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

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 asso...

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Bibliographic Details
Published inJournal of allergy and clinical immunology Vol. 142; no. 4; pp. 1033 - 1040
Main Authors Chang, Yung-Sen, Chiang, Bor-Luen
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2018
Elsevier Limited
Subjects
Asthma
Atopic dermatitis
Comorbidity
Dermatitis
Disease control
Disturbance
Eczema
Efficiency
Insomnia
melatonin
Population
Quality of life
Sleep
sleep disorder
Sleep disorders
Sleep disturbance
Sleep disturbance
sleep disorder
AD
OR
PSG
eczema
atopic dermatitis
HR
REM
melatonin
OSA
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Summary: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.
Bibliography:ObjectType-Article-1
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ISSN:0091-6749
1097-6825
DOI:10.1016/j.jaci.2018.08.005