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Published on: September 27, 2017
[Epidemiological study on atopic dermatitis in Mexico]
Diana Andrea Herrera-Sánchez1, Mariana Hernández-Ojeda, Irving Jesús Vivas-Rosales
1Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades, Ciudad de México, México. dianaaherrera@outlook.com.
Mexican specialists primarily use clinical criteria and Hanifin-Rajka criteria for diagnosing atopic dermatitis (AD). Most patients, regardless of age, present with mild AD, necessitating multidisciplinary care for better disease control.
Area of Science:
- Dermatology
- Epidemiology
- Clinical Practice
Background:
- Limited epidemiological data exists regarding atopic dermatitis (AD) treatment by specialists in Mexico.
- Understanding current diagnostic and treatment practices is crucial for improving patient outcomes.
Purpose of the Study:
- To ascertain the diagnostic and treatment criteria employed by specialists in Mexico for atopic dermatitis.
- To gather insights into the current management of AD within the Mexican healthcare system.
Main Methods:
- An observational, descriptive, cross-sectional study was conducted.
- Data was collected via an ethics-committee-approved electronic survey distributed to specialists.
Main Results:
- 114 surveys were completed by allergists (56%), dermatologists (38%), and pediatricians (5%).
- Clinical criteria (54%) and Hanifin-Rajka criteria (42%) were commonly used for AD diagnosis. Diagnostic tests like IgE, blood biometry, and chemistry were requested by 38%.
- The majority of patients, both under 18 (90%) and over 18 (89%), presented with mild AD. Multidisciplinary assessments involving ophthalmology, dermatology, and allergology were common (57%).
Conclusions:
- Enhanced knowledge of atopic dermatitis is essential for improved disease management.
- Future efforts should focus on establishing patient registries, updating treatment guidelines, addressing comorbidities, and expanding therapeutic options for AD control.
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