[Non adherent patients in dermatology]

Non compliance to therapy is frequent in dermatological disorders. Many factors related to the disease, treatment, the physician-patient relationship, the physician, and the patient explain this poor compliance during the course of dermatological treatments. Better knowledge of the non compliant patient-related factors could improve treatment compliance, resulting in better treatment efficacy. The patient parameters playing a part in therapy compliance are numerous and closely intertwined: age, sex, marital status, employment, education level, acceptance of the disease, perception of the treatment, associated psychiatric disorders, addictive behaviors, quality of life, the environment, and the relationship with the physician. It is important to take into account these noncompliance factors related to patient typology so as to optimize management of dermatological disorders. This requires knowing the patient's situation and habits well so that the treatment can be adapted as best possible to his or her lifestyle.