Sendrasoa Fandresena Arilala, Ramily Samson Léophonte, Razafimaharo Tsiory Iarintsoa, Ranaivo Irina Mamisoa, Andrianarison Malalaniaina, Raharolahy Onivola, Ratovonjanahary Volatantely, Razanakoto Naina Harinjara, Rakotoarisaona Mendrika Fifaliana, Andriamanantena Noroiarisoa, Ramarozatovo Lala Soavina, Fahafahantsoa Rapelanoro Rabenja
Department of Dermatology, Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar.
JAAD Int. 2021 Jun 1;4:28-31. doi: 10.1016/j.jdin.2021.04.001. eCollection 2021 Sep.
Although atopic dermatitis (AD) is becoming a pressing public health concern in the world, Madagascar is underrepresented in the AD literature.
We aimed to study the demographic and clinical pattern of AD in adult dermatology outpatients.
A cross-sectional study was conducted in the Department of Dermatology, University Hospital, Antananarivo, Madagascar. Patients >15 years old with a registered diagnosis of AD, from January 2010 to February 2019, were included. AD was diagnosed by a dermatologist according to Hanifin and Rajka criteria. The severity of AD was assessed using scoring atopic dermatitis (SCORAD).
Forty-two cases of AD were included. The prevalence was 0.5%. The median patient age was 37 years. The age of onset of AD was before the age of 15 years in 38% of the patients and after the age of 15 years in 61.9% of the patients. There was a female preponderance (female to male ratio, 2:1), but no correlation was found between sex and the severity of AD. People living in urban areas were the most affected. According to SCORAD, 37 cases presented moderate AD and 2 cases presented severe AD.
The prevalence of AD in adult dermatology outpatients is still low, and moderate AD is the most frequent form, according to SCORAD.
尽管特应性皮炎（AD）在全球范围内正成为一个紧迫的公共卫生问题，但马达加斯加在AD相关文献中的呈现不足。
我们旨在研究成人皮肤科门诊患者中AD的人口统计学和临床模式。
在马达加斯加塔那那利佛大学医院皮肤科进行了一项横断面研究。纳入2010年1月至2019年2月期间年龄大于15岁且登记诊断为AD的患者。AD由皮肤科医生根据哈尼芬和拉伊卡标准进行诊断。使用特应性皮炎评分（SCORAD）评估AD的严重程度。
共纳入42例AD患者。患病率为0.5%。患者的中位年龄为37岁。38%的患者AD发病年龄在15岁之前，61.9%的患者发病年龄在15岁之后。女性占优势（女性与男性比例为2:1），但未发现性别与AD严重程度之间存在相关性。城市居民受影响最大。根据SCORAD，37例为中度AD，2例为重度AD。
根据SCORAD，成人皮肤科门诊患者中AD的患病率仍然较低，中度AD是最常见的类型。
