Psychological Impact of Atopic Dermatitis in Pediatric Patients

EP: 1.Characteristics of Type 2 Inflammation and the Impact of Itch

EP: 2.Mechanism of Action for Agents Used to Treat Pediatric Atopic Dermatitis

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EP: 3.Psychological Impact of Atopic Dermatitis in Pediatric Patients

EP: 4.Presentation and Diagnosis of Atopic Dermatitis in Pediatrics

EP: 5.Burden of Atopic Dermatitis in Pediatric Patients

EP: 6.Pharmacological Options for the Treatment of Pediatric Atopic Dermatitis

EP: 7.Case 1: 2-Year-Old Male With Atopic Dermatitis

EP: 8.Case 1 Continued: Clinical Impressions

EP: 9.Case 1 Continued: Treatments Beyond Topical Agents and the Use of Dupixent

EP: 10.Case 2: 7-Year-Old Female With Atopic Dermatitis

EP: 11.Case 2 Continued: Addressing Injectable Medications in Children

EP: 12.Case 2 Continued: Impressions and Recommendations

EP: 13.Case 2 Continued: Barriers to Treatment Adherence

EP: 14.Case 2 Continued: Importance of Combination Therapy and Shared Decision Making

EP: 15.Case 3: 12-Year-Old-Female With Atopic Dermatitis

EP: 16.Case 3 Continued: Impressions

EP: 17.Case 3 Continued: How to Have Conversation About Risk of Biologics and Length of Therapy

EP: 18.Take-Home Points

Joshua Zeichner, MD: Let’s change gears and talk about the psychological factors impacting atopic dermatitis. Lisa, I’m going to ask you to take this one.

Elizabeth Swanson, MD: Thank you so much, Josh. Psychological factors play a big role with atopic dermatitis. The biggest one, of course, is stress. When patients are under stress, often their atopic dermatitis gets worse. That can turn into a bit of a vicious cycle because the stress creates a flare of their atopic dermatitis, which stresses them out even more. They go round and round, and their atopic dermatitis flares up. These psychological factors—a lot of which are outside our control, including COVID-19 stressors, school stressors, and family stressors—can drive the disease.

Joshua Zeichner, MD: We see stress as a significant factor in atopic dermatitis and a lot of other conditions in dermatology, whether it’s rosacea, psoriasis, or acne. We can’t underestimate the impact that stress has on the quality of life of the patients who are suffering and their support network: their parents, friends, and teachers. We want to get the disease under control for the whole community.

Transcript Edited for Clarity