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Pollyn-Millot C, Maccari F, Perrot JL, Reguiai Z, Boulard C, Becherel PA, Poreaux C, Mery-Bossard L, Beaulieu D, Pourchot D, Fougerousse AC, Begon E, Liegeon AL, Fite C, Zaraa I, Lons-Danic D, Walls B, Jacobzone C, Lepelley C, Denis D, Chaby G. Clinical Characteristics and Therapeutic Management of Atopic Dermatitis in Elderly Patients Compared with Young Adult Patients: A Prospective Multicentre Study. Acta Derm Venereol 2024; 104:adv40420. [PMID: 39248293 PMCID: PMC11403363 DOI: 10.2340/actadv.v104.40420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 08/23/2024] [Indexed: 09/10/2024] Open
Abstract
Atopic dermatitis (AD) is the most common chronic inflammatory dermatitis in developed countries, and has a major impact on those affected. Little is known about AD in elderly patients. This prospective multicentre observational study described the clinical characteristics and burden of AD in elderly subjects ≥ 65 years, as well as the therapeutic options chosen for this population in routine care, and compared findings with those in young adults with AD < 30 years. Cohort data from adult patients with moderate-to-severe AD enrolled in a French national prospective registry (December 2020 to May 2023) were analysed. Patients ≥ 65 years made up 12.5% of the total adult cohort and presented less head-and-neck and extremity involvement, and were less affected by generalized forms than young adult patients. Elderly patients predominantly had late-onset AD and had similar disease severity to younger adults. Although the overall impact of AD appeared to be lower in elderly patients and treatment was initially less used in this age group, the substantial impact on sleep and psychiatric comorbidities was similar in older and younger adult patients. Better understanding of AD in elderly patients and the establishment of age-specific treatment guidelines may help dermatologists manage the disease in older people.
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Affiliation(s)
| | - François Maccari
- Department of Dermatology, Military Teaching Hospital Bégin, Saint Mandé, France; Dermatology, Private Practice, Saint-Maur-des-Fossés, France
| | - Jean Luc Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Ziad Reguiai
- Department of Dermatology, Polyclinique Courlancy-Bezannes, Reims, France
| | - Claire Boulard
- Department of Dermatology, Jacques Monod Hospital, Le Havre, France
| | | | - Claire Poreaux
- Department of Dermatology, Stanislas-Nancy Medical Center, Nancy, France
| | - Laure Mery-Bossard
- Department of Dermatology, François Quesnay Hospital, Mantes La Jolie, France
| | - Domitille Beaulieu
- Department of Dermatology, Poissy/Saint-Germain-en-Laye Hospital, Saint-Germain-en-Laye, France
| | - Diane Pourchot
- Department of Dermatology, Victor Dupouy Hospital, Argenteuil, France
| | | | - Edouard Begon
- Department of Dermatology, Pontoise Hospital, Pontoise, France
| | - Anne-Laure Liegeon
- Department of Dermatology, Metz-Thionville Regional Hospital Center, Thionville, France
| | - Charlotte Fite
- Department of Dermatology, Paris Saint Joseph, Hospital Paris, France
| | - Inès Zaraa
- Department of Dermatology, Paris Saint Joseph, Hospital Paris, France
| | | | - Beatrice Walls
- Department of Dermatology, Paris Saint Joseph, Hospital Paris, France
| | - Caroline Jacobzone
- Department of Dermatology, Groupe Hospitalier Bretagne Sud-Hôpital du Scorff, Lorient, France
| | | | | | - Guillaume Chaby
- Department of Dermatology, University Hospital of Amiens, Amiens, France.
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Woo YR, Kim HS. Burden of Disease and Unmet Needs in the Diagnosis and Management of Atopic Dermatitis in Korea. J Clin Med 2023; 12:jcm12113744. [PMID: 37297937 DOI: 10.3390/jcm12113744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 05/19/2023] [Accepted: 05/26/2023] [Indexed: 06/12/2023] Open
Abstract
Atopic dermatitis (AD) is a chronic inflammatory skin condition associated with a significant disease burden in Korea. AD is highly prevalent among Korean children, adolescents, and adults, and can cause physical discomfort, psychological distress, and social isolation for those affected. Despite advances in our understanding of AD, there are still many unmet needs in diagnosing and managing the disease in Korea. One of the challenges in diagnosing AD is the lack of a definitive biomarker for AD in Korea, and there is a need for more effective, safe, and cost-effective treatments for AD. Therefore, finding out the current epidemiology, burden of AD, and how AD is currently being diagnosed in Korea and reviewing management options available in Korea will help resolve the unmet needs of AD patients in Korea. Addressing these and other unmet needs in AD management and diagnosis in Korea may improve outcomes for those affected by this challenging condition.
