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Dermatitis, atopic(ATOD1)

MedGen UID:
350353
Concept ID:
C1864155
Disease or Syndrome
Synonym: Dermatitis, Atopic, 1
 
Monarch Initiative: MONDO:0011292
OMIM®: 603165

Clinical features

From HPO
Asthma
MedGen UID:
2109
Concept ID:
C0004096
Disease or Syndrome
Asthma is characterized by increased responsiveness of the tracheobronchial tree to multiple stimuli, leading to narrowing of the air passages with resultant dyspnea, cough, and wheezing.
Conjunctivitis
MedGen UID:
1093
Concept ID:
C0009763
Disease or Syndrome
Inflammation of the conjunctiva.
Atopic eczema
MedGen UID:
41502
Concept ID:
C0011615
Disease or Syndrome
Atopic dermatitis (ATOD), also known as eczema, is a common chronic pruritic inflammatory skin disease with a strong genetic component. Onset typically occurs during the first 2 years of life (review by Soderhall et al., 2007). Genetic Heterogeneity of Atopic Dermatitis Many inflammatory diseases, such as atopic eczema, are genetically complex, with multiple alleles at several loci thought to be involved in their pathogenesis. Several susceptibility loci for atopic dermatitis have been identified: ATOD1 on chromosome 3q21, ATOD2 (605803) on chromosome 1q21, ATOD3 (605804) on chromosome 20p, ATOD4 (605805) on chromosome 17q25.3, ATOD5 (603165) on chromosome 13q12-q14, ATOD6 (605845) on chromosome 5q31-q33, ATOD7 (613064) on chromosome 11q13.5, ATOD8 (613518) on chromosome 4q22.1, and ATOD9 (613519) on chromosome 3p24.
Eczema
MedGen UID:
3968
Concept ID:
C0013595
Disease or Syndrome
Eczema is a form of dermatitis. The term eczema is broadly applied to a range of persistent skin conditions and can be related to a number of underlying conditions. Manifestations of eczema can include dryness and recurring skin rashes with redness, skin edema, itching and dryness, crusting, flaking, blistering, cracking, oozing, or bleeding.
Recurrent skin infections
MedGen UID:
377848
Concept ID:
C1853193
Disease or Syndrome
Infections of the skin that happen multiple times.
Allergic rhinitis
MedGen UID:
382012
Concept ID:
C2607914
Disease or Syndrome
It is characterized by one or more symptoms including sneezing, itching, nasal congestion, and rhinorrhea.
Food intolerance
MedGen UID:
57440
Concept ID:
C0149696
Finding
A detrimental reaction to a food, beverage, food additive, or compound found in foods that produces symptoms in one or more body organs and systems that is not mediated by an immune reaction.
Abnormality of metabolism/homeostasis
MedGen UID:
867398
Concept ID:
C4021768
Finding
Infra-orbital fold
MedGen UID:
869032
Concept ID:
C4023449
Finding
Elevated ridge(s) of skin starting well below the medial aspect of the lower lid that curves gradually upward toward and/or across the nasal bridge.
Ichthyosis
MedGen UID:
7002
Concept ID:
C0020757
Disease or Syndrome
An abnormality of the skin characterized the presence of excessive amounts of dry surface scales on the skin resulting from an abnormality of keratinization.
Pallor
MedGen UID:
10547
Concept ID:
C0030232
Finding
Abnormally pale skin.
Pruritus
MedGen UID:
19534
Concept ID:
C0033774
Sign or Symptom
Pruritus is an itch or a sensation that makes a person want to scratch. This term refers to an abnormally increased disposition to experience pruritus.
Dry skin
MedGen UID:
56250
Concept ID:
C0151908
Sign or Symptom
Skin characterized by the lack of natural or normal moisture.
Facial erythema
MedGen UID:
65986
Concept ID:
C0239488
Finding
Redness of the skin of the face, caused by hyperemia of the capillaries in the lower layers of the skin.
Keratosis pilaris
MedGen UID:
82664
Concept ID:
C0263383
Disease or Syndrome
An anomaly of the hair follicles of the skin that typically presents as small, rough, brown folliculocentric papules distributed over characteristic areas of the skin, particularly the outer-upper arms and thighs.
Flexural lichenification
MedGen UID:
870427
Concept ID:
C4024873
Disease or Syndrome
Lichenification affecting primarily flexural areas of the skin.
Keratoconus
MedGen UID:
44015
Concept ID:
C0022578
Disease or Syndrome
A cone-shaped deformity of the cornea characterized by the presence of corneal distortion secondary to thinning of the apex.
Cataract
MedGen UID:
39462
Concept ID:
C0086543
Disease or Syndrome
A cataract is an opacity or clouding that develops in the crystalline lens of the eye or in its capsule.

