N 2 (183) 2023. P. 31–36

MEDICAL AND SOCIAL ASPECTS OF ATOPIC DERMATITIS IN CHILDREN

Т. V. Stoyeva, О. V. Тіtkova, О. V. Reshitilo, М. V. Fedin, К. V. Оstapchuk, В. І. Zamyshlyak

Odesa National Medical University, Odesa, Ukraine

DOI 10.32782/2226-2008-2023-2-5

The data obtained in the work indicate the importance of improving the existing tools for assessing the quality of life, especially for infants. A detailed study of the medico-social aspects of atopic dermatitis in children, taking into account gender and age characteristics, allows to improve diagnostic possibilities, optimize treatment and prevention tactics, in particular thanks to effective forecasting of the course of the disease, and dynamic analysis of quality of life indicators is an important tool for determining the effectiveness of therapeutic schemes. The presence of atopic dermatitis disrupts the usual way of life, negatively affects the harmonious and spiritual development of the child. The prognostic value of the most significant factors affecting the quality of life (itching of the skin and sleep disturbances) was revealed: with a value of ≥ 2.0 points for each sign, the sensitivity and specificity indicators are 91.5% (Se), 50.0% (Sp). Medico-social factors in atopic dermatitis were analyzed, taking into account gender characteristics and revealed a higher influence of clinical indicators – itching (p = 0.017), sleep disturbance (p < 0.001), level of eosinophils (p = 0.001) and Ig E (p = 0.002) in male patients. Psychosocial problems in children with atopic dermatitis are caused by the impact of the disease on social relations with peers (71.2 ± 5.9%), significant limitations in patients’ “leisure time” (72.9 ± 5.8%), “psychological” (83.3±4.9%) and “physical” (72.3±5.8%) well-being.

Key words: children, atopic dermatitis, quality of life.

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