A CASE OF GROWTH IMPAIRMENT IN SEVERE ATOPIC DERMATITIS

概要

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The case described is the growth impairment of a 9 year old boy, who had been suffering severe atopic dermatitis (AD), during non-steroidal treatment. Eczema of the patient has exacerbated since he was seven years old. In spite of the anti-allergic therapy, together with topical corticosteroids, his skin condition did not improve. This ineffectiveness, along with the information provided by the media, the patient's mother came to be distrustful towards the topical corticosterid therapy. Consequently, any topical corticosteroid therapy was ceased.However, his skin condition remained ill, and the growth impairment began to be seen. He showed a serious suppression of GH secretion. After obtaining an informed consent from his parents, the treatment involving topical corticosterid started again. His skin condition showed remarkable improvement and significant growth catch up was observed. The growth impairment with suppression of GH secretion found in this patient seems to be induced not by topical corticosteroids but by atopic dermatitis itself or by sleep disturbance with the stress of severe itchiness.
日本小児アレルギー学会の論文