Professional guidelines

PubMed

Wise SK, Damask C, Roland LT, Ebert C, Levy JM, Lin S, Luong A, Rodriguez K, Sedaghat AR, Toskala E, Villwock J, Abdullah B, Akdis C, Alt JA, Ansotegui IJ, Azar A, Baroody F, Benninger MS, Bernstein J, Brook C, Campbell R, Casale T, Chaaban M, Chew FT, Chambliss J, Cianferoni A, Custovic A, Davis EM, DelGaudio JM, Ellis AK, Flanagan C, Fokkens WJ, Franzese C, Greenhawt M, Gill A, Halderman A, Hohlfeld JM, Incorvaia C, Joe SA, Joshi S, Kuruvilla ME, Kim J, Klein AM, Krouse HJ, Kuan EC, Lang D, Larenas-Linnemann D, Laury AM, Lechner M, Lee SE, Lee VS, Loftus P, Marcus S, Marzouk H, Mattos J, McCoul E, Melen E, Mims JW, Mullol J, Nayak JV, Oppenheimer J, Orlandi RR, Phillips K, Platt M, Ramanathan M Jr, Raymond M, Rhee CS, Reitsma S, Ryan M, Sastre J, Schlosser RJ, Schuman TA, Shaker MS, Sheikh A, Smith KA, Soyka MB, Takashima M, Tang M, Tantilipikorn P, Taw MB, Tversky J, Tyler MA, Veling MC, Wallace D, Wang Y, White A, Zhang L
Int Forum Allergy Rhinol 2023 Apr;13(4):293-859. Epub 2023 Mar 6 doi: 10.1002/alr.23090. PMID: 36878860
Frazier W, Bhardwaj N
Am Fam Physician 2020 May 15;101(10):590-598. PMID: 32412211
Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, Berger TG, Bergman JN, Cohen DE, Cooper KD, Cordoro KM, Davis DM, Krol A, Margolis DJ, Paller AS, Schwarzenberger K, Silverman RA, Williams HC, Elmets CA, Block J, Harrod CG, Smith Begolka W, Sidbury R
J Am Acad Dermatol 2014 Feb;70(2):338-51. Epub 2013 Nov 27 doi: 10.1016/j.jaad.2013.10.010. PMID: 24290431Free PMC Article

Recent clinical studies

Etiology

Langan SM, Irvine AD, Weidinger S
Lancet 2020 Aug 1;396(10247):345-360. doi: 10.1016/S0140-6736(20)31286-1. PMID: 32738956
Williams HC, Chalmers J
Acta Derm Venereol 2020 Jun 9;100(12):adv00166. doi: 10.2340/00015555-3516. PMID: 32419030Free PMC Article
Czarnowicki T, He H, Krueger JG, Guttman-Yassky E
J Allergy Clin Immunol 2019 Jan;143(1):1-11. doi: 10.1016/j.jaci.2018.10.032. PMID: 30612663
Avena-Woods C
Am J Manag Care 2017 Jun;23(8 Suppl):S115-S123. PMID: 28978208
Nutten S
Ann Nutr Metab 2015;66 Suppl 1:8-16. Epub 2015 Apr 24 doi: 10.1159/000370220. PMID: 25925336

Diagnosis

Ständer S
N Engl J Med 2021 Mar 25;384(12):1136-1143. doi: 10.1056/NEJMra2023911. PMID: 33761208
Williams HC, Chalmers J
Acta Derm Venereol 2020 Jun 9;100(12):adv00166. doi: 10.2340/00015555-3516. PMID: 32419030Free PMC Article
Torres T, Ferreira EO, Gonçalo M, Mendes-Bastos P, Selores M, Filipe P
Acta Med Port 2019 Sep 2;32(9):606-613. doi: 10.20344/amp.11963. PMID: 31493365
Avena-Woods C
Am J Manag Care 2017 Jun;23(8 Suppl):S115-S123. PMID: 28978208
Strathie Page S, Weston S, Loh R
Aust Fam Physician 2016 May;45(5):293-6. PMID: 27166464

Therapy

Sedeh FB, Henning MAS, Jemec GBE, Ibler KS
Acta Derm Venereol 2022 Aug 24;102:adv00764. doi: 10.2340/actadv.v102.2075. PMID: 35818735Free PMC Article
Simpson EL, Papp KA, Blauvelt A, Chu CY, Hong HC, Katoh N, Calimlim BM, Thyssen JP, Chiou AS, Bissonnette R, Stein Gold LF, Wegzyn C, Hu X, Liu M, Liu J, Tenorio AR, Chu AD, Guttman-Yassky E
JAMA Dermatol 2022 Apr 1;158(4):404-413. doi: 10.1001/jamadermatol.2022.0029. PMID: 35262646Free PMC Article
Sardana K, Sachdeva S
J Cosmet Dermatol 2022 Jan;21(1):85-98. Epub 2021 Sep 26 doi: 10.1111/jocd.14436. PMID: 34564936
Zhou S, Qi F, Gong Y, Zhang J, Zhu B
Dermatology 2021;237(4):542-552. Epub 2021 Mar 18 doi: 10.1159/000514535. PMID: 33735876
Nakajima S, Kabata H, Kabashima K, Asano K
Allergol Int 2020 Apr;69(2):197-203. Epub 2020 Jan 21 doi: 10.1016/j.alit.2020.01.001. PMID: 31974038

