In a cohort of 3,612 atopic dermatitis patient–partner dyads, we evaluated agreement between clinician-rated severity (SCORAD) and independent patient- and partner-reported symptom severity (POEM/partner-POEM), and explored links with short-term response (EASI-90 at week 20) and work functioning. Patients and partners reported symptom severity very similarly, yet discordance with SCORAD was concentrated in moderate disease; higher baseline agreement was associated with better short-term response. Partner burden—including sleep loss and depressive symptoms—rose with clinician-rated severity and correlated with work limitation in employed dyads.
Fan et al. (Fri,) studied this question.