Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis

BackgroundDespite the recent expansion of treatment options in atopic dermatitis (AD), most management responsibilities fall on the patient and/or caregivers. Disease control often requires vigilance about and avoidance of common exposures, however the concerns for patients and caregivers living wit...

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Main Authors: Grace Ratley, Ashleigh A. Sun, Korey Capozza, Kelly Barta, Ian A. Myles
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Allergy
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/falgy.2023.1210973/full
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author Grace Ratley
Ashleigh A. Sun
Korey Capozza
Kelly Barta
Ian A. Myles
author_facet Grace Ratley
Ashleigh A. Sun
Korey Capozza
Kelly Barta
Ian A. Myles
author_sort Grace Ratley
collection DOAJ
description BackgroundDespite the recent expansion of treatment options in atopic dermatitis (AD), most management responsibilities fall on the patient and/or caregivers. Disease control often requires vigilance about and avoidance of common exposures, however the concerns for patients and caregivers living with AD have not been well enumerated.MethodsAn IRB approved survey was distributed to the public to evaluate the patient and caregiver concerns for topical exposures and potential triggers.Results323 people accessed the link to the survey with 259 providing response to at least one section of questions (response rate 80.2%). Results indicated that temperature and other weather related changes were the most common trigger. Nearly all respondents avoided at least one topical ingredient, with fragrances being the most common. Steroid exposure was common, however respondents expressed concerns about overall steroid exposure.ConclusionsOur results attempt to enumerate the daily topical exposure concerns for patients and caregivers living with AD. While our online survey is both limited and without mechanistic insights, our results provide insight to providers by highlighting the role of temperature in AD symptoms; identifying commonly perceived triggers; indicating the value of provider insight for topical product selection; and indicating that no specific aspect of topical corticosteroid exposure may alleviate the general steroid concerns for patients or caregivers.
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spelling doaj.art-709310ee2f494076a6d58d7f3b118c5c2023-08-10T18:54:48ZengFrontiers Media S.A.Frontiers in Allergy2673-61012023-08-01410.3389/falgy.2023.12109731210973Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitisGrace Ratley0Ashleigh A. Sun1Korey Capozza2Kelly Barta3Ian A. Myles4Epithelial Therapeutics Unit, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD, United StatesEpithelial Therapeutics Unit, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD, United StatesGlobal Parents for Eczema Research, Santa Barbara, CA, United StatesAllergy and Asthma Network, Vienna, VA, United StatesEpithelial Therapeutics Unit, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD, United StatesBackgroundDespite the recent expansion of treatment options in atopic dermatitis (AD), most management responsibilities fall on the patient and/or caregivers. Disease control often requires vigilance about and avoidance of common exposures, however the concerns for patients and caregivers living with AD have not been well enumerated.MethodsAn IRB approved survey was distributed to the public to evaluate the patient and caregiver concerns for topical exposures and potential triggers.Results323 people accessed the link to the survey with 259 providing response to at least one section of questions (response rate 80.2%). Results indicated that temperature and other weather related changes were the most common trigger. Nearly all respondents avoided at least one topical ingredient, with fragrances being the most common. Steroid exposure was common, however respondents expressed concerns about overall steroid exposure.ConclusionsOur results attempt to enumerate the daily topical exposure concerns for patients and caregivers living with AD. While our online survey is both limited and without mechanistic insights, our results provide insight to providers by highlighting the role of temperature in AD symptoms; identifying commonly perceived triggers; indicating the value of provider insight for topical product selection; and indicating that no specific aspect of topical corticosteroid exposure may alleviate the general steroid concerns for patients or caregivers.https://www.frontiersin.org/articles/10.3389/falgy.2023.1210973/fullatopic dermatatissteroidspatient surveytriggerseczema
spellingShingle Grace Ratley
Ashleigh A. Sun
Korey Capozza
Kelly Barta
Ian A. Myles
Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis
Frontiers in Allergy
atopic dermatatis
steroids
patient survey
triggers
eczema
title Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis
title_full Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis
title_fullStr Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis
title_full_unstemmed Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis
title_short Survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis
title_sort survey of topical exposure concerns for patients and caregivers dealing with atopic dermatitis
topic atopic dermatatis
steroids
patient survey
triggers
eczema
url https://www.frontiersin.org/articles/10.3389/falgy.2023.1210973/full
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