A Survey of Japanese Children with Atopic Dermatitis in Bangkok, Thailand

Main Article Content

Varatda Plainetr
Methasit Laochindawat
Naresrut Naruenatwanich
Masahiro Enomoto
Thanan Supasiri

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.

Article Details

How to Cite
1.
Plainetr V, Laochindawat M, Naruenatwanich N, Enomoto M, Supasiri T. A Survey of Japanese Children with Atopic Dermatitis in Bangkok, Thailand. BKK Med J [internet]. 2025 Feb. 28 [cited 2025 Dec. 27];21(1):42. available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/271093
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Original Article

References

Saeki H, Ohya Y, Furuta J, et al. Executive summary: Japanese guidelines for atopic dermatitis (ADGL) 2021. Allergol Int. 2022;71(4):448-58. doi: 10.1016/j.alit.2022.06.009.

Saeki H, Ohya Y, Furuta J, et al. English version of clinical practice guidelines for the management of atopic dermatitis 2021. J Dermatol. 2022;49(10):e315-e75. doi: 10.1111/1346-8138.16527.

Denda M, Sokabe T, Fukumi-Tominaga T, et al. Effects of skin surface temperature on epidermal permeability barrier homeostasis. J Invest Dermatol. 2007;127(3):654-9. doi: 10.1038/sj.jid.5700590.

Ukawa S, Araki A, Kanazawa A, et al. 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. doi: 10.1007/s00420-012-0814-0.

Saito H, Tamari M, Motomura K, et al. Omics in allergy and asthma. J Allergy Clin Immunol. 2024;154(6):1378-90. doi: 10.1016/j.jaci.2024.09.023.

Nomura T, Sandilands A, Akiyama M, et al. Unique mutations in the filaggrin gene in Japanese patients with ichthyosis vulgaris and atopic dermatitis. J Allergy Clin Immunol. 2007;119(2):434-40. doi: 10.1016/j.jaci.2006.12.646.

Hirota T, Takahashi A, Kubo M, et al. Genome-wide associationstudy identifies eight new susceptibility loci for atopic dermatitis in the Japanese population. Nat Genet. 2012;44(11):1222-6. doi: 10.1038/ng.2438.

Davidson WF, Leung DYM, Beck LA, 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. doi: 10.1016/j.jaci.2019.01.003.

Tanaka A, Niimi N, Takahashi M, 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. doi: 10.1111/1346-8138.16577.

Izumi K, Tanaka Y, Tanaka K, et al. A long prospective observational study on prevalence of atopic dermatitis in early childhood to adolescence. Arerugi. 2021;70(5):384-91. doi: 10.15036/arerugi.70.384.

Somanunt S, Chinratanapisit S, Pacharn P, et al. The natural history of atopic dermatitis and its association with Atopic March. Asian Pac J Allergy Immunol. 2017;35(3):137-43. doi: 10.12932/AP0825.

Katta R, Schlichte M. Diet and dermatitis: food triggers.J Clin Aesthet Dermatol. 2014;7(3):30-6.

Kulthanan K, Tuchinda P, Nitiyarom R, et al. Clinical practice guidelines for the diagnosis and management of atopic dermatitis. Asian Pac J Allergy Immunol. 2021;39(3):145-55. doi: 10.12932/AP-010221-1050.

Ohya Y, Williams H, Steptoe A, et al. Psychosocial factors and adherence to treatment advice in childhood atopic dermatitis. J Invest Dermatol. 2001;117(4):852-7. doi: 10.1046/j.0022-202x.2001.01475.x.

Yamaura K. Topical treatment of pruritic skin disease and the role of community pharmacists. Yakugaku Zasshi. 2019;139(12):1563-7. doi: 10.1248/yakushi.19-00181-4.

Stacey SK, McEleney M. Topical corticosteroids: choice and application. Am Fam Physician. 2021;103(6):337-43.