[The role of dermatologist in adherence to treatment]

Adherence to treatment is often partial in the course of chronic cutaneous disease but can be improved by the dermatologist. Patient participation in the therapeutic decision is indispensable. Dialogue between patient and dermatologist should provide an understanding of the patient's expectations of the treatment, his or her preferences, and which treatment can be integrated into the patient's lifestyle, and should also provide the patient with an understanding of what the treatment can provide and what its disadvantages may be. The approach to poor compliance differs depending on whether or not it is intentional, with all points between obviously possible. Repeated consultations can maintain and enhance the relation between physician and patient, each visit stimulating adherence to the treatment.The language used by the dermatologist should be clear and simple, adapted to each patient. The simplest, most effective, and best tolerated treatments are followed best.