Some Risk Factors of Atopic Dermatitis in Adults

Wong Hendra Wijaya, Arini Astasari Widodo, Fitria Jaya
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Abstract

Atopic dermatitis (AD) is an inflammatory skin disorder characterized by intense itching and eczematous lesions. The onset of AD usually occurs in childhood and AD symptoms can last into adulthood. An increasing prevalence of AD has been observed worldwide. The causes of AD are multifactorial and there are still not many systematic reviews of AD-related risk factors. This study uses a literature review method. Literature search was conducted using Google Scholar and PubMed. using keywords: atopic dermatitis, risk factors, adults, and observational studies. All literature was selected using inclusion and exclusion criteria to assess the suitability of the content and quality of the study. Patients with atopic dermatosis had a filaggrin mutation cause loss/change in the function of filaggrin (Filament Aggregating Protein). Risk factors for atopic dermatitis in adults include a history of atopy, food allergies, a history of atopy in the father or mother or both, history of AD in parents, having pets at home, younger age or early onset, being a former smoker, gender women and active smoking, as well as passive smokers, low education level (<=12 years), socioeconomic status, and living in small places. Symptoms and clinical manifestations include pruritus, morphology and wide distribution of lesions, chronic and recurrent dermatitis, history of atopy and family history of atopy. Management of atopic dermatitis begins with education and skin care by taking regular baths and using emollients/moisturizers. Atopy and family history of atopy, smoking, low education, and socioeconomic are risk factors for AD in adults.
成人特应性皮炎的一些风险因素
特应性皮炎(AD)是一种以剧烈瘙痒和湿疹为特征的炎症性皮肤病。特应性皮炎通常在儿童时期发病,症状可持续到成年。据观察,AD 的发病率在全球范围内呈上升趋势。AD的病因是多因素的,目前与AD相关的风险因素的系统性综述还不多。本研究采用文献综述法。使用谷歌学术和 PubMed 进行文献检索,关键词为:特应性皮炎、风险因素、成人和观察性研究。所有文献均采用纳入和排除标准进行筛选,以评估研究内容的适宜性和质量。特应性皮炎患者的丝胶蛋白突变会导致丝胶蛋白(丝状聚集蛋白)功能的丧失/改变。成人特应性皮炎的危险因素包括:有特应病史、食物过敏、父亲或母亲或双方有特应病史、父母有 AD 病史、家中有宠物、年龄较小或发病较早、曾经吸烟、性别为女性和主动吸烟以及被动吸烟者、教育程度低(<=12 岁)、社会经济地位和居住在狭小的地方。症状和临床表现包括瘙痒、皮损的形态和广泛分布、慢性和复发性皮炎、特应性皮炎病史和特应性家族史。特应性皮炎的治疗首先是教育和皮肤护理,定期洗澡和使用润肤剂/保湿剂。特应性皮炎和特应性皮炎家族史、吸烟、教育程度低和社会经济状况是成人特应性皮炎的危险因素。
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