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Affiliation(s)
- Yu Ri Woo
- Department of Dermatology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
| | - Hei Sung Kim
- Department of Dermatology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
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Ali Z, Anderson K, Andersen AD, Dahiya P, Zibert JR, Thomsen SF. Assessing anatomical distribution of atopic dermatitis identifies a cluster of patients with late onset and low risk of asthma and allergy: An observational study. Health Sci Rep 2023; 6:e1219. [PMID: 37152231 PMCID: PMC10158772 DOI: 10.1002/hsr2.1219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 03/31/2023] [Accepted: 04/06/2023] [Indexed: 05/09/2023] Open
Abstract
Background and Aims A better understanding of distinct subgroups in atopic dermatitis (AD) is warranted. The aim was to identify and determine characteristics of clusters based on anatomical location of AD. Methods In this 8-week, observational, decentralized study, patients with AD completed a baseline questionnaire about anatomical location and severity of AD, and a principal component analysis (PCA) was applied to identify clusters. The Patient-Oriented Eczema Measure (POEM) was completed weekly and photographs of affected body areas were captured by the participants' own smartphones. From the weekly photographs, the AD severity was evaluated using the intensity part of the SCORing Atopic Dermatitis. Results Fifty-five participants were recruited, of which 53 completed the baseline questionnaire with a mean POEM of 14.5 (SD: 5.6). The PCA analysis revealed three clusters, with AD predominantly on the shins, knees, and genitals (Cluster 1), with involvement of the upper body (Cluster 2), and with AD on the hands and feet (Cluster 3). Cluster 1 had a lower mean POEM score (11.12, SD: 5.3) compared with Clusters 2 (12.64, SD: 4.5) and 3 (15.98, SD: 4.7), respectively (p = 0.007). Further, Cluster 1 had the highest age of AD onset (mean 9.5 vs. 2.5 and 4.7 years, p = 0.02) and the lowest proportion of asthma/allergy (47% vs. 82% and 90%, p = 0.01). Conclusion Three clusters of patients with AD based on affected body areas were identified. The cluster with involvement of legs and genitals was characterized by the oldest age of AD onset and the lowest prevalence of asthma/allergy.
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Affiliation(s)
- Zarqa Ali
- Department of Dermato‐Venereology and Wound Healing CentreCopenhagen University Hospital BispebjergCopenhagenDenmark
| | | | | | | | | | - Simon F. Thomsen
- Department of Dermato‐Venereology and Wound Healing CentreCopenhagen University Hospital BispebjergCopenhagenDenmark
- Department of Biomedical SciencesUniversity of CopenhagenCopenhagenDenmark
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Drumm C, Chawla S, Kravvas G, Spencer A, Bunker CB, Watchorn RE. Representation of genital dermatoses in dermatological literature. Br J Dermatol 2022; 188:563-564. [PMID: 36760163 DOI: 10.1093/bjd/ljac117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 11/26/2022] [Accepted: 12/17/2022] [Indexed: 01/22/2023]
Affiliation(s)
- Claire Drumm
- Department of Dermatology, Connolly Hospital, Dublin, Ireland
| | - Sumir Chawla
- Department of Dermatology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
| | - Georgios Kravvas
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - Ashley Spencer
- Department of Dermatology, Imperial College Healthcare NHS Trust, London, UK
| | - Christopher B Bunker
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
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Su Z, Kang Y. Influences of Bifid Triple Viable Capsules Plus Cetirizine on Gut Microbiota and Immune Function in Children with Eczema. Drug Des Devel Ther 2022; 16:2509-2515. [PMID: 35959421 PMCID: PMC9357560 DOI: 10.2147/dddt.s363702] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 07/09/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Zhenxing Su
- Dermatology, First Hospital of Shanxi Medical University, Taiyuan City, People’s Republic of China
- Correspondence: Zhenxing Su, Dermatology, First Hospital of Shanxi Medical University, No. 85, Jiefang South Road, Yingze District, Taiyuan City, People’s Republic of China, Email
| | - Yaqin Kang
- Pediatrics, First Hospital of Shanxi Medical University, Taiyuan City, People’s Republic of China
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Paolino G, Sernicola A, Di Nicola MR, Foti A, Brianti P, Vaira F, Grieco T, Mercuri SR. Successful use of dupilumab for the treatment of atopic dermatitis on the genitals, a neglected anatomical site. Clin Exp Dermatol 2021; 47:176-178. [PMID: 34398987 DOI: 10.1111/ced.14894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2021] [Indexed: 12/01/2022]
Abstract
Atopic dermatitis (AD) is a chronic inflammatory disease that may involve any cutaneous site; involvement of the genital area may greatly impair patients' quality of life but, as the inspection of genitals is not usually conducted during the routine physical examination of patients with AD, the genital presentation of AD is frequently neglected and under-reported. We decided to evaluate the incidence of genital AD in patients with moderate-severe AD and the relative response to anti-interleukin (IL)-4/IL-13 dupilumab. In our study, a high incidence of genital AD emerged but the use of dupilumab allowed a generalized improvement.
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Affiliation(s)
- G Paolino
- Dermatology Unit, IRCCS San Raffaele Hospital, Milan, Italy
| | - A Sernicola
- Dermatology Clinic, Sapienza University of Rome, Rome, Italy
| | - M R Di Nicola
- Dermatology Unit, IRCCS San Raffaele Hospital, Milan, Italy
| | - A Foti
- Dermatology Unit, IRCCS San Raffaele Hospital, Milan, Italy
| | - P Brianti
- Dermatology Unit, IRCCS San Raffaele Hospital, Milan, Italy
| | - F Vaira
- Dermatology Unit, IRCCS San Raffaele Hospital, Milan, Italy
| | - T Grieco
- Dermatology Clinic, Sapienza University of Rome, Rome, Italy
| | - S R Mercuri
- Dermatology Unit, IRCCS San Raffaele Hospital, Milan, Italy
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Mauskar MM. Recognition and diagnosis of vulvar dermatoses. Case Rep Womens Health 2021; 32:e00344. [PMID: 34386354 PMCID: PMC8342896 DOI: 10.1016/j.crwh.2021.e00344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 07/16/2021] [Indexed: 11/20/2022] Open
Affiliation(s)
- Melissa M Mauskar
- Departments of Dermatology and Obstetrics and Gynecology, University of Texas Southwestern Medical Center, United States of America
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