In Reply We thank Tsai and Ma for their interest in our article1 and appreciate the opportunity to discuss the points raised.
Previous studies on cognition in atopic dermatitis (AD) are heterogeneous in their methods and findings.2-4 In our current study,1 AD was associated with greater odds of memory or learning difficulties among US children, but this association was primarily limited to children with known neurodevelopmental comorbidities such as attention-deficit/hyperactivity disorder (ADHD) or learning disabilities.