Atopic dermatitis in children: caregivers' narrative

Atopic dermatitis (AD) is a chronic disease that affects children and has a significant impact on their lives. The aim was to understand the difficulties faced by caregivers, highlighting the most significant challenges associated with caring for children with atopic dermatitis. This is a qualitative study carried out in Basic Health Units in São Luís and São José de Ribamar. Semi-structured interviews were used and analyzed according to Minayo's thematic analysis. The sample consisted of six participants. The sample included caregivers of children aged between 6 and 12 with a diagnosis of atopic dermatitis who attended school. Caregivers of children with cognitive impairment that implied altered social behavior were excluded. The results show that AD affects children's well-being through intense itching, sleep disturbances, anxiety and social isolation. The appearance of the skin has a negative impact on self-esteem, while treatment is hampered by the high cost of medication and the limited supply in the public health system. AD has multifaceted impacts that require an interdisciplinary approach. In addition to clinical treatment, it is necessary to offer emotional and financial support, especially in contexts of vulnerability. Integrated public policies can improve the lives of children and their families.