Department of Dermatology, Medical Research Center Oulu, University of Oulu, Aapistie 5A, Oulu, Finland.
Acta Derm Venereol. 2019 Jun 1;99(7):647-651. doi: 10.2340/00015555-3165.
Atopic dermatitis is associated with several comorbidities. Epidemiological studies on psychiatric comorbidities in adult atopic dermatitis patients are sparse. We analyzed psychiatric comorbidities in a Finnish nationwide adult atopic dermatitis cohort. The study included 57,690 adult patients with atopic dermatitis as cases and 40,363 individuals diagnosed with melanocytic naevi as controls. Data was obtained from the statutory Finnish Care Register for Health Care. The prevalence of preselected comorbidities between the atopic dermatitis and control groups was compared. Every psychiatric disorder studied was more common in patients with atopic dermatitis than in controls. At least one psychiatric diagnosis was found in 17.2% of the atopic dermatitis patients and 13.1% of controls. Psychiatric morbidity is significant in patients with atopic dermatitis and therefore assessing patients' mental health status should be considered as part of standard care.
特应性皮炎与多种合并症相关。成人特应性皮炎患者合并精神疾病的流行病学研究较少。我们分析了芬兰全国性成人特应性皮炎队列中的精神合并症。该研究纳入了 57690 名特应性皮炎成年患者作为病例组,和 40363 名黑色素痣患者作为对照组。数据来源于法定的芬兰医疗保健登记系统。比较了病例组和对照组中预先选定的合并症的患病率。研究中每种精神障碍在特应性皮炎患者中比在对照组中更为常见。至少有一个精神科诊断的特应性皮炎患者占 17.2%,对照组占 13.1%。特应性皮炎患者的精神疾病发病率很高,因此评估患者的心理健康状况应被视为标准治疗的一部分。