INCIDÊNCIA DE DERMATITE ATÓPICA EM SANTA CATARINA NO ANO DE 2017 ENTRE OS PACIENTES ENCAMINHADOS AO SERVIÇO DE TELEMEDICINA E ACURÁCIA DO DIAGNÓSTICO CLÍNICO QUANDO COMPARADO À TELEDERMATOLOGIA

Autores

  • Amábile Lúcia Fedrizzi UNISUL-Universidade do Sul de Santa Catarina
  • Daniel Holthausen Nunes UNISUl-Universidade do Sul de Santa Catarina
  • Elayne Crestani Pereira UNISUL-Universidade do Sul de Santa Catarina

Palavras-chave:

Dermatite atópica. Incidência. Teledermatologia.

Resumo

Introdução: Dermatite atópica é uma doença crônica associada à história de atopia e afeta a qualidade de vida dos pacientes. Objetivos: Estimar a incidência de dermatite atópica em Santa Catarina no ano de 2017 entre os pacientes encaminhados a telemedicina e a acurácia do diagnóstico clínico. Métodos: Estudo transversal realizado com 22.927 pacientes do banco de dados da Rede Catarinense de Telemedicina e Telessaúde. Foram calculadas as taxas de incidência de dermatite atópica e determinada a acurácia do diagnóstico clínico. Foram utilizados os testes qui-quadrado e ANOVA e considerados IC 95% e p<0,05. Resultados: A incidência/100 mil casos para o estado foi de 3,07. O Vale do Itajaí (6,29) e a Serra Catarinense (5,86) apresentaram as maiores incidências. O grupo etário de 0-19 anos representou 75,3% dos casos e houve predomínio do sexo feminino (62,3%). A sensibilidade e especificidade do diagnóstico clínico foram respectivamente 87,90% e 78,22%. A acurácia do diagnóstico clínico foi de 77,90%. Conclusões: As incidências de dermatite atópica em Santa Catarina e macrorregiões foram definidas. O Vale do Itajaí apresentou a maior incidência e o perfil dos casos mostrou predomínio do grupo etário de 0-19 anos e do sexo feminino. O valor de acurácia indicou para alto acerto diagnóstico.

Referências

Czarnowicki T, He H, Krueger JG, Guttman-Yassky E. Atopic dermatitis endotypes and implications for targeted therapeutics. J Allergy Clin Immunol. 2019;143:1-11. https://doi.org/10.1016/j.jaci.2018.10.032.

Bieber T. Atopic dermatitis. Ann Dermatol. 2010; 22:125–37. https://doi.org/10.5021/ad.2010.22.2.125.

Eyerich K, Novak N. Immunology of atopic eczema: overcoming the Th1/Th2 paradigm. Allergy. 2013; 68:974–82. https://doi.org/10.1111/all.12184.

Czarnowicki T, Krueger JG, Guttman-Yassky E. Skin barrier and immune dysregulation in atopic dermatitis: an evolving story with important clinical implications. J Allergy Clin. Immunol Pract. 2014; 2:371–79. https://doi.org/10.1016/j.jaip.2014.03.006.

Bieber T. Atopic dermatitis 2.0: from the clinical phenotype to the molecular taxonomy and stratified medicine. Allergy. 2012; 67:1475–82. https://doi.org/10.1111/all.12049.

Dharmage SC, Lowe AJ, Matheson MC, Burgess JA, Allen KJ, Abramson MJ. Atopic dermatitis and the atopic march revisited. Allergy. 2014; 69: 17–27. https://doi.org/10.1111/all.12268.

Deleuran M, Vestergaard C. Clinical heterogeneity and differential diagnosis of atopic dermatitis. Br J Dermatol. 2014;170:2–6. https://doi.org/10.1111/bjd.12933.

Wallach D, Taïeb A. Atopic Dermatitis/Atopic Eczema. Chem Immunol Allergy. 2014;100: 81–96. https://doi.org/10.1159/000358606.

Barbarot S, Auziere S, Gadkari A, Girolomoni G, Puig L, Simpson EL et al. Epidemiology of atopic dermatitis in adults: Results from an international survey. Allergy. 2018; 73,1284–93. https://doi.org/10.1111/all.13401.

Sacotte R, Silverberg JI. Epidemiology of Adult Atopic Dermatitis. Clin Dermatol. 2018; 36: 595?605. https://doi.org/10.1016/j.clindermatol.2018.05.007.

