An Analysis of Atopic Dermatitis Patients Hospitalized for Treatment after Exacerbation Due to Inadequate Therapy without Topical Steroid

  • Echigo Takeshi
    Department of Dermatology, Kanazawa University School of Medicine
  • Kaburagi Yuko
    Department of Dermatology, Kanazawa University School of Medicine
  • Shimada Yuka
    Department of Dermatology, Kanazawa University School of Medicine
  • Takehara Kazuhiko
    Department of Dermatology, Kanazawa University School of Medicine

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Other Title
  • 脱ステロイド療法にて増悪後,入院治療を行ったアトピー性皮膚炎患者の分析
  • ダツステロイド リョウホウ ニテ ゾウアク ゴ,ニュウイン チリョウ オ オコナッタ アトピーセイ ヒフエン カンジャ ノ ブンセキ

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Abstract

We investigated the skin condition and the quality of life in patients who had stopped using topical steroid. We surveyed 80 atopic dermatitis patients (32 males and 48 females) who had been admitted to our hospital between 1995 and 2000 due to deterioration after discontinuing topical steroid therapy. These patients were between 6 months and 44 years old (average 20.0 years old) when they were hospitalized. The duration of hospitalization ranged from 4 days to 46 days (16.6 days). Inadequate therapies without topical steroid application were prescribed by 9 dermatologists, 43 doctors who were not dermatologists, 15 commercial corporations, and 13 patients who used over-the-counter products. After discharge, the severity of itching and the ability to concentrate on their job or study were improved, and the cost and time spent on their treatment were reduced. In addition, they were satisfied with the treatment using topical steroid and tacrolimus. These results suggest that all patients with atopic dermatitis can maintain better conditions using treatments based on “The Guidelines for Therapy for Atopic Dermatitis” established by the Japanese Dermatological Association.

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