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  Authority of Polish Society of Allergology

vol 19. no 4. December 2014  

 Review articles
Social perspective of atopic dermatitis
Milena Wojciechowska, Anna Hnatyszyn-Dzikowska, Oliwia Beck

Quality of life in different nosological entities, including allergic diseases,
has recently become a topic of growing interest both in medical practice
and research. Atopic dermatitis (AD) is a multi-etiological disease with
a complicated pathomechanism, characterized by periodic occurrence
of itchy red, splotchy, raised skin lesions. AD, particularly its childhood
form, adversely affects both patients and their relatives. Studies demonstrate
that over 80% of patients with AD have difficulty in performing
daily activities and duties, such as preparing meals, bathing, selection of
clothes, hobbies. The quality and time of sleep may be also disturbed,
particularly in patients with severe atopic dermatitis; this may affect as
much as 60% of patients. Childhood atopic dermatitis has a profound
impact on the social, personal, emotional, and financial perspectives of
families. Depending on the patient age, the severity of the disease and
the research methodology, the average annual cost per patient in the
prices of the 2012 has been estimated at 94.5-1539.66 euros. The economic
costs for the family and community include direct costs of medical
and hospital treatment and indirect costs from loss of employment. The
costs of AD can be identified in terms of the micro (direct costs) and macro
(social and indirect costs) level. There are many interventions utilized
in the treatment of childhood atopic dermatitis which should involve not
only medical therapy, but also specialized educational and psychological
assistance. Interdisciplinary, complex approach addressing the needs
of patients and their families not only determines the correct therapy
course, but also predicts improvement of social functioning.

keywords: atopowe zapalenie skóry, jakość życia, stres, koszty,atopic dermatitis, quality of life, stress, cost

pages: from 240 to 246

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