Dhar Sandipan, Jagadeesan Soumya
Department of Pediatric Dermatology, Institute of Child Health, Kolkata, West Bengal, India.
Department of Dermatology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Indian J Dermatol. 2022 May-Jun;67(3):265-272. doi: 10.4103/ijd.ijd_989_21.
The progression of allergic diseases with the development of atopic dermatitis and food allergy in infancy and subsequent asthma and allergic rhinitis in the later childhood is known as 'atopic march'. There have been many arguments in favour of and against this concept. This article reviews the latest epidemiology, immunological mechanisms and translational implications in clinical practice and research, which is relevant to the dermatologists. The role of skin as a site of initiation and the potential for interventions on skin that may prevent subsequent allergic diseases is also highlighted.
过敏性疾病随着婴儿期特应性皮炎和食物过敏发展,以及随后儿童期哮喘和过敏性鼻炎的进展被称为“特应性进程”。对于这一概念,一直存在许多支持和反对的观点。本文综述了与皮肤科医生相关的最新流行病学、免疫机制以及在临床实践和研究中的转化意义。还强调了皮肤作为起始部位的作用以及对皮肤进行干预以预防后续过敏性疾病的可能性。