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Related Experiment Videos

[Atopic dermatitis at 18-months physical examination].

H Kawaguchi1, M Takeuchi, Y Tanaka

  • 1Division of Dermatology, National Sagamihara Hospital.

Arerugi = [Allergy]
|October 6, 2000
PubMed
Summary

Atopic dermatitis prevalence in 18-month-olds is 9.0%, with most cases mild. Eruption locations and seasonal prevalence differ from infancy, with many cases resolving by 18 months.

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Area of Science:

  • Pediatrics
  • Dermatology
  • Epidemiology

Context:

  • Atopic dermatitis (AD) is a common chronic inflammatory skin condition in infants and children.
  • Understanding the prevalence, severity, and clinical course of AD is crucial for effective management.
  • Previous studies have focused on early infancy, necessitating data for later toddlerhood.

Purpose:

  • To determine the prevalence and severity of atopic dermatitis in 18-month-old children.
  • To compare findings with data from 4-month-old infants.
  • To analyze changes in eruption location, seasonal variations, and resolution rates of AD.

Summary:

  • A study of 769 18-month-old children found a 9.0% prevalence of atopic dermatitis, predominantly mild.
  • Eruption patterns shifted from the head/face/trunk in infancy to the trunk/extremities in toddlers.

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  • Of 501 children assessed at both 4 and 18 months, 83% of initial cases resolved, and severity decreased.
  • Impact:

    • Provides essential epidemiological data on atopic dermatitis progression in early childhood.
    • Highlights the dynamic nature of AD, with significant resolution and changes in presentation by 18 months.
    • Informs clinical practice regarding the natural history and monitoring of atopic dermatitis.