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Atopic Dermatitis and Comorbidity.

Sanja Bekić1,2, Vjenceslav Martinek1, Jasminka Talapko3

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This summary is machine-generated.

Atopic dermatitis often signals other allergies, progressing to conditions like allergic rhinitis and asthma. This study highlights common comorbidities and treatments in family medicine patients with this chronic skin disease.

Keywords:
atopic dermatitisatopic marchcomorbiditypsychological stress

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Area of Science:

  • Dermatology
  • Allergology
  • Family Medicine

Background:

  • Atopic dermatitis is a prevalent chronic inflammatory skin condition.
  • It frequently serves as an initial indicator for subsequent allergic diseases.
  • A significant proportion of patients develop allergic rhinitis and/or asthma.

Purpose of the Study:

  • To investigate the association between atopic dermatitis and comorbid conditions within a family medicine setting.
  • To determine the prevalence of atopic dermatitis and its comorbidities in a specific patient cohort.

Main Methods:

  • Retrospective study conducted at a specialist family medicine practice.
  • Data collected from electronic health records (E-charts) between January 1, 2016, and July 1, 2017.
  • Analysis of patient demographics, atopic dermatitis diagnosis, and co-occurring diseases.

Main Results:

  • 10.53% of 2056 patients had atopic dermatitis.
  • Common comorbidities included allergic rhinitis (41%), asthma (17.4%), infections (67.7%), gastrointestinal disturbances (30.3%), and mental disorders (34.3%).
  • Younger patients (<18 years) had higher rates of infections, while adults experienced chronic stress. Loratadine and mometasone were frequently prescribed.

Conclusions:

  • The study confirms the 'atopic march' progression, where atopic dermatitis leads to other organ system involvement.
  • Findings underscore the importance of managing comorbidities in atopic dermatitis patients.
  • Family medicine plays a crucial role in identifying and managing the spectrum of atopic conditions.