O uso da medicina alternativa ou complementar em crianças com dermatite atópica

Júnior, Nelson dos Reis Aguiar; Costa, Izelda Maria Carvalho

doi:10.1590/s0365-05962011000100033

Cited by 16 publications

(4 citation statements)

References 5 publications

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“…The extensive treatment history in CAM users agrees with the findings by Aguiar Júnior et al [29], who relate CAM use to lack of efficacy from guideline therapy. Contrarily, Astin [30] primarily related CAM use to personal beliefs and values more than dissatisfaction with conventional medicine.…”

Section: Discussionsupporting

confidence: 89%

Use of Complementary and Alternative Therapies in Outpatients with Atopic Dermatitis from a Dermatological University Department

et al. 2019

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Background: Treatment of atopic dermatitis (AD) may be challenging, therefore some patients seek complementary and alternative medications (CAM). We determined prevalence and predictors for CAM use in a hospital cohort of AD patients. Material and Methods: Between January 1, 2012, and December 31, 2017, AD patients referred to the dermatological outpatient clinic at Bispebjerg Hospital were included in the study. Information on CAM use, demographics and disease characteristics were obtained by questionnaire, and associations were determined by χ² and t test separately for children (< 16 years) and adults (≥16 years). Results: In total 441 filled in the questionnaire on AD, and 433 patients responded to the questions about CAM use: 198 children and 235 adults. A total of 137 (31.6%) had used one or more CAM. CAM use in children was significantly associated with prior use of ≥2 conventional treatments (p = 0.047) and topical calcineurin inhibitors (p = 0.021), a higher number of affected eczema sites (p < 0.001) including more frequent affection of the face and extremities, a higher SCORAD score (p = 0.045), and low mean overall self-rated health (p = 0.003). CAM use in adults was significantly associated with lower age of onset of AD (p = 0.004), comorbid allergic rhinoconjunctivitis (p = 0.039), frequent use of moisturizing cream (p = 0.024), facial and neck eczema (p = 0.005) and high educational level (p = 0.043). Conclusion: CAM use is frequent in both children and adult AD patients. CAM users are characterized by long disease duration, a significant disease burden and by having a longer education. The high prevalence of CAM may indicate that patients’ expectations regarding treatment of AD are not redeemed in the conventional health care system.

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Section: Discussionsupporting

confidence: 89%

Use of Complementary and Alternative Therapies in Outpatients with Atopic Dermatitis from a Dermatological University Department

et al. 2019

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“…In surveys of South Korean patients with AD, approximately 70% reported using complementary alternative medicine (i.e., bath therapy, dietary therapy, health supplements, massage, traditional Chinese medicine, topical applicants) [70, 71]. In Brazilian AD and Nigerian dermatology populations, the prevalence of use was only slightly less at 64% and 65%, respectively [72, 73].…”

Section: Utilization Of Traditional/herbal Remediesmentioning

confidence: 99%

“…Although traditional/herbal remedies are often perceived as being safer than pharmacologic treatments, they are not without some concerning potential side effects, including liver and kidney toxicity, and are more often subject to contamination [5, 75]. However, the greater use of these alternative treatments observed in older children with longer-standing disease [72, 76, 77] and children with more atopic comorbidities/higher IgE levels—although this difference was not significant [76, 77]—may reflect frustration with pharmacologic treatments or fear of using higher doses of pharmacologic treatments for more severe/recalcitrant disease. In fact, approximately one-third of traditional Chinese medicine users (31–36%) use it in combination with corticosteroids or other “Western medicine” [76, 77], possibly in an effort to reduce the need for TCSs [78] (see the Challenges in AD Management section for more information on TCS misuse).…”

Section: Utilization Of Traditional/herbal Remediesmentioning

confidence: 99%

Epidemiology, Diagnosis, and Treatment of Atopic Dermatitis in the Developing Countries of Asia, Africa, Latin America, and the Middle East: A Review

Carrera¹,

Hammadi

Huang

et al. 2019

Dermatol Ther (Heidelb)

