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Revista alergia México

On-line version ISSN 2448-9190


SANCHEZ, Jorge; TORO, Yuliana  and  CARDONA, Ricardo. Clinical impact in the real life of guidelines recommendations for atopic dermatitis in a tropical population (TECCEMA cohort). Rev. alerg. Méx. [online]. 2017, vol.64, n.3, pp.260-269. ISSN 2448-9190.


Real-life impact of guidelines for the management of atopic dermatitis has been poorly studied.


To assess atopic dermatitis clinical control in residents of a tropical area managed according to international consensuses.


Prospective study with a 24-month follow-up. Clinical response was assessed with SCORAD, DLQI and a subjective scale (SS) on severity perception by the patient.


Two-hundred and thirty-three patients were stratified according to SCORAD: 53 had mild severity (22%), 116 moderate (49%) and 64 severe (27%). Baseline SCORAD mean was 33 (15-41), for DLQI, it was 14 (11-20), and for the subjective scale, 85% (67-99). At 6 months, there was significant reduction (p < 0.5): SCORAD 29 (14-41), DLQI 12 (8-16) and subjective scale 62% (45-80). At 2 years, SCORAD was 21 (9-34), DLQI 7 (4-10) and subjective scale 41% (27-56); only 33% achieved complete control (SCORAD < 15%, DLQI < 5, subjective scale < 20%).


Following international guidelines’ recommendations reduces eczema severity and improves quality of life, although only 33% achieved complete control after 2 years.

Keywords : Atopic; Dermatitis; Eczema; Guidelines; Quality of life; Pharmacotherapy.

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