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Topical therapy of hand eczema - analysis of the prescription profile from dermatologists in private practice.
- Source :
-
Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG [J Dtsch Dermatol Ges] 2012 Mar; Vol. 10 (3), pp. 180-4. Date of Electronic Publication: 2011 Sep 17. - Publication Year :
- 2012
-
Abstract
- Background: Chronic hand eczema (CHE) is a common dermatological disease. Due to different etiologies, severity levels, and high therapy costs, it presents a challenge for dermatologists. Nowadays, it is recommended that treatment be adapted to the severity of the disease. According to the guidelines on the management of hand eczema, topical corticosteroids are the first-line therapy for hand eczema.<br />Patients and Methods: The present study investigated the prescription profile of topical treatments. Data sets from 13 191 patients with hand eczema were analyzed.<br />Results: The results indicate that topical corticosteroids are frequently prescribed for the treatment of hand eczema. Corticosteroid treatment (72.6 %) was most commonly prescribed by private practice physicians. Betamethasone was the most frequently prescribed, but other substances such as mometasone furoate, prednicarbate, clobetasol, and methylprednisolone aceponate were often prescribed as well.<br />Conclusions: The results show that the concept of the risk-to-benefit ratio is reflected by the prescription profile of topical corticosteroids (therapeutic index). However, even corticosteroids with a less favorable therapeutic index are sometimes prescribed, perhaps due to economic reasons.<br /> (© The Authors • Journal compilation © Blackwell Verlag GmbH, Berlin.)
- Subjects :
- Administration, Topical
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Eczema epidemiology
Female
Germany epidemiology
Hand Dermatoses epidemiology
Humans
Infant
Infant, Newborn
Male
Middle Aged
Practice Patterns, Physicians' statistics & numerical data
Prevalence
Young Adult
Adrenal Cortex Hormones administration & dosage
Dermatology statistics & numerical data
Eczema drug therapy
Hand Dermatoses drug therapy
Prescriptions statistics & numerical data
Private Practice statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1610-0387
- Volume :
- 10
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
- Publication Type :
- Academic Journal
- Accession number :
- 21923729
- Full Text :
- https://doi.org/10.1111/j.1610-0387.2011.07787.x