Silvestre Salvador JF, Romero-Pérez D, Encabo-Durán B. Atopic Dermatitis in Adults: A Diagnostic Challenge. J Investig Allergol Clin Immunol. 2017;27(2): 78-88. https://doi.org/10.18176/jiaci.0138.

Mallol J, Crane J, von Mutius E, Odhiambod J, Keile U, Stewartf A et al. The International Study of Asthma and Allergies in Childhood (ISAAC) Phase Three: A global synthesis. Allergol Immunopathol. 2013; 41: 73–85. https://doi.org/10.1016/j.aller.2012.03.001.

Drucker AM, Wang AR, Li WQ, Sevetson E, Block JK, Qureshi AA. The Burden of Atopic Dermatitis: Summary of a Report for the National Eczema Association. J Invest Dermatol. 2017;137:26-30. https://doi.org/10.1016/j.jid.2016.07.012.

Arima K, Gupta S, Gadkari A, Hiragun T, Kono T, Katayama I et al. Burden of atopic dermatitis in Japanese adults: Analysis of data from the 2013 National Health and Wellness Survey. J Dermatol. 2018;45:390-96. https://doi.org/10.1111/1346-8138.14218.

Eckert L, Gupta S, Amand C, Gadkari A, Mahajan P, Gelfand JM. Impact of atopic dermatitis on health-related quality of life and productivity in adults in the United States: an analysis using the National Health and Wellness Survey. J Am Acad Dermatol. 2017; 77: 274–279.e3. https://doi.org/10.1016/j.jaad.2017.04.019.

Drucker AM, Qureshi AA, Amand C, Villeneuve S, Gadkari A, Chao J et al. Health care resource utilization and costs among adults with atopic dermatitis in the United States: a claims-based analysis. J Allergy Clin Immunol Pract. 2018; 6:1342–48. https://doi.org/10.1016/j.jaip.2017.10.024.

Wallach D, Coste J, Tilles G, Taïeb A. The first images of atopic dermatitis: an attempt at retrospective diagnosis in dermatology. J Am Acad Dermatol. 2005;53:684-9. https://doi.org/10.1016/j.jaad.2005.06.045.

van der Heijden JP, de Keizer NF, Bos JD, Spuls PI and Witkamp L. Teledermatology applied following patient selection by general practitioners in daily practice improves efficiency and quality of care at lower cost. Br J Dermatol. 2011;165:1058-65. https://doi.org/10.1111/j.1365-2133.2011.10509.x.

Lasierra N, Alesanco A, Gilaberte Y, Magallón R, García J. Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations. Int J of Med Inform. 2012;81: 332-43. https://doi.org/10.1016/j.ijmedinf.2012.02.008.

Zanini M. Análise da concordância diagnóstica entre o diagnóstico presencial e o teledermatológico. Med Cutan Iber Lat Am. 2013; 41:60-62. https://doi.org/:10.4464/MC.2013.41.2.5058.

Livingstone J, Solomon J. An assessment of the cost-effectiveness, safety of referral and patient satisfaction of a general practice teledermatology service. London J Prim Care. 2015;7:31–5. https://doi.org/10.1080/17571472.2015.11493433.

Maldonado JMSV, Marques AB, Cruz A. Telemedicina: desafios à sua difusão no Brasil. Cad Saúde Pública. 2016; 32:e00155615.https://dx.doi.org/10.1590/0102-311X00155615.

Ferreira IG, Godoi DF, Perugini ER; Lancini AB, Zonta R. Teledermatologia: uma interface entre a atenção primária e atenção especializada em Florianópolis. Rev Bras Med Fam Comunidade. 2019;14:2003. https://doi.org/10.5712/rbmfc14(41)2003.

von Wangenheim A, Nunes DH. Direct Impact on Costs of the Teledermatology-Centered Patient Triage in the State of Santa Catarina. - Analysis of the 2014-2018 Data. 2018; 9-13. https://doi.org/10.13140/RG.2.2.20044.92807.

Nutten S. Atopic Dermatitis: Global Epidemiology and Risk Factors. Ann Nutr Metab. 2015; 66:8–16. https://doi.org/10.1159/000370220.

Simpson CR, Newton J, Hippisley-Cox J, Sheikh A. Trends in the epidemiology and prescribing of medication for eczema in England. J R Soc Med. 2009; 102:108–17. https://doi.org/10.1258/jrsm.2009.080211.

