Evaluating Itch in Atopic Dermatitis: Perspectives from UK Dermatologists Through a Cross-Sectional Survey and Narrative Review - Summary - MDSpire

Evaluating Itch in Atopic Dermatitis: Perspectives from UK Dermatologists Through a Cross-Sectional Survey and Narrative Review

  • By

  • Philip Laws

  • Alberto Barea

  • Georgina Fremlin

  • Charlene Murphy

  • Daniel Guirguis

  • Dominika Michno

  • Kave Shams

  • April 21, 2026

  • 0 min

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Objective:

To characterize current practices for itch assessment among UK dermatologists and identify practical, validated tools for consistent measurement in routine care, emphasizing the importance of itch in patient care.

Key Findings:
  • 78.68% of dermatologists recognized itch as the most bothersome symptom for patients with atopic dermatitis.
  • Only 28.68% of dermatologists reported using validated tools for itch assessment consistently, which may hinder effective patient management.
  • Validated tools like the peak pruritus numerical scale (PP-NRS) and visual analogue scale (VAS) are underutilized, indicating a need for better integration into practice.
Interpretation:

There is a significant gap between the recognition of itch as a critical symptom and its consistent quantification in clinical practice, highlighting the need for standardized assessment methods to improve patient outcomes.

Limitations:
  • The survey may not represent all UK dermatologists due to potential selection bias, which could affect the generalizability of the findings.
  • Limited exploration of the reasons behind the underutilization of validated tools, which warrants further investigation.
Conclusion:

Embedding itch assessment into standard clinical workflows is essential for improving patient care in atopic dermatitis, with simple validated measures recommended for routine use to enhance treatment outcomes.

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