\u011bhotenstv\u00ed (kategorie X po dobu 3 let po ukon\u010den\u00ed l\u00e9\u010dby).\n\n<em>Ekz\u00e9m a psori\u00e1za jsou chronick\u00e1 onemocn\u011bn\u00ed \u2014 l\u00e9\u010dba je zam\u011b\u0159ena na kontrolu, nikoli na vyl\u00e9\u010den\u00ed. Pou\u017e\u00edvejte topick\u00e9 kortikosteroidy po nejkrat\u0161\u00ed mo\u017enou dobu pot\u0159ebnou ke zvl\u00e1dnut\u00ed vzplanut\u00ed a p\u0159ejd\u011bte k udr\u017eovac\u00ed l\u00e9\u010db\u011b emoliencii a steroid-\u0161et\u0159\u00edc\u00edm l\u00e1tk\u00e1m pro dlouhodobou kontrolu. Pokud si nejste jisti, jak\u00e1 s\u00edla nebo \u00farove\u0148 l\u00e9\u010dby je vhodn\u00e1, pora\u010fte se s l\u00e9ka\u0159em nebo dermatologem.<\/em>","link":"https:\/\/medsbase.com\/cs\/eczema-psoriasis-treatment\/","name":"L\u00e9\u010dba ekz\u00e9mu a psori\u00e1zy","slug":"eczema-psoriasis-treatment","taxonomy":"product_cat","parent":3223,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3942","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3223"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}