Comorbidities of atopic dermatitis-what does the evidence say?

被引:77
作者
Thyssen, Jacob P. [1 ,2 ,7 ]
Halling, Anne-Sofie [1 ]
Schmid-Grendelmeier, Peter [3 ]
Guttman-Yassky, Emma [4 ,5 ]
Silverberg, Jonathan I. [6 ]
机构
[1] Bispebjerg Hosp, Dept Dermatol, Copenhagen, Denmark
[2] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark
[3] Univ Zurich, Dept Dermatol, Zurich, Switzerland
[4] Icahn Sch Med Mt Sinai, Dept Dermatol, New York, NY USA
[5] Icahn Sch Med Mt Sinai, Lab Inflammatory Skin Dis, New York, NY USA
[6] George Washington Univ, Sch Med & Hlth Sci, Washington, DC USA
[7] Univ Copenhagen, Bispebjerg Hosp, Dept Dermatol, DK-2400 Copenhagen NV, Denmark
关键词
Key words; Atopic dermatitis; atopy; asthma; burden; comorbidity; INFLAMMATORY-BOWEL-DISEASE; GENOME-WIDE ASSOCIATION; SODIUM LAURYL SULFATE; OF-FUNCTION MUTATIONS; ALOPECIA-AREATA; BIDIRECTIONAL ASSOCIATION; SYSTEMIC INFECTIONS; FILAGGRIN GENE; INCREASED RISK; SKIN-CANCER;
D O I
10.1016/j.jaci.2022.12.002
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Atopic dermatitis (AD) is a common disease that is associated with atopic and nonatopic comorbidities. There has been a growing interest in this area of AD, because presence or risk of comorbidities can in many ways impact the management of patients with AD. Thus, some treatments for AD may improve its comorbidities as well, whereas others may increase their risk. In this review article, we discuss various comorbidities of AD mostly on the basis of the results of recent multiple systematic reviews and meta-analyses to update readers about this rapidly developing area of dermatology. We emphasize the important information provided by studies presenting both relative risk and absolute risk, and show that AD is associated with, among others, atopic comorbidities such as asthma, rhinitis, and food allergy, nonatopic comorbidities such as ocular, psychiatric, infectious, endocrine, autoimmune, and cardiovascular diseases, and certain cancers. Clinicians need to be aware of these and be cognizant about positive and negative effects of existing and new treatments for AD. (J Allergy Clin Immunol 2023;151:1155-62.)
引用
收藏
页码:1155 / 1162
页数:8
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