Poor compliance with topical corticosteroids for atopic dermatitis despite severe disease

University of Massachusetts Medical School, Worcester, Massachusetts.
Dermatology online journal 02/2008; 14(9):13.
Source: PubMed


Electronic monitoring of adherence provides opportunities for new insights into the relationship between adherence and treatment outcomes. We report a patient who was non-adherent to treatment despite a high degree of atopic dermatitis severity. Such patients may be better managed by measures that increase adherence rather than use of more potent, potentially toxic medications.

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    • "For example, an appreciable number of AD patients/parents believe that animal-derived proteins such as milk, meat and eggs, are aggravating factors and erroneously consider that these foods should be restricted in the diet9-12. Furthermore, patients with AD and/or their parents commonly misunderstand the use of corticosteroids (corticosteroid phobia), especially for topical corticosteroids13,14. Corticosteroid phobia frequently leads to the worsening of symptoms and prompts the consideration/use of unproven alternative medicines, such as Chinese herbal therapies15. "
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