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Sleep Disturbances in Children With Atopic Dermatitis: A Scoping Review.

Dong Goo Lee1, Xi Yao Gui1, Ilya Mukovozov1,2

  • 112358 Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Journal of Cutaneous Medicine and Surgery
|March 7, 2023
PubMed
Summary
This summary is machine-generated.

Children with atopic dermatitis (AD) experience significant sleep disturbances, including sleep loss and unusual sleep behaviors. Understanding these issues is crucial for improving their health and quality of life.

Keywords:
adolescentatopic dermatitischildeczemasleepteen

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Area of Science:

  • Pediatric Dermatology
  • Sleep Medicine
  • Quality of Life Research

Background:

  • Atopic dermatitis (AD) is linked to numerous quality of life issues, notably poor sleep in children.
  • Sleep impairments in pediatric AD patients correlate with increased risks of short stature, metabolic syndrome, mental illness, and neurocognitive dysfunction.
  • While the AD-sleep disturbance link is known, specific sleep issues and their mechanisms in children remain unclear.

Purpose of the Study:

  • To characterize and summarize prevalent sleep disturbances in children with atopic dermatitis.
  • To identify underlying mechanisms contributing to sleep problems in pediatric AD.
  • To inform clinical practice and future research directions.

Main Methods:

  • A scoping literature review was conducted.
  • 31 relevant papers were included and data were analyzed iteratively.
  • Sleep disturbances in pediatric AD patients were compared to controls.

Main Results:

  • Two prevalent categories of sleep disturbances were identified in pediatric AD patients: sleep loss and unusual sleep behaviors.
  • Sleep loss included increased awakenings, fragmentation, delayed onset, decreased total sleep, and reduced efficiency.
  • Unusual behaviors comprised restlessness, scratching, sleep-disordered breathing, nightmares, enuresis, and hyperhidrosis.

Conclusions:

  • Sleep disturbances, encompassing sleep loss and unusual behaviors, are prevalent in children with AD.
  • Mechanisms include pruritus, scratching, and inflammation exacerbated by sleep loss.
  • Clinicians should consider interventions for sleep disturbances in pediatric AD; further research is needed.