Sleep disturbances are a common but underestimated problem for children with atopic dermatitis. These sleep disturbances are very distressing for affected children, as well as their siblings and parents.
The Vicious Circle of Itching and Sleep Deprivation
In the evening, when children unwind and it's time for bed, the already intense itching often worsens. The reasons for this include the rising skin temperature and sweat under the duvet. Skin irritation caused by friction from clothing and bed linen – especially when made from synthetic materials – can also exacerbate itching. A crucial factor for nighttime itching is also a drop in the body's cortisol levels to their daily low. The hormone cortisol acts like a natural anti-inflammatory and thus reduces itching. In the early morning hours, the cortisol level rises again, making daytime itching generally more bearable. Scratching provides only temporary relief, but in the long run, it worsens inflammation and itching, thereby repeatedly disrupting sleep. Sleep deprivation can lead to daytime fatigue, irritability, and difficulties concentrating, as well as a decline in academic performance.

Monster Facts
Did you know that sleep is particularly important? Even for Critter Scratch Monsters and Critzeline! Only well-rested monsters are ready for their adventures in the Itchyverse.
The foundation for peaceful nights: Consistent skin care
A crucial step towards improving a child's sleep is adequate disease management of atopic dermatitis. No matter how severe the atopic dermatitis is: The foundation for optimal therapy, alongside anti-inflammatory treatment options during acute eczema flare-ups, is consistent basic therapy - that is, regular moisturising. This has been proven to strengthen the skin barrier and can also alleviate nighttime itching. Particularly so-called emollients plus – such as Lipikar Baume AP+M – are suitable for this purpose, as they not only provide intensive moisture but also help to specifically regenerate the skin barrier and reduce itching in the long term.
The foundation for peaceful nights: Consistent skin care
A crucial step towards improving a child's sleep is adequate disease management of atopic dermatitis. No matter how severe the atopic dermatitis is: The foundation for optimal therapy, alongside anti-inflammatory treatment options during acute eczema flare-ups, is consistent basic therapy - that is, regular moisturising. This has been proven to strengthen the skin barrier and can also alleviate nighttime itching. Particularly so-called emollients plus – such as Lipikar Baume AP+M – are suitable for this purpose, as they not only provide intensive moisture but also help to specifically regenerate the skin barrier and reduce itching in the long term.
Good to know
Did you know that sleep is especially important? Even for Critique Scratch Monsters and Kritzeline! Only well-rested monsters are ready for their adventures in the Itchyverse.

Conclusion
Sleep disturbances in children with atopic dermatitis can significantly affect both your child's quality of life and your family's as a whole. A consistent basic therapy with regular skin care using, for example, Lipikar Baume AP+M is the cornerstone for quieter nights. In combination with our five practical tips for a sleep-friendly environment, your child's sleep and quality of life can improve significantly. The adventures of the Critique Scratch Monster in the Itchyverse can also help your child fall asleep!
Kaaz K, Szepietowski JC, Matusiak Ł. Influence of Itch and Pain on Sleep Quality in Atopic Dermatitis and Psoriasis. Acta Derm Venereol. 1 Feb 2019;99(2):175-180. doi: 10.2340/00015555-3065. PMID: 30307027.
Reid, et al. Clinical and Experimental Dermatology. 1995;20(1):38–41
Sánchez-Pérez J, Daudén-Tello E, Mora AM, Lara Surinyac N. Impact of atopic dermatitis on health-related quality of life in Spanish children and adults: the PSEDA study. Actas Dermosifiliogr. Jan 2013;104(1):44-52. English, Spanish. doi: 10.1016/j.ad.2012.03.008. Epub 28 Jul 2012. PMID: 22841507.