WFU

2026年9月6日 星期日

異位性皮膚炎長大就會好?韓國延世大學醫院五千位患者研究:成人占一半,病情會比年幼患者嚴重,頭頸部病灶多,壓力會惡化

作者:黃于家





本篇研究,"Clinical Diversity of Atopic Dermatitis: A Review of 5,000 Patients at a Single Institute",請見這裡,期刊摘要如下:


Purpose


Atopic dermatitis (AD) is a chronic eczematous dermatitis that has a high prevalence and diverse clinical features. Although several hypotheses about its multifactorial pathogenesis have been suggested, the cause is not yet fully understood. A better understanding of the clinical features may helpful inelucidating the pathogenesis of AD.


Methods


This retrospective study analyzed the questionnaires, medical charts, and laboratory examination results of 5,000 patients diagnosed with AD at a single tertiary hospital in Korea.


Results 


The demographics, allergic comorbidities, family history, severity, and treatment experiences of the patients were analyzed. 

Most of the patients were adults, 76.3% of whom were classified as havingan extrinsic type of AD. 

The mean eczema area and severity index (EASI) score was found to be 13.68, and adult patients were found to have higher severity than the other age groups. 

The anatomical involvements were different among the age groups, with more involvements of the head and neck in adults. 

The patients reported seasonal changes and stress as the factors that aggravated their symptoms the most. 

Topical steroids and oral cyclosporine were the most used medications at our clinic, whereas 10.1% of the patients underwent allergen-specific immunotherapy.


Conclusions 


This analysis of 5,000 patients would lead to a better understanding of various subtypes and diverse clinical features of AD in Koreans. 

Distinct characteristics were observed among different age groups; thus, treatment strategies may need to be differentiated accordingly.

如果你曾經聽過「異位性皮膚炎長大就會自己好」,下面這位患者的經驗,值得一起閱讀。





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