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The atopic march: the pattern of allergic disease development in childhood
Eugenia L Hahn1, Leonard B Bacharier
1Division of Allergy and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine, 1 Children's Place, St. Louis, MO 63110, USA.
Insights
The atopic march describes the progression of allergic diseases in children. Research identifies at-risk groups and explores interventions targeting environmental and genetic factors to modify disease development.
Area of Science:
- Pediatric Allergy and Immunology
- Epidemiology of Allergic Diseases
Background:
- The atopic march is the sequential development of allergic disease manifestations in early childhood.
- Epidemiologic and birth-cohort studies are crucial for understanding allergic disease evolution and identifying at-risk populations.
Purpose of the Study:
- To discuss populations at risk for developing atopic conditions.
- To review interventions aimed at modifying the progression of allergic disease.
Main Methods:
- Review of epidemiologic and birth-cohort studies.
- Analysis of intervention studies focusing on the atopic march.
Main Results:
- Identification of key environmental factors and genetic predispositions influencing the atopic march.
- Overview of various intervention strategies explored to alter disease progression.
Conclusions:
- Understanding at-risk populations and effective interventions is vital for managing the atopic march.
- Environmental factors and genetic predisposition play significant roles in the atopic march.
Abstract:
The sequential development of allergic disease manifestations during early childhood is often referred to as the atopic march. Various epidemiologic and birth-cohort studies have begun to elucidate the evolution of allergic disease manifestations and to identify populations at risk for disease. These studies, along with intervention studies, emphasize the effects of environmental factors and genetic predisposition on the atopic march. This article discusses the populations at risk for the development of atopic conditions and the interventions that have been explored in attempts to modify the progression of allergic disease.
Related Concept Videos
Asthma I: Introduction
Allergic Reactions
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-I: Introduction
Asthma III: Clinical Manifestations
