0:00
Hello, I'm Michael Ardern-Jones,
Associate Professor
of Dermatology
and Clinical Consultant
Dermatologist
at the University
of Southampton.
And today I'm going to talk to you
about Atopic Eczema.
In this title slide reminds me
to have emphasize
that the term Atopic Eczema
is synonymous
with the Atopic Dermatitis.
The two are completely
interchangeable
and if I use atopic eczema
throughout subsequent slides
then you could also replace that
with atopic dermatitis.
0:28
Atopic eczema is one of variety
of different eczemas
and I've listed here some
different variants of eczema
which I'm not going to focus
on this presentation,
instead I'm going to talk
about atopic eczema
which is characterized
by an itchy,
chronically relapsing,
inflammatory skin condition
that is much more prominent
in childhood than in adulthood.
0:50
I'm going to talk to you
about epidemiology,
diagnostic criteria
and clinical features,
co-morbidities, genetics, immunology,
allergy and current management,
and then I'm going to move on
to future management
of the disease.
1:05
Epidemiology
of atopic dermatitis
has been studied for a long time
and one of the most
important studies
has been the international study
on asthma and allergy in childhood
which looked at the prevalence
of allergies,
including eczema,
in 106 countries.
And this study
was able to undertake
a global prevalence measurement
of atopic eczema
and you can see here
that although there was
a wide range of prevalence
in atopic eczema
in different countries
that actually
this is a common disease
in children.
The UK as you can see it
lies at the upper end
of the prevalence range
and this is reflected
in the health demands
in our country.
A recent systematic review
of prevalence studies
has shown that
lifetime prevalence
of atopic eczema
is approximately 20%
in Western countries
and that this is in fact
increasing year on year.
A recent study looked
at the prevalence
in different age groups
of children
and you can see here
how majority of atopic eczema
arises in the first year
of life.
Adults atopic eczema
is far less common
and affects one to three
percent of adults.
