亚托匹性皮肤炎:一个全球健康视角
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
概括
全球数据显示,超过1.71亿人患有亚托皮性皮肤炎 (AD). 目前的指导方针不适合资源较少的地区,需要务实的方法和预防研究,以便在全球范围内更好地管理AD.
科学领域:
- 皮肤病学 皮肤病学
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 亚托匹性皮肤炎 (AD) 影响全球数百万人,在2019年报告了超过1.71亿例病例.
- 在1990年至2019年期间,流行率和发病率保持稳定.
- 大多数AD病例是轻度至中度的,但在资源较少的环境中,数据解释具有挑战性.
研究的目的:
- 讨论阿托皮性皮肤炎 (AD) 的全球方面.
- 为了比较世界银行不同收入类别的AD管理经验.
- 识别挑战,并提出各种医疗保健环境中AD护理的解决方案.
主要方法:
- 在2023年世界皮肤病学大会 (WCD) 上,由国际AD学会 (ISAD) 组织的圆桌讨论会.
- 世界银行1,3和4类国家AD管理经验的比较.
- 审查现有的全球疾病负担 (GBD) 数据和小组专业知识.
主要成果:
- 目前的AD指南通常不适合低资源环境.
- 建议采取务实的方法,类似于世卫组织针对皮肤NTD的战略,专注于基本的治疗方法,如保湿剂和局部皮质类固醇.
- 由于访问时间短,患者的不良遵守是中高收入国家的主要障碍.
结论:
- 预防研究应在全球范围内优先进行.
- 增强的初级保健,远程医疗和人工智能驱动的算法对于优化AD管理至关重要.
- 世卫组织,患者团体和行业之间的合作对于解决AD护理方面的全球不平等至关重要.
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