Publications by authors named "Lea Nymand"

Article Synopsis
  • - The study investigates the prevalence of risk factors associated with oral Janus kinase inhibitors (JAKis) in patients with chronic hand eczema (CHE), highlighting concerns due to their black-box warnings for infections, cancer, and cardiovascular issues.
  • - In a cohort of 941 CHE patients, 81.6% possessed at least one risk factor, with the majority being nonmodifiable; common risks included heavy smoking, obesity, hypercholesterolemia, and hypertension.
  • - The findings suggest that healthcare providers should carefully evaluate these risk factors when considering oral JAKi treatments for CHE, as most patients have conditions that could complicate their use.
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Article Synopsis
  • Topical corticosteroid phobia (TOPICOP) is prevalent among chronic hand eczema (CHE) patients and leads to poor adherence to prescribed treatments.* -
  • A study involving 927 CHE patients revealed that a significant percentage believed corticosteroids harm their skin and health, leading many to delay or stop treatment.* -
  • The research indicates that higher levels of corticosteroid phobia correlate with decreased medication adherence, highlighting the need for better patient education.*
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Background: Flare patterns are not routinely considered in the severity classification or in clinical decision-making of atopic dermatitis (AD), but frequent or severe flares may contribute considerably to the disease burden.

Objectives: To characterize patients with AD in relation to their flare pattern and compare flare patterns to disease severity, life quality and treatment satisfaction.

Methods: Patients with AD from the Danish Skin Cohort were included if they had active AD with and available data on number of flare-ups within the last 12 months.

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Background: Alopecia areata (AA) and atopic dermatitis (AD) are chronic skin diseases where the suboptimal medication adherence (MA) may result in poor clinical outcomes.

Objective: To assess the impact of AA on MA among adults compared to AD.

Methods: Patient reported MA of adults with AA were compared with AD.

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Background: A multitude of factors may influence fatigue in psoriasis and psoriatic arthritis (PsA); however, their individual fatigue components have not been thoroughly examined.

Objectives: To explore characteristics of fatigue and its potential drivers in a cohort of patients with psoriasis with or without PsA.

Methods: Adults with psoriasis and a nonpsoriasis control group completed the Multidimensional Fatigue Inventory-20 questionnaire.

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Background: Topical corticosteroids (TCS) are used to treat most patients with chronic hand eczema (CHE), but knowledge about TCS-related adverse events in CHE is limited.

Objectives: To investigate patient-reported adverse events to TCS in CHE patients.

Methods: Data on adverse events related to TCS use in patients with CHE were analyzed from the Danish Skin Cohort; a prospective survey of a hospital cohort.

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Article Synopsis
  • The study aimed to validate hand eczema (HE) ICD-10 codes in the Danish National Patient Registry and assess patient characteristics, lifestyle factors, and medication use.
  • Nineteen HE ICD-10 codes were validated, showing high predictive values, while highlighting that HE patients tend to be middle-aged women with a history of atopy and smoking.
  • The research found that HE patients received nearly double the prescriptions for topical corticosteroids compared to the general population, emphasizing significant differences in treatment needs.
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Background: Despite previous attempts to classify atopic dermatitis (AD) into subtypes (e.g. extrinsic vs.

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There is currently limited insight into the broader impact of atopic dermatitis (AD) on mental health. Although studies indicate that AD patients may experience fatigue, no study has so far examined fatigue in more granular detail, for example, occurrence of general fatigue, physical fatigue, reduced activity, reduced motivation, and mental fatigue, or correlated fatigue measures with AD severity and symptoms intensity. To examine fatigue subtypes and their prevalence in adults with AD, as well as their possible association with AD severity.

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Background: Use of Janus kinase 1 inhibitors in moderate-to-severe atopic dermatitis (AD) is associated with incident acne in adolescent and adults that is mostly mild, transient and treatable. There is a need for more knowledge about the risk and severity of acne in patients with AD.

Objectives: To examine the prevalence, incidence and risk of acne in adolescents and adults with AD using nationwide prescription data.

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Objective: Drug survival is an important proxy measure for effectiveness of treatments for inflammatory diseases such as rheumatoid arthritis (RA), axial spondyloarthritis (AxSpA), psoriatic arthritis (PsA), and psoriasis. The objective of this study was to examine the real-life drug survival of biologics and novel small-molecule therapies across various disease entities such as RA, AxSpA, PsA, and psoriasis.

Methods: We performed a nationwide cohort study using the prospective nationwide registries DANBIO and DERMBIO, comprising all patients treated with biologics or novel small-molecule therapies for RA, AxSpA, PsA, and psoriasis between January 2015 through May 2021 (DANBIO) and November 2009 to November 2019 (DERMBIO).

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Purpose: Alopecia areata (AA) is a common disorder of patchy hair loss which carries a substantial psychological burden for patients. The current understanding of AA prevalence, disease course and burden is limited, and further research is needed to improve patient care. This prospective cohort of AA patients within the Danish Skin Cohort was established to provide data that can serve as a tool in future studies of for example, AA epidemiology and disease burden.

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Importance: Questionnaire studies are important for estimating the prevalence of psoriasis and atopic dermatitis; however, validity among the adult population remains an important concern.

Objective: To examine the test-retest accuracy of questionnaires for measuring psoriasis and atopic dermatitis prevalence in an adult population.

Design, Setting, And Participants: This nationwide population-based cohort study administered questionnaires on psoriasis and atopic dermatitis to the same 2333 and 2312 randomly selected adults (≥18 years) in Denmark, respectively, at 2 different time points from May 15, 2018, to November 20, 2020.

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