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Atopic Dermatitis and Implications for Military Service
1San Antonio Uniformed Services Education Consortium, 1100 Wilford Hall Loop, Lackland AFB, TX.
Military Medicine
|May 5, 2019
Summary
Atopic dermatitis, a common skin condition, historically disqualified military service. Despite potential complications, low reported rates suggest screening may prevent non-battle injuries, impacting military readiness.
Area of Science:
- Dermatology
- Military Medicine
- Public Health
Background:
- Atopic dermatitis (AD) is prevalent in the general population.
- Historically, AD has been a disqualifying condition for military service.
- Decreasing service barriers for individuals with AD necessitates understanding military implications.
Purpose of the Study:
- To evaluate the military implications of atopic dermatitis.
- To assess the actual incidence of AD-related complications in service members.
- To inform policy regarding military service waivers for AD.
Main Methods:
- Conducted a literature search using PubMed.
- Reviewed military regulations concerning atopic dermatitis.
- Analyzed evacuation data for AD diagnoses (Jan 2003-Dec 2006) from the Armed Forces Health Surveillance Branch.
Main Results:
- Identified potential AD complications relevant to military service: flares in harsh conditions, ocular issues, secondary infections.
- Observed fewer AD-related casualties than anticipated.
- Suggested that screening may prevent non-battle injuries during deployment.
Conclusions:
- Atopic dermatitis presents potential challenges for military service, but reported complication rates are low.
- The low incidence may be due to existing interventions or lower-than-expected complication frequency.
- Increased AD waivers will lead to more service members with this condition, requiring awareness of potential impacts.
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