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Frequency of Palpebral Involvement in Adult With Atopic Dermatitis

Recruiting
Conditions
Atopic Dermatitis
Interventions
Other: Standard dermatology consultation
Registration Number
NCT04826744
Lead Sponsor
University Hospital, Lille
Brief Summary

Atopic dermatitis is a common inflammatory skin disease, resulting from genetical, immunological and environmental factors. Head and neck are among the most frequent involved areas, almost 50% in adult patients according to most publications. Palpebral involvement is also common and a source of major quality of life impairment for patients.

However, the real frequency of this palpebral involvement is unknown, only estimated about 20% in few studies. The treatment of this location remains difficult, regarding to the thickness of palpebral skin and proximity of the eye.

To our knowledge, no prospective studies about allergological skin tests (such as patch-tests) in atopic patients with palpebral involvement had been conducted.

Finally, atopic dermatitis is frequently associated with ophthalmological diseases such as conjunctivitis, keratoconus or cataract, which belong to the minor criteria of Hanifin and Rakja classification.

A better knowledge of the atopic dermatitis palpebral involvement and the associated factors seems to be needed to improve the treatment and the quality of life of patients

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
550
Inclusion Criteria
  • Atopic Dermatitis according to the revised Hanifin and Rakja criteria (UK Working Party)
  • Oral consent
  • Valid social insurance
Exclusion Criteria
  • Personal history of uncontrolled asthma
  • No social insurance
  • Protective measures
  • Age under 18
  • Pregnancy or breast-feeding

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Adults with palpebral involvement of atopic dermatitisStandard dermatology consultation-
Primary Outcome Measures
NameTimeMethod
Ratio of palpebral involvement in adult atopic dermatitis patients, regardless the severity of the diseaseAt Baseline, the initial consultation of dermatology
Secondary Outcome Measures
NameTimeMethod
Clinical description of the palpebral involvement : acute eczema or chronic eczemaAt Baseline, the initial consultation of dermatology
Rate of relevant contact sensitization according to the skin testing and the clinical manifestationsAt 3 months, at the time of the reading of the tests either at 48 hours and 72 hours
Rate of ophthalmologic comorbidities in association with palpebral involvement of the atopic dermatitisAt 3 months during the time of the ophthalmologic consultation
Clinical description of the ophthalmologic involvement and OSDI scoringAt 3 months during the time of the ophthalmologic consultation
Association between ophthalmologic involvement and severity of the atopic dermatitisAt 3 months, at the time of the reading of the tests either at 48 hours and 72 hours
Potential factors associated with palpebral involvement of the atopic dermatitis (socio-demographics factors, clinical factors, comorbidities, treatment, severity …)At Baseline, (the initial consultation of dermatology ) and at 3 months during the consultation of allergology
Description of the sensitization profileAt 3 months, at the time of the reading of the tests either at 48 hours and 72 hours
Association between allergic sensitization and severity of the atopic dermatitisAt 3 months, at the time of the reading of the tests either at 48 hours and 72 hours
Association between allergic sensitization and ophthalmologic involvementAt 3 months, at the time of the reading of the tests either at 48 hours and 72 hours

Trial Locations

Locations (2)

Hop Claude Huriez Chu Lille

🇫🇷

Lille, France

Hopital Charles Nicolle Chu Rouen

🇫🇷

Rouen, France

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