Italian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical Practice
Abstract Introduction Chronic hand eczema (CHE) is an inflammatory skin condition characterized by different pathomechanisms, clinical presentations, and prognoses. Treatment is often challenging because of limited approved drugs, and severe CHE is associated with reduced quality of life (QoL) and p...
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| Format: | Article |
| Language: | English |
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Adis, Springer Healthcare
2024-11-01
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| Series: | Dermatology and Therapy |
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| Online Access: | https://doi.org/10.1007/s13555-024-01312-y |
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| author | Luca Stingeni Maria Concetta Fargnoli Fabrizio Guarneri Anna Balato Monica Corazza Anna Belloni Fortina Piergiacomo Calzavara Pinton Antonio Costanzo Silvia Mariel Ferrucci Luigi Naldi Giovanni Pellacani Ketty Peris Francesca Prignano Giampiero Girolomoni |
| author_facet | Luca Stingeni Maria Concetta Fargnoli Fabrizio Guarneri Anna Balato Monica Corazza Anna Belloni Fortina Piergiacomo Calzavara Pinton Antonio Costanzo Silvia Mariel Ferrucci Luigi Naldi Giovanni Pellacani Ketty Peris Francesca Prignano Giampiero Girolomoni |
| author_sort | Luca Stingeni |
| collection | DOAJ |
| description | Abstract Introduction Chronic hand eczema (CHE) is an inflammatory skin condition characterized by different pathomechanisms, clinical presentations, and prognoses. Treatment is often challenging because of limited approved drugs, and severe CHE is associated with reduced quality of life (QoL) and poor overall health measures in terms of psychological, functional, and occupational challenges. This study aims to describe the real-life management practices of Italian dermatologists who frequently treat patients with CHE, compare these practices with existing guidelines, and propose practical clinical recommendations for the management of these patients. Methods An 11-question survey was administered to 14 participating dermatologists to gather their insights on the diagnosis, treatment, and management of CHE. Moreover, a comprehensive literature search was conducted over the previous 10 years as a starting point for discussion among experts. Results CHE was the reason for 6.9% of dermatological consultations by the 14 experts. Median time to CHE diagnosis was 12 (range: 2–24) months. Fissuring and itching (85.7% for both) were the most frequently reported signs and symptoms of CHE. The survey highlighted the need for long-term treatment that is effective and well tolerated, with experts emphasizing the importance of improving disease awareness among physicians and patients. Practical clinical approaches were proposed, emphasizing the significance of a thorough medical history and identification of symptoms in the management of CHE. Experts advocated for specifically developed CHE treatment approaches, concentrating on alleviating symptoms and signs, minimizing adverse events/safety issues, enhancing the QoL of patients, and long-term disease control. Findings from this survey were further discussed and compared to recommendations of the available guidelines for the management of CHE. Conclusions Managing CHE requires a comprehensive approach that considers both objective clinical factors and subjective patient expectations. Experts emphasized the need for effective and well-tolerated long-term therapies, improved disease awareness, and communication among physicians and patients. |
| format | Article |
| id | doaj-art-a30662ac11404df89c320b641beefd7f |
| institution | Kabale University |
| issn | 2193-8210 2190-9172 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Dermatology and Therapy |
| spelling | doaj-art-a30662ac11404df89c320b641beefd7f2025-02-02T12:09:47ZengAdis, Springer HealthcareDermatology and Therapy2193-82102190-91722024-11-01151759310.1007/s13555-024-01312-yItalian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical PracticeLuca Stingeni0Maria Concetta Fargnoli1Fabrizio Guarneri2Anna Balato3Monica Corazza4Anna Belloni Fortina5Piergiacomo Calzavara Pinton6Antonio Costanzo7Silvia Mariel Ferrucci8Luigi Naldi9Giovanni Pellacani10Ketty Peris11Francesca Prignano12Giampiero Girolomoni13Section of Dermatology, Department of Medicine and Surgery, University of PerugiaDepartment of Biotechnological and Applied Clinical Sciences, University of L’AquilaSection of Dermatology, Department of Clinical and Experimental Medicine, University of MessinaUnit of Dermatology, University of Campania Luigi VanvitelliSection of Dermatology and Infectious Diseases, Department of Medical Sciences, University of FerraraDermatology Unit, Department of Medicine (DIMED), University of PaduaDermatology Unit, ASST Spedali Civili and University of BresciaDermatology Unit, Department of Biomedical Sciences, Humanitas Research Hospital, Humanitas UniversityDermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico of MilanDermatology Unit, San Bortolo Hospital of VicenzaDepartment of Dermatology, Sapienza University of RomeDepartment of Translational Medicine and Surgery, IRCCS A. Gemelli University Polyclinic Foundation, Sacred Heart Catholic University of RomeDermatology Section, Department of Health Science, University of FlorenceSection of Dermatology and Venereology, Department of Medicine, University of VeronaAbstract Introduction Chronic hand eczema (CHE) is an inflammatory skin condition characterized by different pathomechanisms, clinical presentations, and prognoses. Treatment is often challenging because of limited approved drugs, and severe CHE is associated with reduced quality of life (QoL) and poor overall health measures in terms of psychological, functional, and occupational challenges. This study aims to describe the real-life management practices of Italian dermatologists who frequently treat patients with CHE, compare these practices with existing guidelines, and propose practical clinical recommendations for the management of these patients. Methods An 11-question survey was administered to 14 participating dermatologists to gather their insights on the diagnosis, treatment, and management of CHE. Moreover, a comprehensive literature search was conducted over the previous 10 years as a starting point for discussion among experts. Results CHE was the reason for 6.9% of dermatological consultations by the 14 experts. Median time to CHE diagnosis was 12 (range: 2–24) months. Fissuring and itching (85.7% for both) were the most frequently reported signs and symptoms of CHE. The survey highlighted the need for long-term treatment that is effective and well tolerated, with experts emphasizing the importance of improving disease awareness among physicians and patients. Practical clinical approaches were proposed, emphasizing the significance of a thorough medical history and identification of symptoms in the management of CHE. Experts advocated for specifically developed CHE treatment approaches, concentrating on alleviating symptoms and signs, minimizing adverse events/safety issues, enhancing the QoL of patients, and long-term disease control. Findings from this survey were further discussed and compared to recommendations of the available guidelines for the management of CHE. Conclusions Managing CHE requires a comprehensive approach that considers both objective clinical factors and subjective patient expectations. Experts emphasized the need for effective and well-tolerated long-term therapies, improved disease awareness, and communication among physicians and patients.https://doi.org/10.1007/s13555-024-01312-yChronic hand eczemaContact dermatitisQuality of lifeExpert opinion |
| spellingShingle | Luca Stingeni Maria Concetta Fargnoli Fabrizio Guarneri Anna Balato Monica Corazza Anna Belloni Fortina Piergiacomo Calzavara Pinton Antonio Costanzo Silvia Mariel Ferrucci Luigi Naldi Giovanni Pellacani Ketty Peris Francesca Prignano Giampiero Girolomoni Italian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical Practice Dermatology and Therapy Chronic hand eczema Contact dermatitis Quality of life Expert opinion |
| title | Italian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical Practice |
| title_full | Italian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical Practice |
| title_fullStr | Italian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical Practice |
| title_full_unstemmed | Italian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical Practice |
| title_short | Italian Expert Opinion on Chronic Hand Eczema: from Guidelines to Clinical Practice |
| title_sort | italian expert opinion on chronic hand eczema from guidelines to clinical practice |
| topic | Chronic hand eczema Contact dermatitis Quality of life Expert opinion |
| url | https://doi.org/10.1007/s13555-024-01312-y |
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