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Self-perceived disease control in childhood eczema
Pok H C Lam1, Kam Lun E Hon1,2, Karen Ka Yan Leung2
1Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
The Journal of Dermatological Treatment
|September 23, 2020
Summary
A Traffic Light Control (TLC) system effectively assesses self-perceived eczema control in children. Poor TLC control correlates with increased eczema severity and reduced quality of life, guiding management strategies.
Area of Science:
- Pediatric Dermatology
- Clinical Assessment Tools
- Child Health
Background:
- Atopic eczema (AE) is a prevalent, chronic inflammatory skin condition in children, significantly impacting their quality of life.
- Unlike asthma, AE control is infrequently evaluated in therapeutic settings.
- Current assessment methods may not fully capture the child's perspective on their eczema status.
Purpose of the Study:
- To evaluate the efficacy of a Traffic Light Control (TLC) system for measuring self-perceived eczema control in pediatric patients.
- To determine if the TLC system correlates with objective measures of eczema severity and quality of life.
- To explore the potential of TLC as a patient-centered tool for AE management.
Main Methods:
- A prospective study involved 36 Chinese children (6-18 years) with AE attending a pediatric dermatology clinic.
- Validated Chinese versions of DASS-21, POEM, TEWL, and SH were used to assess psychological symptoms, eczema severity, and skin condition.
- Patients used a visual TLC analogy (green, yellow, red) to self-report their eczema control status.
Main Results:
- Self-perceived TLC status (green, amber, red) significantly correlated with acute and chronic eczema severity (SCORAD, NESS, POEM) and quality of life (CDLQI) (p < .0001).
- The TLC system did not show significant correlation with skin hydration (SH), transepidermal water loss (TEWL), or psychological symptoms (Depression, Anxiety, Stress).
- Patients reporting poorer TLC control experienced greater eczema severity and reduced quality of life.
Conclusions:
- A child-friendly TLC self-assessment system can semi-quantify eczema control in pediatric patients.
- Worse self-reported eczema control via TLC is associated with increased eczema severity and diminished quality of life.
- The TLC system offers a valuable tool for guiding patient management and developing eczema action plans.
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