Clinical Diversity of Atopic Dermatitis: A Review of 5,000 Patients at a Single Institute

作者: Howard Chu , Jung U Shin , Chang Ook Park , Hemin Lee , Jungsoo Lee

DOI: 10.4168/AAIR.2017.9.2.158

关键词: MedicineRetrospective cohort studyHead and neckAtopic dermatitisEczematous dermatitisAge groupsEczema Area and Severity IndexPathogenesisDermatologyFamily history

摘要: Purpose Atopic dermatitis (AD) is a chronic eczematous that has high prevalence and diverse clinical features. Although several hypotheses about its multifactorial pathogenesis have been suggested, the cause not yet fully understood. A better understanding of features may helpful inelucidating AD. Methods This retrospective study analyzed questionnaires, medical charts, laboratory examination results 5,000 patients diagnosed with AD at single tertiary hospital in Korea. Results The demographics, allergic comorbidities, family history, severity, treatment experiences were analyzed. Most adults, 76.3% whom classified as havingan extrinsic type mean eczema area severity index (EASI) score was found to be 13.68, adult higher than other age groups. anatomical involvements different among groups, more head neck adults. reported seasonal changes stress factors aggravated their symptoms most. Topical steroids oral cyclosporine most used medications our clinic, whereas 10.1% underwent allergen-specific immunotherapy. Conclusions analysis would lead various subtypes Koreans. Distinct characteristics observed groups; thus, strategies need differentiated accordingly.

参考文章(50)
Belkisa Colic-Hadzic, Fahrija Skokic, Maida Jahic, Almira Cosickic, Clinical Characteristics and Estimation Severity of the Atopic Dermatitis in Children Medicinski arhiv. ,vol. 64, pp. 178- 182 ,(2010)
Kanokvalai Kulthanan, Papapit Tuchinda, Pailin Samutrapong, Sukhum Jiamton, Adult-onset atopic dermatitis: a cross-sectional study of natural history and clinical manifestation. Asian Pacific Journal of Allergy and Immunology. ,vol. 25, pp. 207- 214 ,(2007)
Sophie Nutten, Atopic Dermatitis: Global Epidemiology and Risk Factors Annals of Nutrition and Metabolism. ,vol. 66, pp. 8- 16 ,(2015) , 10.1159/000370220
Ji Hyun Lee, Sag Wook Son, Sang Hyun Cho, A Comprehensive Review of the Treatment of Atopic Eczema. Allergy, Asthma and Immunology Research. ,vol. 8, pp. 181- 190 ,(2016) , 10.4168/AAIR.2016.8.3.181
A. Iking, S. Grundmann, E. Chatzigeorgakidis, N.Q. Phan, D. Klein, S. Ständer, Prurigo as a symptom of atopic and non-atopic diseases: aetiological survey in a consecutive cohort of 108 patients. Journal of The European Academy of Dermatology and Venereology. ,vol. 27, pp. 550- 557 ,(2013) , 10.1111/J.1468-3083.2012.04481.X
Silvia Pugliarello, Alessandra Cozzi, Paolo Gisondi, Giampiero Girolomoni, Phenotypes of atopic dermatitis JDDG: Journal der Deutschen Dermatologischen Gesellschaft. ,vol. 9, pp. 12- 20 ,(2011) , 10.1111/J.1610-0387.2010.07508.X
F.M. Garritsen, N.M. ter Haar, P.I. Spuls, House dust mite reduction in the management of atopic dermatitis. A critically appraised topic. British Journal of Dermatology. ,vol. 168, pp. 688- 691 ,(2013) , 10.1111/BJD.12283
Chulmin Kim, Kui Young Park, Seohee Ahn, Dong Ha Kim, Kapsok Li, Do Won Kim, Moon-Beom Kim, Sun-Jin Jo, Hyeon Woo Yim, Seong Jun Seo, Economic Impact of Atopic Dermatitis in Korean Patients Annals of Dermatology. ,vol. 27, pp. 298- 305 ,(2015) , 10.5021/AD.2015.27.3.298
K.A. Engebretsen, J.D. Johansen, S. Kezic, A. Linneberg, J.P. Thyssen, The effect of environmental humidity and temperature on skin barrier function and dermatitis Journal of the European Academy of Dermatology and Venereology. ,vol. 30, pp. 223- 249 ,(2016) , 10.1111/JDV.13301
Ji Hyun Lee, Kyung Do Han, Kyung min Kim, Yong Gyu Park, Jun Young Lee, Young Min Park, Prevalence of Atopic Dermatitis in Korean Children Based on Data From the 2008-2011 Korean National Health and Nutrition Examination Survey Allergy, Asthma and Immunology Research. ,vol. 8, pp. 79- 83 ,(2016) , 10.4168/AAIR.2016.8.1.79