What's in a name? Atopic dermatitis or atopic eczema, but not eczema alone

被引:38
作者
Silverberg, J. I. [1 ,2 ,3 ]
Thyssen, J. P. [4 ]
Paller, A. S. [5 ,6 ,7 ]
Drucker, A. M. [8 ]
Wollenberg, A. [9 ]
Lee, K. H. [10 ,11 ]
Kabashima, K. [12 ]
Todd, G. [13 ]
Schmid-Grendelmeier, P. [14 ,15 ]
Bieber, T. [16 ,17 ]
机构
[1] Northwestern Univ, Feinberg Sch Med, Dept Dermatol, Chicago, IL 60611 USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA
[3] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, Chicago, IL 60611 USA
[4] Univ Copenhagen, Herlev Gentofte Hosp, Dept Dermatol & Allergy, Hellerup, Denmark
[5] Northwestern Univ, Feinberg Sch Med, Dept Dermatol, Chicago, IL 60611 USA
[6] Northwestern Univ, Feinberg Sch Med, Dept Pediat, Chicago, IL 60611 USA
[7] Ann & Robert H Lurie Childrens Hosp Chicago, Chicago, IL 60611 USA
[8] Brown Univ, Alpert Med Sch, Dept Dermatol, Providence, RI 02912 USA
[9] Ludwig Maximilian Univ Munich, Dept Dermatol & Allergy, Munich, Germany
[10] Yonsei Univ, Dept Dermatol, Coll Med, Seoul, South Korea
[11] Yonsei Univ, Cutaneous Biol Res Inst, Coll Med, Seoul, South Korea
[12] Kyoto Univ, Dept Dermatol, Grad Sch Med, Kyoto, Japan
[13] Univ Cape Town, Fac Hlth Sci, Dept Med, Cape Town, South Africa
[14] Christine Kuhne Ctr Allergy Res & Educ CK CARE Da, St Gallen, Switzerland
[15] Univ Hosp, Allergy Unit, Dept Dermatol, Zurich, Switzerland
[16] Univ Bonn, Dept Dermatol & Allergy, Bonn, Switzerland
[17] Christine Kuhne Ctr Allergy Res & Educ, Davos, Switzerland
关键词
atopic dermatitis; atopic eczema; nomenclature; terminology; consensus;
D O I
10.1111/all.13225
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
BackgroundThe ideal nomenclature of atopic dermatitis (AD) / atopic eczema (AE) has long been contested. However, it is becoming increasingly clear that the disparate nomenclature of this disease may have important deleterious ramifications for clinical care and research. Materials and MethodsAn electronic questionnaire regarding the preferred nomenclature for AD was sent to councilors of the International Eczema Council (IEC) (n=77), an international group of clinicians and researchers with expertise in AD/AE. The survey consisted of 2 questions for consensus regarding the preference for an atopic prefix, and preference for the term AD or AE, and an exploratory question about the acceptability of the terms AD, AE or eczema. Consensus was defined a priori as at least 90% agreement for each question with a response rate of at least 90%. ResultsSeventy-one of 77 (92.2%) IEC councilors and associates responded to the survey, with all respondents completing the entire survey. Consensus was reached for question 1, with 69 of 71 respondents (97.2%) preferring the atopic prefix. However, consensus was not reached for question 2, with 40 respondents (58.0%) preferring the term AD and 30 (43,5%) preferring AE. Sixty-three respondents (88.7%) and 55 (77.5%) felt that the terms AD and AE were acceptable, whereas only 11 (15.5%) felt that eczema was acceptable. ConclusionsThe IEC noted that the term eczema is imprecise, and its use is confusing. The consensus of the IEC was to recommend use of the prefix atopic (i.e., AD or AE) in all publications, presentations and discussions about the disorder.
引用
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页码:2026 / 2030
页数:5
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