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KMID : 1143120110010020064
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Asia Pacific Allergy
2011 Volume.1 No. 2 p.64 ~ p.72
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Current status of atopic dermatitis in Japan
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Furue Masutaka
Chiba Takahito
Takeuchi Satoshi
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Abstract
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Atopic dermatitis (AD) is a common, chronic or chronically relapsing, severely pruritic, eczematous skin disease. AD is the second most frequently observed skin disease in dermatology clinics in Japan. Prevalence of childhood AD is 12-13% in mainland Japan; however, it is only half that (about 6%) in children from Ishigaki Island, Okinawa. Topical steroids and tacrolimus are the mainstay of treatment. However, the adverse effects and emotional fear of long-term use of topical steroids have induced a "topical steroid phobia" in patients throughout the world. Undertreatment can exacerbate facial/periocular lesions and lead to the development of atopic cataract and retinal detachment due to repeated scratching/rubbing/patting. Overcoming topical steroid phobia is a key issue for the successful treatment of AD through education, understanding and cooperation of patients and their guardians.
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KEYWORD
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Atopic dermatitis, History, Prevalence, Topical steroids, Dose
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