Is there something called adult onset atopic dermatitis in India?

Thappa, Devinder Mohan; Munisamy, Malathi

doi:10.4103/0378-6323.107633

Cited by 8 publications

(2 citation statements)

References 12 publications

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“…Between 9% and 47% of cases of AD also appear de novo in adults (≥18 years), although the most widely accepted proportion is 9%-24.5% [2,5,15]. Among adults who develop AD, peak incidence occurs at age 20-40 years [20], although the disease does not completely subside after that. If we count all the patients whose AD persists after childhood, those who experience a relapse, and those who first present with AD as adults, the proportion of adult patients with AD rises to 45% [21].…”

Section: Epidemiologymentioning

confidence: 99%

Atopic Dermatitis in Adults: A Diagnostic Challenge

Salvador¹,

Romero‐Pérez²,

Encabo-Durán³

2017

J Investig Allergol Clin Immunol

150

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Atopic dermatitis (AD) has a prevalence of 1%-3% in adults. Adult-onset AD has only been defined recently, and lack of familiarity with this condition and confusion regarding the appropriate terminology persist. AD may first appear in childhood or de novo in adults and is characterized by pronounced clinical heterogeneity. The disease often deviates from the classic pattern of flexural dermatitis, and there are forms of presentation that are specific to adults, such as head-and-neck dermatitis, chronic eczema of the hands, multiple areas of lichenification, or prurigo lesions. Although diagnosis is clinical, adult-onset AD frequently does not fit the traditional diagnostic criteria for the disease, which were developed for children. Thus, AD is often a diagnosis of exclusion, especially in de novo cases. Additional diagnostic tests, such as the patch test, prick test, skin biopsy, or blood test, are usually necessary to rule out other diseases or other types of eczema appearing concomitantly with AD. This article presents an update of the different forms of clinical presentation for AD in adults along with a proposed diagnostic approach, as new treatments will appear in the near future and many patients will not be able to benefit from them unless they are properly diagnosed. Key words: Atopic dermatitis. Adult. Diagnosis. Patch testing. Prick testing. ResumenLa dermatitis atópica (DA) en el adulto tiene una prevalencia del 1-3%. Es una entidad de reciente acuñamiento, que no todo el mundo conoce y sobre la que existe una gran confusión terminológica. Puede iniciarse en la infancia o presentarse de "novo" en el adulto. Presenta una gran heterogeneidad clínica y con frecuencia no sigue el patrón clásico de dermatitis flexural. Además, existen formas de presentación más propias de adulto como son la dermatitis de la cabeza y el cuello, eczema crónico de manos, áreas de liquenificación múltiple o lesiones de prurigo. Aunque su diagnóstico es clínico, muchas veces la DA del adulto no cumple los criterios diagnósticos "clásicos" de DA, pues están pensados para niños. Por eso, suele ser un diagnóstico de exclusión, sobre todo los casos de "novo". Suele precisar de la realización de pruebas diagnósticas para descartar otras enfermedades distintas u otro tipo de eczema sobreañadido a la DA. Las pruebas diagnósticas que pueden resultar útiles para ello son: pruebas epicutáneas, prick test, biopsia cutánea y una analítica sanguínea. Realizamos una actualización de las distintas formas de presentación clínica de la DA del adulto y establecemos unas pautas para llegar a su diagnóstico, pues en un futuro inmediato, con la aparición de nuevos tratamientos, muchos de estos pacientes no podrán beneficiarse de los mismos por no estar adecuadamente diagnosticados. Palabras clave: Dermatitis atópica. Adulto. Diagnóstico. Pruebas epicutáneas. Prick test.

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Section: Epidemiologymentioning

confidence: 99%

Atopic Dermatitis in Adults: A Diagnostic Challenge

Salvador¹,

Romero‐Pérez²,

Encabo-Durán³

2017

J Investig Allergol Clin Immunol

150

View full text Add to dashboard Cite

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“…The proposed hypothesis seemed to have added new dimensions to the comprehension of it's under currents and perspective studies. Simultaneously, it is worthwhile to retrieve [11] the clinical undertones in childhood phase of AD, facilitating to establish the continuous march of atopic dermatitis from childhood, adult-onset [12][13][14] and senile/elderly [15], invariably marked by remissions and recurrence, its hallmark. Furthermore, aforementioned observations are scintillating, and might raise expectations of comprehensive management of nonallergic atopic eczema/dermatitis syndrome (AEDS) (Figure 4) [2].…”

Section: Introductionmentioning

confidence: 99%

Age Related Clinical Spectrum of Atopic Dermatitis: A Position Paper

Sehgal¹

2018

Dermatitis

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Atopic dermatitis is well-known age-related/oriented caption recognized through well-defined clinical features usually having an onset in infancy invariably marching towards childhood, adolescent adult and elderly (senile) phases. This particular aspect seems unique, and was succinctly explored through literature, the highlights of which form the position paper for vivid comprehension of evolving clinical spectrum, which might add up to elevation of dreaded symtomatology, a part component of the entity. The criteria for intrinsic and extrinsic variant of AD, in particular, are emphasized.

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Adult-Onset Atopic Dermatitis

Hanifin

2017

Dermatologic Clinics

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Is there something called adult onset atopic dermatitis in India?

Cited by 8 publications

References 12 publications

Atopic Dermatitis in Adults: A Diagnostic Challenge

Atopic Dermatitis in Adults: A Diagnostic Challenge

Age Related Clinical Spectrum of Atopic Dermatitis: A Position Paper

Adult-Onset Atopic Dermatitis

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