The Interplay of Atopic Dermatitis and Sexual Health

Ludwig, Catherine; Fernandez, Jennifer M.; Hsiao, Jennifer L.; Shi, Vivian Y.

doi:10.1097/der.0000000000000617

Cited by 15 publications

(16 citation statements)

References 25 publications

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“…Given these points, genital eczema in AD can adversely affect patients' sexual health. 19 We found that the relatively low interest in genital eczema of AD in dermatologists may contribute to the underestimation of genital eczema in real-world clinical practice. In our study, patients reported that only 23.23% of physicians asked about the possible presence of genital eczema.…”

Section: Discussionmentioning

confidence: 79%

“…Therefore, dermatologists should properly educate the patients with genital eczema that their skin lesion is not contagious and to avoid possible irritants such as sweat, soap, fragrances, sanitary pads, swimming, saunas, and hard stiff fabrics. 19,21,22 Patients should also be informed to wear loose cotton fabric underwear and to use a non-soap cleanser and proper topical emollients and medications in daily care practice. 21,22 After intimacy, patients should promptly apply their emollients and topical agents to prevent further barrier disruption.…”

Section: Discussionmentioning

confidence: 99%

“…21,22 After intimacy, patients should promptly apply their emollients and topical agents to prevent further barrier disruption. 19 Moreover, as the higher frequency of iatrogenic contact dermatitis is observed in the genitalia, 23 clinicians and patients should always be careful when using topical preparations containing anesthetics, antibiotics, corticosteroids, fragrances, and preservatives, which are strongly associated with genital sensitization. 24,25 In this study, we found a relatively high prevalence of genital eczema in patients with AD.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Real‐world prevalence and burden of genital eczema in atopic dermatitis: A multicenter questionnaire‐based study

Woo

Han

Lee

et al. 2021

The Journal of Dermatology

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Atopic dermatitis (AD) is a chronic pruritic inflammatory skin disease. Recent studies reported that the worldwide prevalence of AD is estimated to be between 3% and 6% in the general population in Korea, Germany, and Japan. [1][2][3] With concerns about the relatively high prevalence of AD, the impacts of AD on general health care and quality of life (QOL) are becoming an important issue.Patients with AD usually manifest a mixture of acute and chronic eczematous lesions at multiple sites of the body at the same time.Although the sites of frequently observed eczematous lesions vary

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Real‐world prevalence and burden of genital eczema in atopic dermatitis: A multicenter questionnaire‐based study

Woo

Han

Lee

et al. 2021

The Journal of Dermatology

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“…Ludwig et al [35] have recently published a review on the relationship of AD with sexual health. It establishes how AD affects sexual health, quality of life, male and female sexual dysfunction, effects on sexual partners, and how it impacts physical intimacy.…”

Section: Discussionmentioning

confidence: 99%

Sexual Dysfunction and Atopic Dermatitis: A Systematic Review

Linares‐González

Lozano-Lozano

Gutiérrez‐Rojas

et al. 2021

Life

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Atopic dermatitis (AD) is a chronic inflammatory disease of the skin whose main symptom is pruritus and may affect all age ranges. Regarding the prevalence, it has been estimated at around 10% of the world population. Many concomitant diseases have been associated with AD, but the causal relationship between AD and psychological impairment has not been clearly established. Scientific literature studying the probable association between male or female sexual dysfunction and dermatological pathology is limited, even more so in AD. This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines and the Cochrane Collaboration methodology for systematic reviews. All relevant articles in English were identified through a search from inception to 10 December 2020, including the following databases: Medline (via PubMed), Scopus, Web of Science Core Collection, and SciELO. The results of the search were compiled using the COVIDENCE software for systematic reviews. The methodological quality of the included studies was done using the “Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies” and the “Quality Assessment of Case-Control Studies” developed by the National Heart, Lung, and Blood Institute, National Institutes of Health (NIH). Our search yielded potentially relevant studies. Five studies that evaluated the prevalence of sexual dysfunction in atopic dermatitis were retrieved after applying the selection criteria. The present systematic review achieved data from 8088 patients with atopic dermatitis from four articles. Sample sizes for atopic dermatitis patients ranged from 266 to 3997. We identified one cohort study with four years of follow-up, three studies with a cross-sectional design, and one case-control study. Three studies reported data disaggregated by the severity of atopic dermatitis. Two studies included healthy controls with a total sample size of 1,747,755 subjects. Two studies compared data with other dermatological conditions such as psoriasis. In conclusion, we can establish that unlike other psychological comorbidities such as anxiety and depression, sexual dysfunction is a field scarcely explored in the literature. This sexual dysfunction focuses on the male sex in large population studies and in clinical diagnoses without exploring it through specific and validated questionnaires in this regard. Further studies focused on both genders are needed. It is important to correlate this sexual dysfunction with the severity of the disease, previous treatments, and cardiovascular comorbidities.

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“…The involvement of visible areas and sensual areas leads to lower quality of life indexes and higher burden scores in patients with AD [94]. Moreover, people with more severe AD have a greater impact on sexuality [94,95].…”

Section: Atopic Dermatitismentioning

confidence: 99%

Quality of Life in Patients with Skin Disease and Their Cohabitants

Montero‐Vílchez¹,

Sánchez‐Díaz²,

Martínez-López³

et al. 2022

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Health evaluation implies assess multidimensional aspects of a person’s development, such as physical, social, psychological, and emotional features. It is important to consider all these factors to apply a needs-oriented each patient approach. Chronic skin diseases have a great impact on quality of life, even more than other chronic conditions. For example, hidradenitis suppurativa is estimated to impair quality of life more than cardiovascular disease, lung disease or endocrine diseases. Multiple tools have been developed to measure health-related quality of life in patient, being the Dermatology Life Quality Index (DLQI) the most used. Psoriasis, hidradenitis suppurativa, acne, atopic dermatitis and hair disorders are those with the greatest impact on patients’ quality of life. Moreover, chronic skin conditions impair not only patients’ quality of life, but also cohabitants. Nevertheless, there is scarce information regarding the impact on their cohabitants. So, the objective of this chapter is to review the literature to assess the psychological and social effects of dermatological conditions both on patients and cohabitants.

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The Interplay of Atopic Dermatitis and Sexual Health

Cited by 15 publications

References 25 publications

Real‐world prevalence and burden of genital eczema in atopic dermatitis: A multicenter questionnaire‐based study

Real‐world prevalence and burden of genital eczema in atopic dermatitis: A multicenter questionnaire‐based study

Sexual Dysfunction and Atopic Dermatitis: A Systematic Review

Quality of Life in Patients with Skin Disease and Their Cohabitants

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