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American Journal of Clinical Dermatology

, Volume 19, Issue 2, pp 261–265 | Cite as

Topical Corticosteroid Concerns Among Parents of Children with Psoriasis versus Atopic Dermatitis: A French Multicenter Cross-Sectional Study

  • Sandra Moawad
  • Emmanuel Mahé
  • Hélène Aubert-Wastiaux
  • Alice Phan
  • Annabel Maruani
  • Christine Chiaverini
  • Christine Bodemer
  • Juliette Mazereeuw-Hautier
  • Audrey Lasek-Duriez
  • Catherine Droitcourt
  • Sébastien Barbarot
  • Alain Beauchet
  • Anne-Claire Bursztejn
  • for the Groupe de Recherche de la Société Française de Dermatologie Pédiatrique
short communication

Abstract

Background

Atopic dermatitis (AD) and psoriasis are chronic inflammatory cutaneous disorders for which the gold standard treatment is topical corticosteroids. Although fears about topical corticosteroids are known to be a primary cause of poor therapeutic adherence in AD, this has not been evaluated in psoriasis. TOPICOP is a helpful and easy-to-use tool for the evaluation of topical corticosteroid concerns (TCC). It may help clinicians improve adherence to treatment and correct misconceptions.

Objective

We aimed to compare the TCC of parents of children with psoriasis or AD using the TOPICOP scale and a visual analog scale (VAS).

Methods

We performed a cross-sectional multicenter study in nine French hospitals from 1 October 2015 to 31 May 2016. The TOPICOP scale was developed for patients with AD and comprises 12 questions to assess patients’ worries and beliefs about topical corticosteroids, with a maximum score of 36. We used a standardized questionnaire to collect epidemiologic and medical data, and the parents completed the TOPICOP scale and VAS (score 0–10).

Results

A total of 122 children were enrolled (61 patients in each group). The mean Physician Global Assessment was 2.1 in the psoriasis group, and the mean SCORing AD index was 33.3 in the AD group. The TOPICOP score was 16.0 in the psoriasis group and 18.8 in the AD group (p = 0.10). The VAS score was 5.6 and 5.1 in the psoriasis and AD groups, respectively (p = 0.18). The mean TOPICOP score was higher if the mother answered (p < 0.0001; odds ratio 12.3; 95% confidence interval 9.2–15.5). In the AD group, the mean TOPICOP score was higher if follow-up for the child was as an outpatient (p = 0.018). In the psoriasis group, the mean TOPICOP score was higher if patients were seen for the first time (p = 0.047).

Conclusion

Using the TOPICOP questionnaire and a VAS, we found the level of TCC for the parents of pediatric patients with psoriasis to be similar to that for parents of pediatric patients with AD. As TCC is an issue in patients with psoriasis, future research is warranted to assess whether therapeutic education lessens TCC and improves treatment outcomes.

Notes

Compliance with Ethical Standards

Funding

No sources of funding were used to conduct this study or prepare this manuscript.

Conflicts of Interest

Sandra Moawad, Emmanuel Mahé, Hélène Aubert-Wastiaux, Alice Phan, Annabel Maruani, Christine Chiaverini, Christine Bodemer, Juliette Mazereeuw-Hautier, Audrey Lasek-Duriez, Catherine Droitcourt, Sébastien Barbarot, Alain Beauchet, and Anne-Claire Bursztejn have no conflicts of interest that are directly relevant to the content of this manuscript.

Supplementary material

40257_2017_318_MOESM1_ESM.pdf (16 kb)
Supplementary material 1 (PDF 16 kb)

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Sandra Moawad
    • 1
  • Emmanuel Mahé
    • 2
  • Hélène Aubert-Wastiaux
    • 3
  • Alice Phan
    • 4
  • Annabel Maruani
    • 5
  • Christine Chiaverini
    • 6
  • Christine Bodemer
    • 7
  • Juliette Mazereeuw-Hautier
    • 8
  • Audrey Lasek-Duriez
    • 9
  • Catherine Droitcourt
    • 10
  • Sébastien Barbarot
    • 3
  • Alain Beauchet
    • 11
  • Anne-Claire Bursztejn
    • 1
  • for the Groupe de Recherche de la Société Française de Dermatologie Pédiatrique
  1. 1.Dermatology DepartmentUniversity Hospital of NancyVandoeuvre les NancyFrance
  2. 2.Dermatology DepartmentHospital Victor DupouyArgenteuilFrance
  3. 3.Dermatology DepartmentUniversity Hospital of NantesNantesFrance
  4. 4.Dermatology DepartmentUniversity Hospital of LyonLyonFrance
  5. 5.Dermatology DepartmentUniversity Hospital of ToursToursFrance
  6. 6.Dermatology DepartmentUniversity Hospital of NiceNiceFrance
  7. 7.Dermatology DepartmentNecker HospitalParisFrance
  8. 8.Dermatology DepartmentUniversity Larrey HospitalToulouseFrance
  9. 9.Dermatology DepartmentInstitut Catholique de LilleLilleFrance
  10. 10.Dermatology DepartmentUniversity Hospital of RennesRennesFrance
  11. 11.Public Health Department, Ambroise Paré University Hospital CentreVersailles-Saint-Quentin-en-Yvelines UniversityBoulogne-BillancourtFrance

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