2012 Volume 11 Issue Suppl.18 Pages 53-56
A 32-year-old man visited us because of intractable, sever adult atopic dermatitis (AD). He was treated with systemic cyclosporine therapy, resulting in poor control. The patient was innately introverted and expressed few complaints, so the medical staff was not aware of his living environment. One and half year after the first visit, the patient's father came together and told us that his son was social withdrawal. Then he was admitted to our hospital and administered with a short-term systemic steroid therapy. His symptoms improved promptly, and now he remains stable condition with topical steroids and tacrolimus therapy more than one year after discharge from our hospital. The effects of the same treatment considerably improved by listening to the patient's complaints attentively, understanding his psychosocial stressors, and leading to the far better improvement of drug compliance and treatment effect. We came to reaffirm the significance of seeing not only the skin symptoms but also the personality.Skin Research, Suppl. 18: 53-56, 2012
