PMID- 28665074 OWN - NLM STAT- MEDLINE DCOM- 20180404 LR - 20181113 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 32 IP - 8 DP - 2017 Aug TI - Clinical Features of Atopic Dermatitis in Adults Are Different according to Onset. PG - 1360-1366 LID - 10.3346/jkms.2017.32.8.1360 [doi] AB - Few studies of atopic dermatitis (AD) in adult patients have evaluated differences in clinical features of AD according to onset age. We aimed to characterize the clinical features of AD in adult patients according to age of onset. Subjects with AD outpatient visiting the Department of Dermatology at Kangnam Sacred Heart Hospital were recruited for this study. A dermatologist conducted clinical evaluation, a survey of demographics, and onset of AD-associated signs and symptoms for each participant. Total immunoglobulin E (IgE) was also tested. A total of 280 adult AD patients were enrolled, among which 232 patients (82.86%) showed pre-adult-onset (age < 18 years) and 48 patients (17.14%) had adult-onset (age >/= 18 years) of AD. There were significant differences between the 2 groups in the area of initial involvement (P = 0.017) and in treatment history (P = 0.010). Interestingly, patients with body mass index (BMI) >/= 25 showed significantly higher Eczema Area and Severity Index (EASI) scores than did patients with BMI < 25 in the pre-adult-onset adult AD group (P = 0.048). On the other hand, there were no significant differences in sex, family history, BMI, EASI, and total IgE between patients with pre-adult-onset AD and patients with adult-onset AD. Our findings suggest that, even though many common features exist, there are significant differences between the clinical characteristics of pre-adult-onset and adult-onset AD subgroups, in adult patients with AD. CI - (c) 2017 The Korean Academy of Medical Sciences. FAU - Son, Jee Hee AU - Son JH AUID- ORCID: 0000-0002-7816-1942 AD - Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Chung, Bo Young AU - Chung BY AUID- ORCID: 0000-0002-2795-0140 AD - Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Kim, Hye One AU - Kim HO AUID- ORCID: 0000-0001-5846-0008 AD - Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Park, Chun Wook AU - Park CW AUID- ORCID: 0000-0003-4512-8668 AD - Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. dermap@hanmail.net. LA - eng PT - Journal Article PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Age of Onset MH - Body Mass Index MH - Dermatitis, Atopic/*diagnosis/pathology MH - Eczema/pathology MH - Humans MH - Immunoglobulin E/blood MH - Middle Aged MH - Severity of Illness Index MH - Young Adult PMC - PMC5494337 OTO - NOTNLM OT - Age of Onset OT - Atopic Dermatitis OT - Clinical Feature COIS- The authors have no potential conflicts of interest to disclose. EDAT- 2017/07/01 06:00 MHDA- 2018/04/05 06:00 PMCR- 2017/08/01 CRDT- 2017/07/01 06:00 PHST- 2017/03/31 00:00 [received] PHST- 2017/05/20 00:00 [accepted] PHST- 2017/07/01 06:00 [entrez] PHST- 2017/07/01 06:00 [pubmed] PHST- 2018/04/05 06:00 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - 32.1360 [pii] AID - 10.3346/jkms.2017.32.8.1360 [doi] PST - ppublish SO - J Korean Med Sci. 2017 Aug;32(8):1360-1366. doi: 10.3346/jkms.2017.32.8.1360.