Chronic Hand Eczema Guidelines From an Expert Panel of the International Eczema Council. Issue 5 (September 2021)
- Record Type:
- Journal Article
- Title:
- Chronic Hand Eczema Guidelines From an Expert Panel of the International Eczema Council. Issue 5 (September 2021)
- Main Title:
- Chronic Hand Eczema Guidelines From an Expert Panel of the International Eczema Council
- Authors:
- Silverberg, Jonathan I.
Guttman-Yassky, Emma
Agner, Tove
Bissonnette, Robert
Cohen, David E.
Simpson, Eric
Wollenberg, Andreas
Thyssen, Jacob P. - Abstract:
- Abstract : Background: Assessment of chronic hand eczema (CHE) is complex and warrants standardization. Objective: We sought to guide clinicians on the assessment of CHE. Methods: An electronic questionnaire regarding the diagnosis and assessment of CHE was completed by councilors (n=45) of the International Eczema Council, an international group of clinicians and researchers with expertise in CHE. The survey consisted of 52 statements for consensus. Results: Overall, nine statements (17.3%) had strong, twenty-three (44.2%) moderate, 12 (23.1%) low, and 8 (15.4%) very low levels of agreement. Five statements had considerable disagreement, including the value of conducting a skin biopsy (62.2% disagreement), investigating for possible type 1 reactions (60.0%), conducting a fungal culture (44.4%), finding no history of relevant allergens and/or irritants (31.1%) in most or all cases, and performing patch testing irrespective of lesion location and morphology (28.9%). Agreement was generally highest among respondents from Europe (28.6–77.8% agreement), followed by Asia (7.1%–35.7% agreement), North America (0%–35.5% agreement), and other (0%–13.3% agreement). Conclusions: There were substantial differences of agreement, suggesting there are many knowledge and/or practice gaps with respect to CHE. Future research is needed to inform evidence-based and/or consensus guidelines for CHE.
- Is Part Of:
- Dermatitis. Volume 32:Issue 5(2021)
- Journal:
- Dermatitis
- Issue:
- Volume 32:Issue 5(2021)
- Issue Display:
- Volume 32, Issue 5 (2021)
- Year:
- 2021
- Volume:
- 32
- Issue:
- 5
- Issue Sort Value:
- 2021-0032-0005-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-09
- Subjects:
- Skin -- Inflammation -- Periodicals
Skin -- Diseases -- Periodicals
Dermatology -- Periodicals
Dermatitis, Contact -- Periodicals
Dermatitis, Atopic -- Periodicals
Dermatitis, Occupational -- Periodicals
Drug Eruptions -- Periodicals
616.51 - Journal URLs:
- http://journals.lww.com/dermatitis/pages/default.aspx ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/DER.0000000000000659 ↗
- Languages:
- English
- ISSNs:
- 1710-3568
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 3554.995000
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 24948.xml