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Medicina
Special Issues
Diagnosis and Treatment of Atopic Dermatitis in Adults and Children
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Diagnosis and Treatment of Atopic Dermatitis in Adults and Children

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dermatology".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 1643

Special Issue Editor

Dr. Vojko Berce

E-Mail Website
Guest Editor
Department of Pediatrics, University Medical Centre Maribor, Maribor, Slovenia
Interests: children; atopic dermatitis; food allergy; peanut allergy; anaphylaxis; community-acquired pneumonia; lung ultrasound

Special Issue Information

Dear Colleagues,

The incidence of atopic dermatitis and associated comorbidities is increasing dramatically in both children and adults worldwide. The burden of the disease on the individual and on society is also increasing. Atopic dermatitis is a disease that causes not only health problems such as itching, insomnia and increased risk of allergic reactions. The inflammation of the skin often also affects the appearance of the individual, which is particularly burdensome for adolescents and young adults, and exacerbates the disease itself through emotional distress in a positive feedback loop.

In the last decade, tremendous progress has been made in both the understanding of the etiopathogenesis and the treatment of atopic dermatitis. The focus of understanding atopic dermatitis has shifted from atopy to the breakdown of the protective skin barrier and dysregulation of the immune response, and a breakthrough in treatment has been made with the use of biologics, first in adults and in recent years in children.

With this special issue of Medicina, we aim to contribute to the understanding of atopic dermatitis as a syndrome composed of multiple phenotypes based on endotypes that differ both in the role and mode of skin barrier impairment and in the type of excessive immune response and the associated cytokines and inflammatory cells involved. In this way, we aim to identify those biomarkers of the disease that can contribute most to the personalized treatment of atopic dermatitis, which is of utmost importance in the era of biologics.

This special issue welcomes both original and review scientific articles addressing the epidemiology, an etiopathogenesis, diagnosis and treatment of atopic dermatitis and related comorbidities in adults and children.

Dr. Vojko Berce
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • atopic dermatitis
  • children
  • adults
  • etiopathogenesis
  • treatment
  • comorbidities
  • atopy
  • skin barrier
  • aberrant immune response
  • biologics

Published Papers (2 papers)

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Research

12 pages, 1812 KiB  
Article
Patients’ and Caregivers’ Experiences Navigating the Burden of Atopic Dermatitis in Argentina
by Korey Capozza, Michelle Tu, Alan Schwartz, Jodi L. Johnson and Mónica Ladner
Medicina 2024, 60(4), 584; https://doi.org/10.3390/medicina60040584 - 31 Mar 2024
Viewed by 814
Abstract
Background and Objectives: Little is known about patients’ and caregivers’ experiences with atopic dermatitis (AD) in Argentina, so a survey was administered to learn more. Materials and Methods: A 53-item anonymous survey was administered in Spanish to adult AD patients ( [...] Read more.
Background and Objectives: Little is known about patients’ and caregivers’ experiences with atopic dermatitis (AD) in Argentina, so a survey was administered to learn more. Materials and Methods: A 53-item anonymous survey was administered in Spanish to adult AD patients (n = 334) and caregivers (n = 339) of pediatric AD patients in Argentina (total n = 673). Demographics, healthcare provider information, financial burden, disease severity, disease burden, level of disease-specific education, and experience with shared physician/patient decision making were collected. Linear and logistic regression models were used for statistical comparisons. Results: Survey respondents were overwhelmingly female (90.8%), as was the overall patient population (72.8%). Patients were seen mostly by healthcare specialists (66.8% dermatologists, 13.5% pediatricians, 7.7% allergists, and 7.2% general practitioners). Only 2.8% of respondents reported no symptoms, while 33.3%, 52.4%, and 11.5% reported mild, moderate, and severe AD disease, respectively. Anxiety/depression and pain/discomfort were the most impactful on respondents’ quality of life. Caregivers of children with moderate to severe AD and adult patients with severe AD reported a significant financial burden, including using savings or not purchasing food or other essentials to afford medical care. Few people reported receiving disease-specific education or having their own treatment priorities taken into consideration. For adult patients, receiving disease education and being asked about treatment priorities were associated with higher treatment satisfaction and AD control. Discussion: Mental health, pain/discomfort, and financial worries are the most important burdens for adult AD patients and caregivers of children with AD in Argentina. We recommend prioritizing disease-specific education and shared decision making to improve AD care in Argentina. Full article
(This article belongs to the Special Issue Diagnosis and Treatment of Atopic Dermatitis in Adults and Children)
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13 pages, 303 KiB  
Article
Associations between Atopic Dermatitis and Behavior Difficulties in Children
by Inga Kisieliene, Beatrice Aukstuolyte, Antanas Mainelis, Odilija Rudzevicienė, Matilda Bylaite-Bucinskiene and Andreas Wolenberg
Medicina 2024, 60(3), 492; https://doi.org/10.3390/medicina60030492 - 17 Mar 2024
Viewed by 616
Abstract
Background and Objectives: There has been increasing evidence that atopic dermatitis (AD) is associated with behavioral difficulties (BDs). There is currently a lack of evidence of how the severity of the disease determines BDs and what additional factors may contribute to their [...] Read more.
Background and Objectives: There has been increasing evidence that atopic dermatitis (AD) is associated with behavioral difficulties (BDs). There is currently a lack of evidence of how the severity of the disease determines BDs and what additional factors may contribute to their manifestation. The aim is to determine what kind of BDs occur in children with AD compared to healthy children and to find out what additional factors may contribute to the development of BDs in AD patients. Materials and Methods: This is a cross-sectional, prospective study with the application of a risk assessment instrument for behavior difficulties (Child Behavior Checklist, CBCL 6/18) in pediatric patients with AD and healthy controls (6–17 years) between 1 January 2020 and 31 December 2022. For statistical comparison, mainly Wilcoxon–Mann–Whitney and Student’s t-test were used, considering a significance level of 5%. Results: This study included a total of 101 children: 48% with AD, 52% non-AD. The mean age was 10 ± 2.7 years for AD, and10.5 ± 3.1 years for the control patients. AD patients had higher internal behavior scale scores and T-scores (6.6 ± 6.4 vs. 9.6 ± 6.9 and 47.9 ± 9.5 vs. 52.3 ± 10.2, p = 0.01), anxiety/depression scale score and T-score (2.8 ± 2.7 vs. 4.3 ± 3.5 and 47.7 ± 8.4 vs. 52.5 ± 11, p = 0.02), and somatic problems scale score and T-score (2.1 ± 2.3 vs. 3.5 ± 3 and 47.6 ± 8.5 vs. 52.7 ± 10.9, p = 0.005). Patients with severe AD had sleep disturbance and itching scores higher than those with mild–moderate AD (5.4 ± 2.6 vs. 2.4 ± 2.2, p = 0.000 and 6.6 ± 2.4 vs. 4 ± 2.8, p = 0.001). The mean morning serum cortisol concentration was lower in AD patients compared to controls (252.91 ± 304.34 vs. 351.55 ± 126.09 nmol/L, p = 0.047). Conclusions: Children with AD present a higher risk of BDs than healthy controls. Patients with severe AD experience more sleep disturbances and a greater intensity of itching compared to mild–moderate AD. The occurrence of BDs was not related to serum cortisol levels. The cortisol level, severity, age, gender, duration of illness, intensity of pruritus, and sleep disturbance did not affect the development of BDs. Full article
(This article belongs to the Special Issue Diagnosis and Treatment of Atopic Dermatitis in Adults and Children)
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