Sleep disorders and atopic dermatitis: A 2-way street?. Fecha: Miércoles 17 de octubre de 2018

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Sleep disorders and atopic dermatitis: A 2-way street?

Authors: 
Chang YS,  Department of Pediatrics, Taipei City Hospital Renai Branch, Taipei, Taiwan; Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Chiang BL, Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address: gicmbor@ntu.edu.tw.

Abstract:
Sleep disturbance is very common in patients with atopic dermatitis (AD) and is a major factor leading to impaired quality of life. Sleep disturbance is often viewed as one of the symptoms of AD and one of the measures of disease severity. In this review we describe a variety of sleep disorders associated with AD and a wide range of effect that sleep disorders have on patients with AD. We also discuss our current understanding of the mechanism of sleep disturbance in patients with AD. The relationship between sleep disorders and AD might be bidirectional and could form a vicious cycle. Therefore we suggest viewing sleep disorders as a comorbidity of AD for which regular screening and bidirectional management strategies are indicated, with equal focus on maintaining disease control and implementing specific strategies to improve sleep.

Comentarios

  1. Jaime Sosa18 de octubre de 2018, 12:37

    Se conoce que los trastornos del sueño se reportan (dependiendo de la literatura) en hasta un 40-60% de los pacientes, por lo que debe ser un factor a considerar dado la alta alteración que éste conlleva en la calidad de vida.
    Se ha evidenciado que la razón más directa para el trastorno del sueño en niños con DA es el prurito y los movimientos de rascado que interrumpen el sueño, econtrándose una asociación directa entre puntajes de SCORAD y alteraciones en el patrón de sueño.

    Es importante entonces siempre indagar por la calidad de sueño, sobre todo en pacientes con enfermedad severa, y hacer manejo multidisciplinario de los trastornos asociados, y no tratar la DA de manera aislada.

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