Cessation of Long-term Topical Steroids in Adult Atopic Dermatitis: A Prospective Cohort Study
| Autor: | Belinda Sheary, Mark Harris |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty medicine.medical_treatment MEDLINE Anti-Inflammatory Agents Dermatology Support group Dermatitis Atopic 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Quality of life medicine Immunology and Allergy Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Adult atopic dermatitis business.industry Incidence (epidemiology) Australia Atopic dermatitis medicine.disease Withholding Treatment Quality of Life Female Steroids Dermatologic Agents business Topical steroid |
| Zdroj: | Dermatitis : contact, atopic, occupational, drug. 31(5) |
| ISSN: | 2162-5220 |
| Popis: | Background Although there is much interest in social media about topical steroid withdrawal, little is known about what happens to people who cease long-term topical steroid use. Objective The aim of this study was to examine outcomes in adults with a history of atopic dermatitis who were concerned about topical steroid withdrawal and decided to stop using topical steroids. Methods Twenty-four participants were recruited from an Australian online support group, and they were emailed a series of questionnaires over 2 years. Results Stopping topical steroid use had a large impact on the participants' quality of life for many months. Overall, participants' incidence and severity of symptoms decreased over the study period, and their Dermatology Quality of Life index scores improved. The majority reported their skin symptoms either had resolved or had only a small effect on their lives 2 years later. However, individuals' quality of life scores fluctuated, and in every questionnaire, large ranges in scores were seen, demonstrating that the experiences of participants differed considerably. Conclusions Counseling patients who are considering discontinuing long-term use of topical steroids regarding their prognosis is difficult as outcomes vary. However, many will improve significantly over the first 2 years. |
| Databáze: | OpenAIRE |
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