Epicutaneous aeroallergen sensitization in atopic dermatitis infants - determining the role of epidermal barrier impairment

Autor: M. Fayon, Alain Taieb, Christine Léauté-Labrèze, S. Maurice-Tison, S. Roul, Franck Boralevi, T. Hubiche, E. Saubusse
Rok vydání: 2008
Předmět:
Zdroj: Allergy. 63:205-210
ISSN: 0105-4538
DOI: 10.1111/j.1398-9995.2007.01556.x
Popis: Background: Sensitization to atopens is an early phenomenon that overlaps with the onset of atopic dermatitis (AD) in infancy. Early epidermal barrier impairment may facilitate the epicutaneous penetration of atopens. Objective: To correlate transepidermal water loss (TEWL) and aeroallergen sensitization in infants with AD. Methods: In this cross-sectional study we enrolled 59 AD children and 30 controls aged 3–12 months. Transepidermal water loss in uninvolved skin, specific immunoglobulin E, atopy patch test (APT) and skin prick tests were performed with respect to seven aeroallergens, i.e., Dermatophagoides pteronyssinus, D. farinae, cat, dog, birch pollen, ambrosia, and cockroach. Environmental conditions were assessed by a questionnaire, and the house dust mite (HDM) concentration was determined in dust samples. Results: Eighty-nine percent of AD infants had a positive APT vs one out of eleven controls. AD infants had a significantly higher mean TEWL than controls (27.4 vs 11.1 g/m2/h, P
Databáze: OpenAIRE