Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Atopic Dermatitis Linked with Serious Infections
Ann Allergy Asthma Immunol; 2018 Jan; Narla, et al
Adults with atopic dermatitis (AD) had increased cutaneous, respiratory, multi-organ, and systemic infections, which were associated with a considerable cost burden, according to a recent study. Data from the 2002 to 2012 National Inpatient Sample were analyzed, including an approximately 20% sample of all US hospitalizations (n=72,108,077 adults). Prevalence of serious infections in hospitalized patients with vs without AD, length of stay, cost of care, and inpatient mortality secondary to serious infections were determined. Researchers found:
- The prevalence of serious infections expressed as a percentage was higher in adults hospitalized with than in those without AD (42.1% vs 25.4%).
- AD was associated with 32 of 38 infections examined.
- Associated cutaneous infections included eczema herpeticum adjusted for other predictors: erysipelas and cellulitis.
- Associated respiratory infections included aspergillosis and tuberculosis.
- AD was associated with extracutaneous, multi-organ, and systemic infections, including infectious arthropathy, endocarditis, encephalitis, and methicillin-resistant Staphylococcus aureus infections.
Narla S, Silverberg JI. Association between atopic dermatitis and serious cutaneous, multiorgan and systemic infections in US adults. Ann Allergy Asthma Immunol. 2018;120(1):66-72.e11. doi:10.1016/j.anai.2017.10.019.
This Week's Must Reads
HLA Antigen Mismatch Linked with Skin Cancer Risk, JAMA Dermatology; ePub 2019 Jan 23; Gao, Twigg, et al
Poor Prognosis for Thin Ulcerated Melanomas Found, J Am Acad Dermatol; ePub 2019 Jan 14; Hawkins, et al
Association Between AD and Mental Health Disorders, Dermatitis; ePub 2018 Dec 18; Hsu, Smith, et al
Nonsterile Gloves Safe for Skin Cancer Excisions, J Cosmet Dermatol; ePub 2019 Jan 20; Michener, et al
Adult Atopic Dermatitis Profile Varies with Age, J Allergy Clin Immunol; ePub 2019 Jan 24; Zhou, et al
Must Reads in Atopic Dermatitis
Association Between AD and Mental Health Disorders, Dermatitis; ePub 2018 Dec 18; Hsu, Smith, et al
Adult Atopic Dermatitis Profile Varies with Age, J Allergy Clin Immunol; ePub 2019 Jan 24; Zhou, et al
Association Found Between AD and Suicidality, JAMA Dermatology; ePub 2018 Dec 12; Sandhu, et al
Anchoring Not Significant in Treatment of AD, J Dermatolog Treat; ePub 2018 Dec 3; Curry, et al
Unsafe Neighborhoods Linked with Higher AD Risk, Ann Allergy Asthma Immunol; ePub 2018 Oct 26; McKenzie, et al