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Aeroallergens in Atopic Dermatitis and Chronic Urticaria
Albert C Chong1, Won Jong Chwa2, Peck Y Ong3,4
1Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Current Allergy and Asthma Reports
|April 1, 2022
Summary
Aeroallergens are confirmed triggers for atopic dermatitis and emerging triggers for chronic urticaria. Management focuses on avoidance, with immunotherapy needing further study.
Area of Science:
- Dermatology
- Allergology
- Immunology
Background:
- Aeroallergens are known asthma and allergic rhinitis triggers.
- Their role in atopic dermatitis and chronic urticaria is debated.
Purpose of the Study:
- Review pathophysiology and clinical evidence of aeroallergens in allergic skin diseases.
- Summarize current evaluation and management strategies.
Main Methods:
- Review of existing literature on aeroallergen triggers in atopic dermatitis and chronic urticaria.
- Analysis of proposed mechanisms and clinical evidence.
Main Results:
- Aeroallergens clearly trigger atopic dermatitis via skin contact.
- Emerging evidence suggests aeroallergens trigger chronic urticaria.
- Mechanisms involve skin barrier crossing, neuronal activation, and mast cell degranulation.
- Sensitization is linked to chronic urticaria; avoidance is suggested.
Conclusions:
- Aeroallergens play a significant role in atopic dermatitis and increasingly in chronic urticaria.
- Diagnosis involves skin prick or IgE testing.
- Management emphasizes avoidance; immunotherapy efficacy requires more research.
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