Prevalence and incidence of hand eczema in adolescence; report from BAMSE - a population-based birth cohort.

British Journal of Dermatology

PubMedID: 24938459

Grönhagen CM, Lidén C, Bergström A, Kull I, Wahlgren CF, Meding B. Prevalence and incidence of hand eczema in adolescence; report from BAMSE - a population-based birth cohort. Br J Dermatol. 2014;171(3):609-14.
Primary aims were to estimate prevalence proportions and incidence rate of hand eczema in Swedish adolescents and to compare information given by adolescents and parents. Secondary aims were to study sex distribution, age at onset and extension of hand eczema. BAMSE is a Swedish population-based birth cohort. At 16 years of age 2,927 adolescents were included in the present study; both adolescent and parental questionnaires were used, as well as clinical examination. The 1-year prevalence of hand eczema was 5.2% (n=152) and 4.0% (n=116) (p=<0.03) and lifetime prevalence 9.7% (n=284) and 7.0% (n=206) (p=<0.0003), respectively, when adolescents and parents reported. The incidence rate was 573/100,000 person-years according to the adolescents report. Level of agreement between adolescents and parents was only fair for 1-year prevalence and lifetime prevalence (?=0.56 and ?=0.49, respectively). According to the Hand Eczema Extent Score, 27% (n=36) had moderate to severe hand eczema. At age 16, the 1-year prevalence of hand eczema was substantial, with an incidence rate of the same magnitude as in adults. Female predominance was already starting in adolescence. Occurrence of hand eczema is preferably reported by the adolescents themselves, since they are the ones most aware of their symptoms. This article is protected by copyright. All rights reserved.