关键词: AD, atopic dermatitis AMP, antimicrobial peptide CI, confidence interval HS, hidradenitis suppurativa ICD, International Classification of Diseases OR, odds ratio PPV, positive predictive value TSLP, thymic stromal lymphopoietin atopic dermatitis barrier defect clinical research hidradenitis suppurativa inflammatory skin diseases notch signaling

来  源:   DOI:10.1016/j.jdin.2021.04.006   PDF(Pubmed)

Abstract:
UNASSIGNED: Hidradenitis suppurativa (HS) and atopic dermatitis (AD) are both chronic inflammatory skin diseases. An association between these 2 conditions can have important potential implications for elucidating pathogenesis, disease course, and treatment.
UNASSIGNED: To investigate the association between AD and HS.
UNASSIGNED: We performed a retrospective cohort study of patients seen at Duke University Medical Center from 2007 to 2017 who had AD compared with a control group without an AD diagnosis. The association of AD and HS was evaluated using a logistic regression model after adjusting for other confounders including age, sex, and race.
UNASSIGNED: Of 28,780 patients with an AD diagnosis, 325 (1.1%) were diagnosed with HS compared with 76 (0.2%) within the 48,383 patients in the non-AD group. An adjusted logistic regression model demonstrated an increased odds ratio of having HS diagnosis in the AD group as compared with the control non-AD group (odds ratio: 5.57, 95% confidence interval: 4.30-7.21, P < .001).
UNASSIGNED: This was a retrospective study performed at a single institution with the possibility of surveillance bias being present.
UNASSIGNED: Patients with AD are more likely to be diagnosed with HS than patients without AD. Further research is needed to understand the pathophysiologic mechanism and potential treatment implications.
摘要:
化脓性汗腺炎(HS)和特应性皮炎(AD)都是慢性炎症性皮肤病。这两种情况之间的关联可能对阐明发病机理具有重要的潜在意义。病程,和治疗。
研究AD和HS之间的关联。
我们对2007年至2017年在杜克大学医学中心就诊的患有AD的患者与未诊断为AD的对照组进行了回顾性队列研究。AD和HS的关联是在调整了其他混杂因素后使用逻辑回归模型评估的,包括年龄,性别,和种族。
在28,780名诊断为AD的患者中,非AD组的48,383例患者中有325例(1.1%)被诊断为HS,而非AD组的患者中有76例(0.2%)被诊断为HS。调整后的逻辑回归模型显示,与对照组非AD组相比,AD组诊断为HS的比值比增加(比值比:5.57,95%置信区间:4.30-7.21,P<.001)。
这是一项在单一机构进行的回顾性研究,可能存在监测偏倚。
AD患者比没有AD的患者更有可能被诊断为HS。需要进一步的研究来了解病理生理机制和潜在的治疗意义。
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