A Survey of Japanese Children with Atopic Dermatitis in Bangkok, Thailand
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Abstract
OBJECTIVES: This study aims to evaluate the understanding of atopic dermatitis (AD) among Japanese families living in Thailand.
MATERIALS AND METHODS: We performed a descriptive study collecting data through an online survey. The survey was sent to parents of children aged 0-15 years with atopic dermatitis in Bangkok, Thailand from 2018 – 2021.
RESULTS: Of the 65 responses, 33 children had 1 allergic condition and 32 had 2-4 conditions. Conditions included atopic dermatitis (n = 48), food allergy (n = 28), allergic rhinitis (n = 19), and asthma (n = 6). Furthermore, 49.2% felt they lacked sufficient knowledge to care for their children. Many respondents had limited knowledge of oral food challenge tests (61.6%) and oral immunotherapy treatment (58.4%). 26.2% were aware of the fingertip unit, 41.7% were unaware of the impact of water temperature on atopic dermatitis flare-ups, and 71.2% were unaware of the proactive drug use to prevent disease flare-ups. Notably, all respondents used bath water at a higher temperature than recommended. 41.0% encountered difficulties finding allergists despite having no trouble scheduling hospital visits for other concerns.
CONCLUSION: Many families would benefit from receiving accurate and useful information about usual care and a list of nearby allergists in taking care of their children’s AD.
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References
Saeki H, Ohya Y, Furuta J, Arakawa H, Ichiyama S, Katsunuma T, et al. Executive summary: Japanese guidelines for atopic dermatitis (ADGL) 2021. Allergol Int. 2022;71(4):448-58.
Saeki H, Ohya Y, Furuta J, Arakawa H, Ichiyama S, Katsunuma T, et al. English Version of Clinical Practice Guidelines for the Management of Atopic Dermatitis 2021. J Dermatol. 2022;49(10):e315-e75.
Denda M, Sokabe T, Fukumi-Tominaga T, Tominaga M. Effects of skin surface temperature on epidermal permeability barrier homeostasis. J Invest Dermatol. 2007;127(3):654-9.
Ukawa S, Araki A, Kanazawa A, Yuasa M, Kishi R. The relationship between atopic dermatitis and indoor environmental factors: a cross-sectional study among Japanese elementary school children. Int Arch Occup Environ Health. 2013;86(7):777-87.
Bath-Hextall F, Delamere FM, Williams HC. Dietary exclusions for established atopic eczema. Cochrane Database Syst Rev. 2008;2008(1):CD005203.
Katta R, Schlichte M. Diet and dermatitis: food triggers. J Clin Aesthet Dermatol. 2014;7(3):30-6.
Davidson WF, Leung DYM, Beck LA, Berin CM, Boguniewicz M, Busse WW, et al. Report from the National Institute of Allergy and Infectious Diseases workshop on "Atopic dermatitis and the atopic march: Mechanisms and interventions". J Allergy Clin Immunol. 2019;143(3):894-913.
Tanaka A, Niimi N, Takahashi M, Takahashi H, Nagata K, Nishiyama N, et al. Prevalence of skin diseases and prognosis of atopic dermatitis in primary school children in populated areas of Japan from 2010 to 2019: The Asa Study in Hiroshima, Japan. J Dermatol. 2022;49(12):1284-90.
Izumi K, Tanaka Y, Tanaka K, Inoue Y, Nakamura K, Ikezawa Z, et al. [a Long Prospective Observational Study on Prevalence of Atopic Dermatitis in Early Childhood to Adolescence]. Arerugi. 2021;70(5):384-91.
Somanunt S, Chinratanapisit S, Pacharn P, Visitsunthorn N, Jirapongsananuruk O. The natural history of atopic dermatitis and its association with Atopic March. Asian Pac J Allergy Immunol. 2017;35(3):137-43.
Kulthanan K, Tuchinda P, Nitiyarom R, Chunharas A, Chantaphakul H, Aunhachoke K, et al. Clinical practice guidelines for the diagnosis and management of atopic dermatitis. Asian Pac J Allergy Immunol. 2021;39(3):145-55.
Ohya Y, Williams H, Steptoe A, Saito H, Iikura Y, Anderson R, et al. Psychosocial factors and adherence to treatment advice in childhood atopic dermatitis. J Invest Dermatol. 2001;117(4):852-7.
Yamaura K. [Topical Treatment of Pruritic Skin Disease and the Role of Community Pharmacists]. Yakugaku Zasshi. 2019;139(12):1563-7.
Stacey SK, McEleney M. Topical Corticosteroids: Choice and Application. Am Fam Physician. 2021;103(6):337-43.