Peters AS, Kellberger J, Vogelberg C, Dressel H, Windstetter D, Weinmayr G et al. Prediction of the incidence, recurrence, and persistence of atopic dermatitis in adolescence: a prospective cohort study. J Allergy Clin Immunol. 2010; 126:590-95.e53. https://doi.org/10.1016/j.jaci.2010.06.020.

Mohn CH, Blix HS, Halvorsen JA, Nafstad P, Valberg M, Lagerløv P. Incidence Trends of Atopic Dermatitis in Infancy and Early Childhood in a Nationwide Prescription Registry Study in Norway. JAMA Netw Open. 2018;1:e184145. https://doi.org/10.1001/jamanetworkopen.2018.4145.

Mortz CG, Andersen KE, Dellgren C, Barington T, Bindslev-Jensen C. Atopic dermatitis from adolescence to adulthood in the TOACS cohort: prevalence, persistence and comorbidities. Allergy 2015; 70: 836–45. https://doi.org/10.1111/all.12619.

Garg N, Silverberg JI. Epidemiology of childhood atopic dermatitis. Clin Dermatol. 2015; 33: 281–88. https://doi.org/10.1016/j.clindermatol.2014.12.004.

Deckers IA, McLean S, Linssen S, Mommers M, van Schayck CP, Sheikh A. Investigating International Time Trends in the Incidence and Prevalence of Atopic Eczema 1990–2010: A Systematic Review of Epidemiological Studies. PLoS One. 2012;7:e39803. https://doi.org/10.1371/journal.pone.0039803.

Wang X, Li LF, Zhao DY, Shen YW. Prevalence and Clinical Features of Atopic Dermatitis in China. Biomed Res Int. 2016;2016:2568301. https://doi.org/10.1155/2016/2568301.

Nissen SP, Kjaer HF, Høst A, Nielsen J, Halken S. The natural course of sensitization and allergic diseases from childhood to adulthood. Pediatr Allergy Immunol 2013;24: 549-55. https://doi.org/10.1111/pai.12108.

Garmhausen D, Hagemann T, Bieber T, Dimitriou I, Fimmers R, Diepgen T et al. Characterization of different courses of atopic dermatitis in adolescent and adult patients. Allergy. 2013; 68: 498–506. https://doi.org/10.1111/all.12112.

Katoh N, Saeki H, Kataoka Y, Etoh T, Teramukai S, Takagi H et al. Atopic dermatitis disease registry in Japanese adult patients with moderate to severe atopic dermatitis (ADDRESS-J): Baseline characteristics, treatment history and disease burden. J Dermatol. 2019;46:290-300. https://doi.org/10.1111/1346-8138.14787.

Lee HH, Patel KR, Singam V, Rastogi S, Silverberg JI. A systematic review and meta-analysis of the prevalence and phenotype of adult-onset atopic dermatitis. J Am Acad Dermatol. 2019;80:1526-532.e7. https://doi.org/10.1016/j.jaad.2018.05.1241.

Silverberg JI, Margolis DJ, Boguniewicz M, et al. Distribution of atopic dermatitis lesions in United States adults. J Eur Acad Dermatol Venereol. 2019;331341-348. https://doi.org/10.1111/jdv.15574.

Yew YW, Thyssen JP, Silverberg JI. A systematic review and meta-analysis of the regional and age-related differences of atopic dermatitis clinical characteristics. J Am Acad Dermatol. 2019;80:390-401. https://doi.org/10.1016/j.jaad.2018.09.035.

Hamann CR, Egeberg A, Silverberg JI, Gislason G, Skov L, Thyssen JP. Association between parental autoimmune disease and atopic dermatitis in their offspring: a matched case-control study. J Eur Acad Dermatol Venereol. 2019;33:1143-151. https://doi.org/10.1111/jdv.15413.

Silverberg JI. Comorbidities and the impact of atopic dermatitis. Ann Allergy Asthma Immunol. 2019;123:144-151. https://doi.org/10.1016/j.anai.2019.04.020.

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15/07/2022

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INCIDÊNCIA DE DERMATITE ATÓPICA EM SANTA CATARINA NO ANO DE 2017 ENTRE OS PACIENTES ENCAMINHADOS AO SERVIÇO DE TELEMEDICINA E ACURÁCIA DO DIAGNÓSTICO CLÍNICO QUANDO COMPARADO À TELEDERMATOLOGIA. (2022). Arquivos Catarinenses De Medicina, 50(4), 14-27. https://revista.acm.org.br/arquivos/article/view/865

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