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Apfelbacher, Christian J.; Molin, Sonja; Weisshaar, Elke; Bauer, Andrea; Elsner, Peter; Mahler, Vera; Weiss, Melanie; Ruzicka, Thomas and Diepgen, Thomas L. (2014): Characteristics and Provision of Care in Patients with Chronic Hand Eczema: Updated Data from the CARPE Registry. In: Acta Dermato-Venereologica, Vol. 94, No. 2: pp. 163-167

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The aim of the CARPE registry is to investigate characteristics and medical care in patients affected by chronic hand eczema. Patients are assessed by dermatological examination and patient questionnaire. Socio-economic and clinical data are collected, and quality of life is measured using the Dermatology Life Quality Index (DLQI). A total of 1, 163 patients with chronic hand eczema were eligible for analysis (mean age 47.0 years;54.6% female;mean disease duration 7.6 years). At inclusion, chronic hand eczema was very severe in 23.4%,severe in 47.0%,moderate in 20.1%,and clear or almost clear in 9.6% of patients. Median DLQI was 8.0. In all, 93.8% of patients reported use of topical corticosteroids, 25.6% systemic antihistamines, 28.3% topical calcineurin-inhibitors, 38.0% ultraviolet phototherapy, and 35.3% systemic treatment (19.7% alitretinoin) prior to inclusion in the registry. A significant proportion of patients may not receive adequate treatment according to the guideline on management of hand eczema.

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