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Revista alergia México
On-line version ISSN 2448-9190
Abstract
HERRERA-SANCHEZ,, Diana Andrea; HERNANDEZ-OJEDA,, Mariana and VIVAS-ROSALES, Irving Jesús. Epidemiological study on atopic dermatitis in Mexico. Rev. alerg. Méx. [online]. 2019, vol.66, n.2, pp.192-204. ISSN 2448-9190. https://doi.org/10.29262/ram.v66i2.591.
Background:
There is limited epidemiological information on the treatment of atopic dermatitis (AD) from specialist physicians in Mexico.
Objective: To know the criteria that is used by specialists in Mexico to diagnose and treat AD.
Methods:
An observational, descriptive and cross-sectional study, which was authorized by the ethics committee, was carried out through an electronic survey.
Results:
114 surveys were carried out; 56% of the participants were allergists, 38% were dermatologists and 5% were pediatricians. It was identified that 54% used clinical criteria for the diagnosis of AD and 42% used the criteria of Hanifin-Rajka as a diagnostic complement; 38% requested total and/or specific IgE, blood biometry and blood chemistry tests. They recount that 90% of patients under the age of 18 had mild AD, 8% had moderate AD and 2% had severe AD; and, in patients over the age of 18, 89% had mild AD, 6% had moderate AD and 5% had severe AD. The patients’ care was multidisciplinary, since 57% of the survey respondents requested assessments combined with ophthalmology, dermatology and allergology.
Conclusion:
Knowledge of the disease will lead to a better control of the disease. The challenge is to have a patient registry, update treatment guidelines, consider comorbidities and have therapeutic options for its control.
Keywords : Atopic dermatitis; Epidemiology; Eczematous skin diseases.