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Published on: September 26, 2019
[Quality of life in children with atopic dermatitis]
1Department of Dermatology, Chongqing Medical University, Chongqing, China. tanqimaster@126.com
Insights
Infant atopic dermatitis significantly impacts quality of life. More severe eczema, indicated by SCORing Atopic Dermatitis (SCORAD), correlates with a worse quality of life, as measured by the Childhood Atopic Dermatitis Impact Scale (CADIS).
Area of Science:
- Pediatric dermatology
- Clinical immunology
- Child psychology
Context:
- Atopic dermatitis (AD) is a chronic inflammatory skin condition affecting infants.
- AD can lead to significant behavioral, emotional, and psychological challenges in children.
- Understanding the impact of AD on infant quality of life is crucial for comprehensive care.
Purpose:
- To investigate the quality of life in infants diagnosed with atopic dermatitis.
- To assess the correlation between atopic dermatitis severity and quality of life in this population.
Summary:
- The study evaluated 43 infants (3-6 months) with atopic dermatitis using the Childhood Atopic Dermatitis Impact Scale (CADIS) for quality of life and SCORing Atopic Dermatitis (SCORAD) for severity.
- Results showed a significant positive correlation between CADIS and SCORAD scores (rho=0.934, P<0.05).
- CADIS scores also correlated positively with various clinical indicators of AD severity, including skin lesion area, erythema, excoriations, edema, oozing, dryness, pruritus, and sleeplessness.
Impact:
- Atopic dermatitis negatively affects infant quality of life.
- Increased severity of atopic dermatitis is associated with a poorer quality of life in infants.
- Findings highlight the need for integrated management strategies addressing both clinical symptoms and psychosocial well-being in infants with AD.
Objective:
Atopic dermatitis affects children's behavioral, emotional and psychological development. This study aimed to investigate the quality of life in infants with atopic dermatitis.
Methods:
The quality of life in 43 children with atopic dermatitis between the age of 3-6 months was assessed by the Childhood Atopic Dermatitis Impact Scale (CADIS). The severity of atopic dermatitis was determined by the SCORing Atopic Dermatitis (SCOARD).
Results:
The scores of SCORAD and CADIS in children with atopic dermatitis were 56.9+/-11.1 and 38.0+/-7.9 respectively. There was a positive correlation between the CADIS and SCORAD scores (rho=0.934, P<0.05). The CADIS score was positively correlated with the area of skin lesions (rho=0.581, P<0.01), erythema (rho=0.417, P<0.01), excoriations (rho=0.579, P<0.01), edema/exanthema papulosum (rho=0.595, P<0.01), oozing/crusts (rho=0.436, P<0.01), skin dryness (rho=0.343, P<0.01), pruritus and sleeplessness (rho=0.344, P<0.05).
Conclusions:
Atopic dermatitis adversely affects the quality of life in children with atopic dermatitis. The worse quality of life is associated with more severe atopic dermatitis.
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