In an international cohort of patients with atopic dermatitis (AD), 78% reported concomitant pain and itch, a recent study found. Therefore, it is imperative that clinicians understand patients’ unique pain burden to best evaluate clinical severity and quality-of-life interference. Responses from an anonymous questionnaire were collected from an eczema clinic (in-person survey) and collaboration with Global Parents for Eczema Research Group and the National Eczema Association (online survey) to assess skin pain among patients with AD aged ≥5 years. Eczema Area and Severity Index was measured in the clinic cohort to correlate with pain symptoms. Researchers found:
- Of 103 patients with AD, 78% reported concomitant pain and itch.
- The greatest pain burden occurred on the hands, perioral region, and toes, corresponding to regions with the greatest sensory nerve density.
- Pain was most commonly described as “burning” and “stinging,” particularly when lesions were red, cracked, and dry.
- Its presence significantly interfered with sleep, leisure activities, and activities of daily living.
Maarouf M, Kromenacker B, Capozza KL, et al. Pain and itch are dual burden in atopic dermatitis. [Published online ahead of print August 31, 2018]. Dermatitis. doi:10.1097/DER.0000000000000406.
This Week's Must Reads
Health Care Screening, Skin Cancer Risk Link Found, JAMA Dermatology; ePub 2018 Dec 26; Drucker, et al
Vitamin D Linked with Eczema in Non-Hispanic Whites, Allergy; ePub 2018 Dec 27; Wei, Jaleel, et al
Mohs Surgery Beneficial for Melanoma of Head/Neck, Dermatolog Surg; ePub 2018 Dec 13; Demer, et al
Study: Vitiligo and Major Depression Disorder Linked, J Am Acad Dermatol; ePub 2018 Dec 5; Vallerand, et al
Habitual Nail Biting, Psychiatric Disorders Linked , Am J Clin Dermatol; 2018 Dec; Winebrake, et al
Must Reads in Atopic Dermatitis
Association Found Between AD and Suicidality, JAMA Dermatology; ePub 2018 Dec 12; Sandhu, et al
Anchoring Not Significant in Treatment of AD, J Dermatolog Treat; ePub 2018 Dec 3; Curry, et al
Unsafe Neighborhoods Linked with Higher AD Risk, Ann Allergy Asthma Immunol; ePub 2018 Oct 26; McKenzie, et al
Gestational Weight Gain, AD in Offspring Linked, J Allergy Clin Immunol; ePub 2018 Nov 8; Drucker, et al
Racial/Ethnic Differences Examined in Persistent AD, J Invest Dermatol; ePub 2018 Nov 8; Kim, et al