Establishing the degree of control in patients with atopic dermatitis with the atopic dermatitis control tool (ADCT)

Atopic dermatitis (AD) is a disease of multifactorial etiology that affects the quality of life of those afflicted.

The degree of control of patients with AD over 12 years of age was determined with the Atopic Dermatitis Control Instrument (ADCT).

This observational, cross-sectional, descriptive study included patients with AD who were evaluated with a self-administered instrument, the ADCT. Pearson's Chi square and Student's t-tests were used for categorical variables. The association between continuous variables was analyzed with the Pearson and Spearman correlations.

A total of 55 patients with AD were included-42 women (76.4%) and 13 men (23.6%). The median age was 24 years (12-63). Regarding the degree of disease control, it was adequate in 23 (41.8%) patients and inadequate in 32 (58.2%). The patient's sex, age, work activity, residence, and level of education were not statistically significant factors for the degree of control. The most prevalent comorbidity was allergic rhinitis with a higher percentage in those with adequate control (p = 0.049). Treatment with corticosteroids was associated with good disease control (p <0.001). A high positive correlation (r = 0.770, p < 0.001) was found between the SCORAD score and the ADCT score for symptom control. SCORAD and POEM scores showed a direct proportional relationship (r = 0.791; p < 0.001).

The ADCT allowed us to determine the degree of control of atopic dermatitis and develop treatment strategies.