Prognosis

Laughter MR, Maymone MBC, Mashayekhi S, Arents BWM, Karimkhani C, Langan SM, Dellavalle RP, Flohr C
Br J Dermatol 2021 Feb;184(2):304-309. Epub 2020 Nov 29 doi: 10.1111/bjd.19580. PMID: 33006135
Yang L, Fu J, Zhou Y
Front Immunol 2020;11:1907. Epub 2020 Aug 27 doi: 10.3389/fimmu.2020.01907. PMID: 32973790Free PMC Article
Bylund S, Kobyletzki LB, Svalstedt M, Svensson Å
Acta Derm Venereol 2020 Jun 9;100(12):adv00160. doi: 10.2340/00015555-3510. PMID: 32412646Free PMC Article
Burris D, Rosenberg CE, Schwartz JT, Zhang Y, Eby MD, Abonia JP, Fulkerson PC
J Allergy Clin Immunol Pract 2019 Nov-Dec;7(8):2750-2758.e2. Epub 2019 May 22 doi: 10.1016/j.jaip.2019.05.011. PMID: 31128377Free PMC Article
Owen JL, Vakharia PP, Silverberg JI
Am J Clin Dermatol 2018 Jun;19(3):293-302. doi: 10.1007/s40257-017-0340-7. PMID: 29305764Free PMC Article

Clinical prediction guides

Kabashima K, Matsumura T, Komazaki H, Kawashima M; Nemolizumab-JP01 Study Group
N Engl J Med 2020 Jul 9;383(2):141-150. doi: 10.1056/NEJMoa1917006. PMID: 32640132
Ali F, Vyas J, Finlay AY
Acta Derm Venereol 2020 Jun 9;100(12):adv00161. doi: 10.2340/00015555-3511. PMID: 32412644Free PMC Article
Wollenberg A, Howell MD, Guttman-Yassky E, Silverberg JI, Kell C, Ranade K, Moate R, van der Merwe R
J Allergy Clin Immunol 2019 Jan;143(1):135-141. Epub 2018 Jun 12 doi: 10.1016/j.jaci.2018.05.029. PMID: 29906525
Beck LA, Thaçi D, Hamilton JD, Graham NM, Bieber T, Rocklin R, Ming JE, Ren H, Kao R, Simpson E, Ardeleanu M, Weinstein SP, Pirozzi G, Guttman-Yassky E, Suárez-Fariñas M, Hager MD, Stahl N, Yancopoulos GD, Radin AR
N Engl J Med 2014 Jul 10;371(2):130-9. doi: 10.1056/NEJMoa1314768. PMID: 25006719
Dermatology 1993;186(1):23-31. doi: 10.1159/000247298. PMID: 8435513

Recent systematic reviews

Sedeh FB, Henning MAS, Jemec GBE, Ibler KS
Acta Derm Venereol 2022 Aug 24;102:adv00764. doi: 10.2340/actadv.v102.2075. PMID: 35818735Free PMC Article
Drucker AM, Morra DE, Prieto-Merino D, Ellis AG, Yiu ZZN, Rochwerg B, Di Giorgio S, Arents BWM, Burton T, Spuls PI, Schmitt J, Flohr C
JAMA Dermatol 2022 May 1;158(5):523-532. doi: 10.1001/jamadermatol.2022.0455. PMID: 35293977Free PMC Article
Bosma AL, Ascott A, Iskandar R, Farquhar K, Matthewman J, Langendam MW, Mulick A, Abuabara K, Williams HC, Spuls PI, Langan SM, Middelkamp-Hup MA
J Eur Acad Dermatol Venereol 2022 Jun;36(6):807-819. Epub 2022 Feb 25 doi: 10.1111/jdv.18008. PMID: 35170821Free PMC Article
Silverberg JI, Thyssen JP, Fahrbach K, Mickle K, Cappelleri JC, Romero W, Cameron MC, Myers DE, Clibborn C, DiBonaventura M
J Eur Acad Dermatol Venereol 2021 Sep;35(9):1797-1810. Epub 2021 Jun 12 doi: 10.1111/jdv.17351. PMID: 33991374Free PMC Article
Bylund S, Kobyletzki LB, Svalstedt M, Svensson Å
Acta Derm Venereol 2020 Jun 9;100(12):adv00160. doi: 10.2340/00015555-3510. PMID: 32412646Free PMC Article

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