Evidence has been provided for acute and long-lasting effects of climatotherapeutic rehabilitation of atopic diseases (neurodermatitis, asthma bronchiale) in moderate altitudes. However, to sustain the climatotherapeutical evidence of psoriasis and non-allergic asthma treatment, controlled studies are required, especially for long-lasting benefits. For other indications of climatotherapy in moderate altitudes (heart and circulatory diseases, osteoporosis, metabolic syndrome) the results demonstrate an acute effect. At North Sea and Baltic Sea, the climatotherapeutic effects remain uncertain, especially for the well-known indications such as psoriasis, atopic dermatitis and bronchial asthma. There is evidence for the acute beneficial effects at Canary Islands and long-lasting remissions of Dead Sea climatotherapy and thalassotherapy.
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