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Atopic dermatitis (AD), the leading cause of skin-related burden of disease worldwide, is increasing in prevalence in developing countries of Asia, Africa, Latin America, and the Middle East. Although AD presents similarly across racial and ethnic groups as chronic and relapsing pruritic eczematous lesions, some features of the disease may be more or less prominent in patients with darker skin. Despite a similar presentation, consistent diagnostic criteria and consistent treatment guidelines are lacking. Because of these and other challenges, adherence to treatment guidelines is difficult or impossible. Previous studies have stated that many patients with AD receive ineffective or inappropriate care, such as oral antihistamines, oral corticosteroids, or traditional medicines, if they are treated at all; one study showed that approximately one-third of patients received medical care for their dermatologic condition; of those, almost three-quarters received inappropriate or ineffective treatment. In addition, other challenges endemic to developing countries include cost, access to care, and lack of specialists in AD. Furthermore, most of the available diagnostic criteria and treatment guidelines are based on European and North American populations and few clinical trials report the racial or ethnic makeup of the study population. Drug pharmacokinetics in varying ethnicities and adverse effects in different skin physiologies are areas yet to be explored. The objective of this review is to describe the diagnosis, treatment, and management of AD in developing countries in Asia, Africa, Latin America, and the Middle East; to discuss the differences among the countries; and to establish the unmet needs of patients with AD in them. The unmet medical need for treatment of AD in developing countries can be addressed by continuing to train medical specialists, improve Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.9918782.

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“…Patients most frequently employed search engines such as Google to learn about CAM remedies for scabies [24]. Previous studies of CAM have reported that advice is most commonly sought from families and friends [25][26][27]. Studies in which social media and search engines were not employed to look for information have gradually given way to those in which these are the most frequently employed methods as internet use has grown.…”

Section: Discussionmentioning

confidence: 99%

Use of Complementary and Alternative Medicine in Children with Scabies

Sen

Akça

2023

Complement Med Res

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Introduction Scabies is a highly contagious infestation that is becoming increasingly resistant to treatment. The use of complementary and alternative medicine (CAM) has gradually increased for numerous diseases, and the aim of this study is to investigate the parental use of CAM in the treatment of scabies. Methods The study was planned as a cross-sectional study involving children who came to the departments of child health and diseases and dermatology departments for any reason and were diagnosed with scabies. Questionnaires were given to parents by physicians during face-to-face interviews, and responses were recorded Results 75.9% of the 162 parents participating in the study were mothers, and 40% of the parents reported that their income was below expenses. The mean number of people living in the household was four (min 3- max 13), and the proportion of extended family was 34%. The mean duration of symptoms in patients with scabies was 4.8 ±3.92 weeks (min. 1- max. 27), and scabies was diagnosed on average at the second visit to the doctor. CAM was used by 80.9% of parents in children with scabies. They most commonly used tea tree oil for itching and ice for the rash. Parents working in education and health care were less likely to use CAM (p <0.001), while more than 90% of housewives used at least one CAM method on their children. Analysis showed that 61.7% of female users had benefited from CAM. Significant differences between parents who used CAM and those who did not were found in education (p=0.003), monthly income (p=0.023), number of children (p=0.022), and living in large families (p=0.001). The use of CAM was six times higher in parents in large families (OR: 6.143 95% CI 0.776-21.252). Conclusions With regard to the treatment of scabies, it is important to strengthen the education of health professionals at all levels, put the treatment of patients on a regular basis, explain the conditions that require special attention, and monitor patients closely. New treatment protocols must also be developed for refractory scabies, including alternative therapies.

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O uso da medicina alternativa ou complementar em crianças com dermatite atópica

Cited by 16 publications

References 5 publications

Use of Complementary and Alternative Therapies in Outpatients with Atopic Dermatitis from a Dermatological University Department

Use of Complementary and Alternative Therapies in Outpatients with Atopic Dermatitis from a Dermatological University Department

Epidemiology, Diagnosis, and Treatment of Atopic Dermatitis in the Developing Countries of Asia, Africa, Latin America, and the Middle East: A Review

Use of Complementary and Alternative Medicine in Children with Scabies

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