Correlation between quality of life and disease severity of pediatric patients with atopic dermatitis

Mara Sur1, Andreea Nicoleta Boca2, Roxana Flavia Ilies3

  • 1Department of Dermatology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

Insights

Atopic dermatitis significantly impacts children's quality of life, with itching being a major concern. This study highlights the effectiveness of specific questionnaires in assessing this impact in pediatric patients.

Area of Science:

  • Pediatric Dermatology
  • Quality of Life Research
  • Chronic Skin Disease Management

Background:

  • Atopic dermatitis (AD) is a chronic skin condition affecting children, characterized by impaired skin barrier function.
  • AD significantly impacts patients' quality of life (QoL), encompassing physical and psychosocial well-being.
  • Assessing QoL is crucial for comprehensive patient care and management strategies.

Purpose of the Study:

  • To assess the quality of life (QoL) in pediatric patients diagnosed with atopic dermatitis (AD).
  • To evaluate the correlation between AD severity and its impact on children's QoL.
  • To validate the use of specific QoL indices in pediatric AD patients in Romania.

Main Methods:

  • The study included 64 pediatric patients (0-16 years) clinically diagnosed with AD.
  • QoL was measured using the Infants' Dermatitis Quality of Life Index (IDQoL) and the Children's Dermatology Life Quality Index (CDQoL).
  • Disease severity was assessed using the SCORAD index; pruritus was identified as a key symptom.

Main Results:

  • Pruritus (itching) was the most frequent symptom and significantly influenced patients' QoL.
  • The study demonstrated the efficiency of IDQoL and CDQoL in correlating AD severity with QoL in young patients.
  • QoL indices effectively captured the impact of AD on daily activities like sleep and play.

Conclusions:

  • The validated QoL questionnaires are effective tools for assessing the impact of AD in pediatric populations.
  • These tools can be integrated into clinical practice and guidelines for better disease management.
  • This study provides the first analysis of pediatric AD QoL in Romania, forming a basis for future guidelines.

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