Facultad de Medicina, Sección Dermatología, Universidad de Antioquia, Medellín, Colombia.
Grupo de Investigación Dermatológica, Universidad de Antioquia, Medellín, Colombia.
Biomedica. 2021 Dec 15;41(4):676-691. doi: 10.7705/biomedica.5978.
Introduction: Atopic dermatitis is a cutaneous, inflammatory, chronic disease, very frequent in the world and it imposes a high clinical and quality of life impact in patients. To date there are no local studies describing the general features in our population. Objective: To evaluate the socio demographic, clinical and life quality features in patients with atopic dermatitis from Medellín city and its metropolitan area. Materials and methods: cross sectional, descriptive study, that included patients who attended some teaching dermatological clinics. Data collection included sociodemographic and clinical features in addition to clinical issues and quality of life measurements. Results: A total of 13 patients were included. 36,3% manifested a sleeping disturbance, 38,1% attention deficit; 44,2% reported asthma in the childhood. EASI and SCORAD scores were 6,9 and 32,4, respectively, which indicates a mild-moderate compromise. Regarding quality of Life, Skindex-29 showed average scores for the symptomatic, emotional and functional dominions of 37,7, 25,09 and 16,9, respectively, and a total score of 24,78. In EQ-5D scores, the most altered component was the presence of pain or discomfort (17,6%) and the presence of anxiety or depression (12,1%), which enhances the symptomatic and emotional impact of the disease. Conclusion: These results confirm that patients with atopic dermatitis present similar features to those reported in other studies from different countries, highlighting the burden of the disease in adults and its impact in neuropsychiatric and emotional domains.
特应性皮炎是一种皮肤炎症性慢性疾病,在全球非常普遍,对患者的临床和生活质量都有很大影响。迄今为止,尚无描述我们人群一般特征的本地研究。目的:评估麦德林市及其大都市区特应性皮炎患者的社会人口统计学、临床和生活质量特征。材料和方法:这是一项横断面描述性研究,纳入了一些教学皮肤科诊所就诊的患者。数据收集包括社会人口统计学和临床特征,以及临床问题和生活质量测量。结果:共纳入 13 名患者。36.3%的患者有睡眠障碍,38.1%的患者有注意力缺陷;44.2%的患者在儿童时期有哮喘。EASI 和 SCORAD 评分分别为 6.9 和 32.4,表明病情为轻度至中度。在生活质量方面,Skindex-29 在症状、情绪和功能域的平均得分分别为 37.7、25.09 和 16.9,总分为 24.78。在 EQ-5D 评分中,最受影响的部分是疼痛或不适(17.6%)和焦虑或抑郁(12.1%),这增强了疾病的症状和情绪影响。结论:这些结果证实,特应性皮炎患者具有与其他国家的研究报告相似的特征,突出了成人疾病的负担及其对神经精神和情绪领域的影响。