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[Role of IgE-dependent reactions in atopic dermatitis]
Jarosław Dynowski1, Krystyna Wasowska-Królikowska, Małgorzata Modzelewska-Hołyńska
1Klinika Alergologii, Gastroenterologii i Zywienia Dzieci III Katedry Pediatrii UM, ul. Sporna 36/50, 91-738 Łodz, Poland.
Insights
Common allergens like animal hair and food cause atopic dermatitis in children. While specific IgE tests are useful, they may not be sufficient for a complete diagnosis of this complex skin condition.
Area of Science:
- Pediatric Allergy and Immunology
- Dermatology
- Immunology
Context:
- Atopic dermatitis is a prevalent chronic inflammatory skin condition in children.
- Its pathogenesis is multifactorial, involving genetic and environmental factors.
- Identifying causative allergens is crucial for effective management.
Purpose:
- To determine the most frequent allergens implicated in childhood atopic dermatitis.
- To evaluate the diagnostic utility of specific IgE testing in this population.
Summary:
- The study analyzed 36 children with atopic dermatitis, collecting clinical histories and performing IgE testing.
- Eosinophilia, elevated total IgE, and specific IgE (sIgE) were observed in a subset of patients.
- Animal hair and food allergens were the most commonly identified triggers, though a significant number of patients had negative sIgE results despite clinical symptoms.
Impact:
- Highlights the importance of considering animal hair and food allergens in pediatric atopic dermatitis.
- Suggests that specific IgE testing alone may be insufficient for diagnosing all cases.
- Informs clinical practice regarding comprehensive allergy assessment in children with atopic dermatitis.
Unlabelled:
Atopic dermatitis is a disease of multifactorial pathogenesis.
The Aim:
of the study was to establish the most common allergens responsible for development of atopic symptoms in children with atopic dermatitis.
Material And Method:
the study complied 36 children aged 4 months - 3 years treated in the Department of Children Allergology, Gastroenterology and Nutrition because of atopic dermatitis. With each case the patient and family history of atopy was collected and basic laboratory tests were conducted (including total IgE and specific IgE using Polly Check system).
Results:
eosinophilia was found in 11/36 children, elevated total IgE level in 16/36 and specific IgE were present in 14/36 patients. 6 patients proved to have sIgE for more then one allergen. The most commonly found allergens were animal hair, and food allergens. In 22 cases in spite of obvious clinical symptoms requiring therapy at hospital, all sIgE were negative for all tested allergens.
Conclusion:
although estimating sIgE is commonly used in diagnosing atopic dermatitis, it may not be sufficient to establish complete diagnosis. It seems that animal hair and food allergens are mainly responsible for development of atopic dermatitis.
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