Comorbidities of atopic dermatitis-what does the evidence say?

被引:78
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
相关论文
共 122 条
[91]   Association between atopic dermatitis and extracutaneous bacterial and mycobacterial infections: A systematic review and meta-analysis [J].
Serrano, Linda ;
Patel, Kevin R. ;
Silverberg, Jonathan I. .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2019, 80 (04) :904-912
[92]   Atopic dermatitis is associated with osteoporosis and osteopenia in older adults [J].
Shaheen, Mohammed S. ;
Silverberg, Jonathan I. .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2019, 80 (02) :550-551
[93]   The Bidirectional Association between Inflammatory Bowel Disease and Atopic Dermatitis: A Systematic Review and Meta-Analysis [J].
Shi, Xiao ;
Chen, Qi ;
Wang, Fen .
DERMATOLOGY, 2020, 236 (06) :546-553
[94]   Adult-Onset Atopic Dermatitis [J].
Silverberg, Jonathan I. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 2019, 7 (01) :28-33
[95]   Atopic eczema in adulthood and mortality: UK population-based cohort study, 1998-2016 [J].
Silverwood, Richard J. ;
Mansfield, Kathryn E. ;
Mulick, Amy ;
Wong, Angel Y. S. ;
Schmidt, Sigrun A. J. ;
Roberts, Amanda ;
Smeeth, Liam ;
Abuabara, Katrina ;
Langan, Sinead M. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2021, 147 (05) :1753-1763
[96]   Severe and predominantly active atopic eczema in adulthood and long term risk of cardiovascular disease: population based cohort study [J].
Silverwood, Richard J. ;
Forbes, Harriet J. ;
Abuabara, Katrina ;
Ascott, Anna ;
Schmidt, Morten ;
Schmidt, Sigrun A. J. ;
Smeeth, Liam ;
Langan, Sinead M. .
BMJ-BRITISH MEDICAL JOURNAL, 2018, 361
[97]   Patient burden of moderate to severe atopic dermatitis (AD): Insights from a phase 2b clinical trial of dupilumab in adults [J].
Simpson, Eric L. ;
Bieber, Thomas ;
Eckert, Laurent ;
Wu, Richard ;
Ardeleanu, Marius ;
Graham, Neil M. H. ;
Pirozzi, Gianluca ;
Mastey, Vera .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2016, 74 (03) :491-498
[98]   Inflammatory bowel disease and the risk of osteoporosis and fracture [J].
Targownik, Laura E. ;
Bernstein, Charles N. ;
Leslie, William D. .
MATURITAS, 2013, 76 (04) :315-319
[99]   Cardiovascular disease and atopic dermatitis: epidemiological strengths and limitations [J].
Thyssen, J. P. ;
Egeberg, A. .
BRITISH JOURNAL OF DERMATOLOGY, 2018, 179 (04) :1014-1015
[100]   The association with cardiovascular disease and type 2 diabetes in adults with atopic dermatitis: a systematic review and meta-analysis [J].
Thyssen, J. P. ;
Halling-Overgaard, A. -S. ;
Andersen, Y. M. F. ;
Gislason, G. ;
Skov, L. ;
Egeberg, A. .
BRITISH JOURNAL OF DERMATOLOGY, 2018, 178 (06) :1272-1279