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Sleep quality in children with atopic dermatitis during flares and after treatment

Daniela Kahn1, Carolina Iturriaga2, Katalina Bertran3

  • 1Pontificia Universidad Catolica de Chile, Division of Pediatrics, School of Medicine - Santiago - Metropolitana - Chile.

Sleep Science (Sao Paulo, Brazil)
|August 4, 2020
PubMed

Insights

Children with atopic dermatitis (AD) experience poor sleep quality during flares. While intensified treatment improves AD symptoms and parental perception of sleep, objective sleep quality measured by actigraphy does not significantly change.

Area of Science:

  • Pediatric Dermatology
  • Sleep Medicine
  • Clinical Research

Background:

  • Sleep disturbances are common in children with atopic dermatitis (AD) during flares.
  • The impact of intensified treatment on sleep quality in pediatric AD remains poorly understood.

Purpose of the Study:

  • To evaluate sleep quality variations in children with moderate-to-severe AD during flares.
  • To assess the effect of intensified AD treatment on objective and subjective sleep parameters.

Main Methods:

  • Prospective case-crossover study involving 10 children with moderate-to-severe AD.
  • Actigraphy was used for objective sleep monitoring over 14 days.
  • AD severity was assessed using SCORAD, alongside visual analogue scales for sleep loss and pruritus.

Main Results:

  • Children exhibited decreased sleep duration, increased awakenings, and reduced sleep efficiency at baseline.
  • Intensified treatment significantly reduced SCORAD scores, sleep loss, and pruritus.
  • Parental perception of sleep improved, but objective sleep duration and efficiency measured by actigraphy did not show significant changes post-treatment.

Conclusions:

  • Moderate-to-severe atopic dermatitis in children is associated with significant sleep quality abnormalities.
  • Intensified AD treatment improves clinical symptoms and parental perception of sleep, but objective sleep quality metrics require further investigation.
Abstract

Keywords:
ActigraphyAtopic DermatitisAwakeningsSleepSleep Efficiency

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