ATOPIC DERMATITIS Perspectives on a manageable disease
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The incidence of atopic dermatitis has tripled during the past three decades, and the reasons for this upsurge remain a mystery. The similar increase in the incidence of asthma raises interesting questions about possible links. While there is no cure for atopic dermatitis, it usually can be successfully controlled. In this article, Dr Fleischer reviews the aggravating factors, clinical features, and treatment options available for these patients.
Atopic dermatitis is a form of eczema characterized by itchy, dry, inflamed skin. It can be triggered by an interplay of genetic, immunologic, and environmental factors. Along with asthma and allergic rhinitis, atopic dermatitis is part of a larger family of allergic diseases (1). Asthma, allergic rhinitis, or both develop in 35% to 50% of patients with atopic dermatitis, and about 60% have a family history of one or more atopic diseases (2). In the past 30 years the incidence of atopic dermatitis has grown from about 4% to about 12% (3). The reasons for this increase are unclear, but the concurrent increase in the incidence of asthma raises interesting questions.
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