Positionspapier: Diagnostik und Therapie der Xerosis cutis

Abstract

Das hier vorgeschlagene strukturierte symptom- und evidenzorientierte Vorgehen mit Diagnostik- und Behandlungspfad soll für die Prävention und frühzeitige Behandlung der Xerosis cutis sensibilisieren. Damit können die Lebensqualität verbessert und Folgeerkrankungen verhindert werden.

Influence of Climate on Google Internet Searches for Pruritus Across 16 German Cities: Retrospective Analysis

“…It was found that a 1°C decrease in average monthly temperature correlated with around 8 more search queries per 100,000 inhabitants, with a greater effect observed in Eastern and Western Germany. Previous studies already reported that temperature influences the occurrence of pruritus [33,35]; for example, pruritus caused by xerosis is more common in colder months [36,47]. Similar to other German studies [30,31], we found an overall negative correlation between temperature and search volume across all cities during the entire study period (r=-.14).…”

“…The results indicated that the number of search queries showed a higher correlation with the supply of dermatologists (r=.56) than with the supply of GPs (r=.34). This was also the case when considering search terms, such as “psoriasis” or “atopic eczema.” One explanation for this discrepancy could be that, comparable to the diagnosis of xerosis [36], people consulting a dermatologist might receive a specific diagnosis for their pruritus and, therefore, may have performed explicit searches for pruritus. However, people seeing GPs might receive other less-specific diagnoses.…”

“…Terms that were associated with pruritus but did not explicitly include words or phrases related to pruritus (eg, “psoriasis” and “atopic dermatitis”) were initially excluded from descriptive analyses. Only when investigating a correlation between the supply of general practitioners (GPs) and search volume were these terms considered, as people consulting a GP might receive other less-specific diagnoses [36]. After qualitatively assessing all pruritus-related keywords, eight categories were formed in accordance with previous studies [30,31] to determine differences in people’s interests: causes (eg, “pruritus causes”), conditions (eg, “pruritus at night-time”), influential factors (eg, “allergic pruritus”), localization (eg, “itchy legs”), pruritus descriptors (eg, “strong pruritus”), questions on pruritus (eg, “what causes pruritus?”), and treatment (eg, “drugs against pruritus”); searches that did not fit any of these categories were placed in a general category (eg, “pruritus”).…”

Hand eczema: treatment

“…21 Basic topical therapy helps to reduce inflammation and itching, has corticosteroid-sparing effects and promotes epidermal barrier recovery. emollients or moisturizers, is a key component in the treatment of any kinds of eczema.…”

“…The treatment of xerosis cutis is a mainstay in the early forms of atopic and irritant hand dermatitis. 21 Basic topical therapy helps to reduce inflammation and itching, has corticosteroid-sparing effects and promotes epidermal barrier recovery. In numerous experimental studies, basic topical therapy has been shown to promote the healing of eczema, without any specific pharmacological treatment.…”