PMID- 21214635 OWN - NLM STAT- MEDLINE DCOM- 20120322 LR - 20110919 IS - 1468-3083 (Electronic) IS - 0926-9959 (Linking) VI - 25 IP - 10 DP - 2011 Oct TI - Clinical features of atopic dermatitis in a hospital-based setting in China. PG - 1206-12 LID - 10.1111/j.1468-3083.2010.03953.x [doi] AB - BACKGROUND: Atopic dermatitis (AD) is a chronic relapsing inflammatory skin disease. There have been few detailed reports of the clinical evaluation of Chinese patients with AD. OBJECTIVES: To give a profile of the clinical features of Chinese AD patients in a university hospital setting. METHODS: A total of 1008 cases met Hanifin and Rajka diagnostic criteria of AD were recruited at Xinhua Hospital, Shanghai Jiaotong University School of Medicine, China. RESULTS: In our survey, 22.7% patients were mild, 66.6% were moderate and 10.7% were severe according to the SCORAD index. Both the frequency and severity of the male patients were slightly higher. The frequency of asthma among the AD patients was 16.7% and it was increased with the age (chi2 = 205.20, P = 0.000). The frequencies of objective minor signs were demonstrated with age-related changes. Besides, three localized variants including eyelid eczema (49.8%), scalp dermatitis (49.7%), infra-auricular and retroauricular fissuring (44.8%) were commonly observed, especially in the infantile phase (P < 0.01). It was showed significant differences in serum total immunoglobulin E (IgE) and eosinophil cationic protein (ECP) levels of different age groups. The positive rate of Phadiatop was raised after 3 years old and that of the common food allergens were decreased after 6 years old. CONCLUSIONS: More males than females had ongoing AD in our survey. Most AD debuted in the first year of the cases. High incidence of the three clinical signs: eyelid eczema, scalp dermatitis and infra-auricular and retroauricular fissuring among the patients suggests it can be a potential valuable diagnostic clue to AD. CI - (c) 2011 The Authors. Journal of the European Academy of Dermatology and Venereology (c) 2011 European Academy of Dermatology and Venereology. FAU - Shi, M AU - Shi M AD - Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Zhang, H AU - Zhang H FAU - Chen, X AU - Chen X FAU - Guo, Y AU - Guo Y FAU - Tao, J AU - Tao J FAU - Qi, H AU - Qi H FAU - Gan, J AU - Gan J FAU - Jiang, A AU - Jiang A FAU - Yu, H AU - Yu H FAU - Liang, J AU - Liang J FAU - Chen, J AU - Chen J FAU - Yang, L AU - Yang L FAU - Zhuang, Y AU - Zhuang Y FAU - Yan, M AU - Yan M FAU - Gu, Y AU - Gu Y FAU - Yu, X AU - Yu X FAU - Feng, X AU - Feng X FAU - Yao, Z AU - Yao Z LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110109 PL - England TA - J Eur Acad Dermatol Venereol JT - Journal of the European Academy of Dermatology and Venereology : JEADV JID - 9216037 RN - 37341-29-0 (Immunoglobulin E) RN - EC 3.1.27.- (Eosinophil Cationic Protein) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Asthma/epidemiology MH - Child MH - Child, Preschool MH - China/epidemiology MH - Comorbidity MH - Dermatitis, Atopic/*blood/epidemiology/*pathology MH - Eosinophil Cationic Protein/blood MH - Female MH - Health Surveys MH - *Hospitals, University MH - Humans MH - Immunoglobulin E/blood MH - Infant MH - Male MH - Middle Aged MH - Prevalence MH - Retrospective Studies MH - *Severity of Illness Index MH - Skin/pathology MH - Socioeconomic Factors MH - Young Adult EDAT- 2011/01/11 06:00 MHDA- 2012/03/23 06:00 CRDT- 2011/01/11 06:00 PHST- 2011/01/11 06:00 [entrez] PHST- 2011/01/11 06:00 [pubmed] PHST- 2012/03/23 06:00 [medline] AID - 10.1111/j.1468-3083.2010.03953.x [doi] PST - ppublish SO - J Eur Acad Dermatol Venereol. 2011 Oct;25(10):1206-12. doi: 10.1111/j.1468-3083.2010.03953.x. Epub 2011 Jan 9.