Title: Analysis of the relevance of behavioral, economic and social aspects for the medical team that attends pediatric patients with Atopic Dermatitis.
Abstract
Atopic dermatitis (AD) is defined as a recurrent chronic skin inflammatory disease, which affects around 20% of children and 10% of adults in developed countries. Intense skin pruritus and eczematous lesions are the most frequent signs and symptoms; it is a disease that significantly compromises the patient's behavior and social interactions. School performance, sleep quality, embarrassment due to the appearance of the skin and the difficulty in performing tasks or participating in sports or leisure activities evolve, in many cases, to great emotional lability. However, the medical team that attends the patient is not always attentive, trained or has enough time in the medical consultation to address the behavioral, economic and social aspects related to these patients. In the present study, medical records of 65 patients with AD were evaluated. Very few descriptions were found regarding the patient with AD in its multiple aspects, physical, social and psychological. However, it was possible to observe the presence of the impact of AD on patients' quality of life, such as sleep impaired by itching, financial expenses and the need to refer to multidisciplinary teams. It was also possible to observe the difficulty of understanding and adherence to simple measures such as environmental prophylaxis and dietary guidance. The findings of the present study show how complex the patient with AD is and how important it is to establish a medical consultation and special follow-up, with time and strategies specific to the multiple needs of these patients.
Key words: Atopic Dermatitis; Medical evaluation; Quality of life.
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