아토피피부염의 치료 및 관리 실태
Survey on the Management of Atopic Dermatitis
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초록
Background: Although atopic dermatitis (AD) is a common chronic inflammatory skin disease, patients and their parents do not quite understand its characteristics. We evaluated how they were diagnosed and treated and from where they obtained information about AD. Methods: We enrolled self-reported AD patients and their parents who attended the educational program held by Seoul Atopy Asthma Education Information Center, and a questionnaire was sent to each of them. Results: Enrolled patients were 107 (male 48, female 57) and their mean age was 26.71 years. Of the 107 patients, 84% were diagnosed by physicians, 60.3% were treated by dermatologists, 11.0% were treated by pediatricians, and 28.7% were treated by physicians of Chinese medicine or patients themselves. Patients thought that the most effective treatment methods were emollient application, environmental control, food restriction and medications in decreasing order. Topical steroids were avoided by 66.7% of the patients due to a fear of their side effects. Of the 107 patients 40.2% took more than 1 bath a day and 51.5% applied emollients twice or more times a day. In addition, 66.4% of all patients were on food restriction, for 46.5% of whom food restriction was recommended by physicians. Most (98.1%) of the patients and their parents emphasized the necessity of educational programs for AD. Conclusion: Although AD must be continuously controlled and treated, AD patients and their parents did not quite understand AD and its treatment. There was a gap between the understanding of AD and its actual management methods. Therefore, we should continue to develop new educational programs in order to provide correct information about AD and its treatment.
Abstract
Background: Although atopic dermatitis (AD) is a common chronic inflammatory skin disease, patients and their parents do not quite understand its characteristics. We evaluated how they were diagnosed and treated and from where they obtained information about AD. Methods: We enrolled self-reported AD patients and their parents who attended the educational program held by Seoul Atopy Asthma Education Information Center, and a questionnaire was sent to each of them. Results: Enrolled patients were 107 (male 48, female 57) and their mean age was 26.71 years. Of the 107 patients, 84% were diagnosed by physicians, 60.3% were treated by dermatologists, 11.0% were treated by pediatricians, and 28.7% were treated by physicians of Chinese medicine or patients themselves. Patients thought that the most effective treatment methods were emollient application, environmental control, food restriction and medications in decreasing order. Topical steroids were avoided by 66.7% of the patients due to a fear of their side effects. Of the 107 patients 40.2% took more than 1 bath a day and 51.5% applied emollients twice or more times a day. In addition, 66.4% of all patients were on food restriction, for 46.5% of whom food restriction was recommended by physicians. Most (98.1%) of the patients and their parents emphasized the necessity of educational programs for AD. Conclusion: Although AD must be continuously controlled and treated, AD patients and their parents did not quite understand AD and its treatment. There was a gap between the understanding of AD and its actual management methods. Therefore, we should continue to develop new educational programs in order to provide correct information about AD and its treatment.
참고문헌 (22)
- Schultz-Larsen F, "Epidemiology of atopic dermatitis", Immunol Allergy Clin North Am, 22, pp.1~24 (2002)
- Hong SJ, "Korean ISAAC committee in Korean academy of pediatric allergy and respiratory disease", Pediatr Allergy Respir Dis(Korea), 17(1), pp.S55~S66 (2007)
- Williams H, "International Study of Asthma and Allergies in Childhood (ISAAC) Phase One and Three Study Groups. Is eczema really on the increase worldwide?", J Allergy Clin Immunol, 121, pp.947~954 (2008)
- Leung DY, "New insights into atopic dermatitis", J Clin Invest, 113, pp.651~657 (2004)
- Kay J, "The prevalence of childhood atopic eczema in a general population", J Am Acad Dermatol, 30, pp.35~39 (1994)
- Spergel JM, "Epidemiology of atopic dermatitis and atopic march in children", Immunol Allergy Clin North Am, 30, pp.269~280 (2010)
- Lee SI, "A proposal: Atopic Dermatitis Organizer (ADO) guideline for children", Asia Pac Allergy, 1, pp.53~63 (2011)
- 김태윤, "아토피피부염 치료의 최신 경향", Allergy Asthma & Respiratory Diseases, 19(3), pp.209~219 (2009), 대한 소아알레르기 호흡기학회
- 편복양, "아토피피부염", Korean Journal of Pediatrics, 49(6), pp.589~592 (2006), 대한소아과학회
- Hughes R, "The use of alternative medicine in pediatric patients with atopic dermatitis", Pediatr Dermatol, 24, pp.118~120 (2007)
- 이수형, "아토피피부염의 보완의학", Allergy Asthma & Respiratory Diseases, 18(4), pp.326~338 (2008), 대한 소아알레르기 호흡기학회
- 김동희, "소아의 아토피피부염 관리 실태", Allergy Asthma & Respiratory Diseases, 18(2), pp.39~48 (2008), 대한 소아알레르기 호흡기학회
- Fischer G, "Compliance problems in paediatric atopic eczema", Australas J Dermatol, 37(1), pp.S10~S13 (1996)
- 유일영, "아토피 피부염 환아 어머니의 양육 스트레스와 간호 요구", Child Health Nursing Research, 10(4), pp.423~430 (2004), 아동간호학회
- Koh BK, "Alternative Therapy for Atopic Dermatitis", Korean J Dermatol, 39, pp.16~21 (2001)
- Johnston GA, "The use of complementary medicine in children with atopic dermatitis in secondary care in Leicester", Br J Dermatol, 149, pp.566~571 (2003)
- Simpson EL, "A cross-sectional survey of complementary and alternative medicine use in patients with atopic dermatitis", Am J Contact Dermat, 14, pp.144~147 (2003)
- 권현조, "아토피 피부염과 관련된 국내 인터넷상의 정보에 대한 연구", 대한피부과학회지, 44(2), pp.137~140 (2006), 대한피부과학회
- 김자경, "아토피피부염 관련 웹사이트 질 평가 분석", Allergy Asthma & Respiratory Diseases, 17(3), pp.282~288 (2007), 대한 소아알레르기 호흡기학회
- 유일영, "아토피 피부염 환아 어머니의 양육경험 내용 분석", 한국모자보건학회지, 10(2), pp.169~179 (2006), 한국모자보건학회
- Arvola T, "Concerns and expectations of parents with atopic infants", Pediatr Allergy Immunol, 11, pp.183~188 (2000)
- Mabin DC, "Controlled trial of a few foods diet in severe atopic dermatitis", Arch Dis Child, 73, pp.202~207 (1995)