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Atopic dermatitis is a common condition and the clinical presentation is often classic. Yet management of the disease varies widely, not always taking into account the severity of the disease and its repercussions on the patient and his environment - personal or social. With on one side the resilience of the patient and on the other side a shortage of general practitioners or dermatologists, a lack of understanding in the professional or family environment, and clinical inertia, disease management is clearly insufficient. Like in all inflammatory dermatoses, the patient's and the physician's assessment and perception of the clinical severity or the deterioration of the quality of life often differ. These three clinical cases are real-life situations where the emphasis is on their history and not on therapeutic choices. © 2020 Elsevier Masson SAS. All rights reserved.