Patient perspectives on the management of atopic dermatitis

Experiences of carers managing childhood eczema and their views on its treatment: a qualitative study

“…As in previous studies, 4 most parents were cautious about using topical corticosteroids and were concerned about possible side effects from applying them to their child's skin. In four families this was exacerbated by apparently having received conflicting advice from different healthcare providers regarding topical corticosteroids, heightening their concerns and delaying their ability to gain control of the eczema:…”

Both children and adult patients with difficult‐to‐treat atopic dermatitis have high prevalences of concomitant allergic contact dermatitis and are frequently polysensitized

“…However, in some cases, patients with AD are refractory to these conventional treatments, making it a difficult‐to‐treat disease. Several authors have reviewed the subject of difficult‐to‐treat or difficult‐to‐control AD, stating diverse possible explanations for the problem, such as lack of compliance,1 psychosocial factors,2, 3 skin infections,4, 5 exacerbations triggered by food and aeroallergens,6, 7, 8 and concomitant allergic contact dermatitis (ACD) 9, 10, 11. All these factors may contribute to making the disease difficult‐to‐treat.…”

Management of atopic eczema in children aged up to 12 years: summary of NICE guidance

“…3 4 There may be considerable physical and emotional morbidity for the child and the parents or carers, particularly if the disease is poorly controlled. 5 Yet most healthcare professionals receive little or no relevant training in dermatology, 6 and lack of knowledge, confusion, and anxiety about many of the available treatments are widespread among parents. 5 7 This article summarises the most recent guidance from the National Institute for Health and Clinical Excellence (NICE) on how to manage atopic eczema in children from birth up to the age of 12 years.…”