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Atopic dermatitis: A global health perspective
Ousmane Faye1, Carsten Flohr2,3, Kenji Kabashima4,5
1Department of Dermatology, Faculty of Medicine and Odontostomatology, Université des Sciences, des Techniques et des Technologies de Bamako (USTTB), Bamako, Mali.
Journal of the European Academy of Dermatology and Venereology : JEADV
|December 27, 2023
Summary
Global data shows over 171 million people have atopic dermatitis (AD). Current guidelines aren't suitable for low-resource areas, necessitating pragmatic approaches and prevention studies for better AD management worldwide.
Area of Science:
- Dermatology
- Global Health
- Epidemiology
Background:
- Atopic dermatitis (AD) affects millions globally, with over 171 million cases reported in 2019.
- Prevalence and incidence rates have remained stable between 1990 and 2019.
- Most AD cases are mild-to-moderate, but data interpretation is challenging in low-resource settings.
Purpose of the Study:
- To discuss global aspects of atopic dermatitis (AD).
- To compare experiences with AD management across different World Bank income categories.
- To identify challenges and propose solutions for AD care in diverse healthcare settings.
Main Methods:
- A roundtable discussion organized by the International Society of AD (ISAD) at the World Congress of Dermatology (WCD) 2023.
- Comparison of AD management experiences from World Bank category 1, 3, and 4 countries.
- Review of existing Global Burden of Disease (GBD) data and panel expertise.
Main Results:
- Current AD guidelines are often ill-suited for low-resource settings.
- A pragmatic approach, similar to WHO's strategy for skin NTDs, is recommended, focusing on basic treatments like moisturizers and topical corticosteroids.
- Poor patient compliance due to short visit times is a major barrier in middle- and high-income countries.
Conclusions:
- Prevention studies should be prioritized globally.
- Enhanced primary care, telemedicine, and AI-driven algorithms are crucial for optimizing AD management.
- Collaboration between WHO, patient groups, and industry is vital to address global inequalities in AD care.
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