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特应性皮炎的共病:超越鼻炎和哮喘

Comorbidities of Atopic Dermatitis: Beyond Rhinitis and Asthma.

作者信息

Andersen Yuki M F, Egeberg Alexander, Skov Lone, Thyssen Jacob P

机构信息

Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University of Copenhagen, Kildegårdsvej 28, 2900 Hellerup, Denmark.

出版信息

Curr Dermatol Rep. 2017;6(1):35-41. doi: 10.1007/s13671-017-0168-7. Epub 2017 Jan 21.

Abstract

PURPOSE OF REVIEW

In this review article, we summarize the current evidence about atopic dermatitis (AD)-associated comorbidities, beyond the traditional atopic and allergic conditions.

RECENT FINDINGS

Patients with AD may have an increased risk of cardiovascular diseases, certain malignancies, autoimmune diseases, and neuropsychiatric diseases. The causes of these associations are likely multifactorial and may include genetic predispositions, systemic low-grade inflammation, environmental exposures, medication, and lifestyle and behavioral risk factors. There appears to be geographical variations in prevalence of comorbidities in patients with AD, indicating that differences in ethnicity and lifestyle factors may significantly influence the risk of certain comorbidities.

SUMMARY

The reported comorbidities in recent literature emphasize the burden of disease in patients with AD. Early appropriate AD therapy, in combination with reduction of risk factors, may help prevention of certain comorbidities. The reported observations may generate hypotheses for future investigations in underlying risk factors for AD-associated comorbidities.

摘要

综述目的

在这篇综述文章中,我们总结了关于特应性皮炎(AD)相关合并症的当前证据,这些合并症超出了传统的特应性和过敏性疾病范畴。

最新发现

AD患者患心血管疾病、某些恶性肿瘤、自身免疫性疾病和神经精神疾病的风险可能增加。这些关联的原因可能是多因素的,可能包括遗传易感性、全身性低度炎症、环境暴露、药物治疗以及生活方式和行为风险因素。AD患者合并症的患病率似乎存在地域差异,这表明种族和生活方式因素的差异可能会显著影响某些合并症的风险。

总结

近期文献报道的合并症强调了AD患者的疾病负担。早期适当的AD治疗,结合风险因素的降低,可能有助于预防某些合并症。所报道的观察结果可能为未来关于AD相关合并症潜在风险因素的研究产生假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4f/5556128/edec411fb1c7/13671_2017_168_Fig1_HTML.jpg

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