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Epidemiologie des Handekzems in Deutschland

Ein Rückblick auf die letzten 10 Jahre Handekzemforschung in Deutschland
  • R. F. OfenlochEmail author
  • E. Weisshaar
Leitthema

Zusammenfassung

Hintergrund

Bisher fehlen epidemiologische Daten zum Handekzem mit Bezug zur deutschen Allgemeinbevölkerung weitestgehend.

Fragestellung

Inwieweit lassen sich epidemiologische Daten zum Handekzem aus allen in Deutschland gewonnenen Studiendaten zum Handekzem, die international publiziert worden sind, gewinnen.

Material und Methode

Es wurde eine Suche nach allen in Deutschland durchgeführten Studien (mindestens 1 [Ko-]Autor mit deutscher Affiliation) zum Handekzem der letzten 10 Jahre durchgeführt. Einschlusskriterium dabei war, dass es sich um Originaldaten handelt, die in einem internationalen Journal mit Peer-Review publiziert wurden.

Ergebnisse

Es wurden insgesamt 39 Studien in diesen Review eingeschlossen, dabei wurde aus 29 Originaldatensätzen berichtet. Der mediane Frauenanteil lag bei 53,7 % das Alter bei 45,1 Jahren. Die 1‑Jahres-Prävalenz variiert je nach Stichprobe und Art der Erfassung von 0,24–9,2 %, die Lebenszeitprävalenz von 2,6–16,0 %. Die Punktprävalenz in der dermatologischen Praxis wurde mit 6,7 % beziffert. In arbeitsplatzbezogenen Untersuchungen zum Handekzem sind Frauen unterrepräsentiert, große Studien wurden bei Metallarbeitern, nur wenige kleinere Studien bei Pflegekräften durchgeführt.

Schlussfolgerung

Das epidemiologische Wissen zum Handekzem in der deutschen Allgemeinbevölkerung ist ungenügend. Das Durchschnittsalter der Patienten in Datensätzen niedergelassener Dermatologen liegt 20 Jahre über dem in internationalen Studien gefundenen Alter für die Erstmanifestation eines Handekzems. Insgesamt weisen unsere Ergebnisse auf eine Unterversorgung des Handekzems in seiner Entstehungsphase hin, was möglicherweise später zu chronischen Verläufen des Handekzems führt.

Schlüsselwörter

Prävalenz Review Allgemeinbevölkerung Inzidenz Populationsbezogen 

Epidemiology of hand eczema in Germany

A retrospective view of the past 10 years of hand eczema research in Germany

Abstract

Background

There is a lack of epidemiological data describing patterns of hand eczema with reference to the general German population.

Objective

Epidemiological data were extracted from all internationally published clinical studies which investigated hand eczema in Germany.

Material and methods

A search was carried out for all clinical studies performed in Germany in the previous 10 years involving hand eczema patients. Inclusion criteria were that at least one author was listed with a German affiliation, that the study included original data and was published in an international journal with peer review.

Results

This review included 39 studies, which were performed based on 29 original data sets. The median proportion of women was 53.7% and the median age 45.1 years. The 1‑year prevalence of hand eczema varied depending on the sample and type of data collection from 0.24% to 9.2%. The lifetime prevalence was estimated to be 2.6–16.0% and the point prevalence in dermatological practice was 6.7 %. In studies assessing the impact of hand eczema in specific occupations, women were underrepresented, large studies were carried out for metal workers but only a few small studies for nursing personnel.

Conclusion

There is a lack of knowledge concerning the epidemiology of hand eczema in the general German population. While international studies found the first occurrence of hand eczema to be between the ages of 26 and 28 years, the mean age of patients seen in private dermatological practice in Germany was 20 years higher. These findings suggest that patients do not consult a dermatologist when hand eczema first appears, which can lead to a more severe course of the disease.

Keywords

Prevalence Review General population Incidence population based 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

R. Ofenloch und E. Weisshaar geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Berufsdermatologie, HautklinikUniversitätsklinikum HeidelbergHeidelbergDeutschland

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