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[Atopic dermatitis and allergy]

C Karila1

  • 1Service de pneumologie et allergologie pédiatriques, hôpital Necker-Enfants Malades, université Paris V - Descartes, 149, rue de Sèvres, 75015 Paris, France. chantal.karila@nck.aphp.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|May 25, 2013
PubMed

Insights

Identifying allergies is crucial for managing atopic dermatitis (AD). Early diagnosis of food allergies in infants and aeroallergen testing in older children can guide treatment, including immunotherapy, for better control of this common skin condition.

Area of Science:

  • Dermatology
  • Allergology
  • Pediatrics

Context:

  • Atopic dermatitis (AD) is a prevalent chronic inflammatory skin condition in childhood.
  • It often represents the initial manifestation of the atopic march.
  • Identifying triggers like food or respiratory allergies is essential for effective management.

Purpose:

  • To explore the diagnostic challenges and therapeutic implications of food and aeroallergen allergies in atopic dermatitis.
  • To differentiate between sensitization and clinical relevance of allergens in AD.
  • To guide clinical practice in managing pediatric atopic dermatitis.

Summary:

  • In infants, severe, early-onset AD unresponsive to topical corticosteroids and associated with immediate reactions may suggest food allergy, though allergen sensitization is common and clinical significance requires expert evaluation.
  • For older children, aeroallergen exposure can exacerbate AD, making allergy testing valuable for selecting specific immunotherapy.
  • Consulting an allergist is recommended to avoid unnecessary elimination diets and to confirm allergen involvement.

Impact:

  • Improved diagnostic accuracy for allergy-related atopic dermatitis.
  • Personalized treatment strategies, including immunotherapy, for better disease control.
  • Reduced reliance on ineffective elimination diets, improving patient quality of life.

Keywords:
Aero allergyAllergie alimentaireAllergie respiratoireAtopic dermatitisDermatite atopiqueFood allergy

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