The Heterogeneity of Atopic Dermatitis

J Drugs Dermatol. 2022 Feb 1;21(2):172-176. doi: 10.36849/JDD.6408.

Abstract

Background: Recent advances were made in characterizing the clinical heterogeneity of atopic dermatitis (AD).

Objective: To review the clinical domains contributing to AD heterogeneity and describe their importance in clinical practice.

Methods: We conducted a focused review of the published literature, including retrospective, observational, and prospective studies, clinical trials, and consensus guidelines.

Results: AD is associated with heterogeneous skin manifestations, symptoms, lesional severity, lesional extent, longitudinal course, burden of signs and symptoms, and comorbidities. Each of these domains characterizes a different aspect of AD and should be used to guide overall severity assessment and clinical management. Primary focus on any one specific clinical domain of AD is insufficient to describe the full burden of disease.

Conclusion: Heterogeneity should be routinely considered during AD clinical encounters. J Drugs Dermatol. 2022;21(2):172-176. doi:10.36849/JDD.6408.

Publication types

  • Review

MeSH terms

  • Dermatitis, Atopic* / diagnosis
  • Dermatitis, Atopic* / drug therapy
  • Dermatitis, Atopic* / epidemiology
  • Eczema*
  • Humans
  • Prospective Studies
  • Retrospective Studies
  • Severity of Illness Index