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吸入性过敏原在特应性皮炎临床表现中的作用。

The Role of Inhalant Allergens on the Clinical Manifestations of Atopic Dermatitis.

机构信息

Divisions of Rhinology, Endoscopic Sinus Surgery, and Allergy, Department of Otolaryngology - Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.

Department of Dermatology, Eastern Virginia Medical School, Norfolk, VA, USA.

出版信息

Am J Rhinol Allergy. 2024 Jul;38(4):258-263. doi: 10.1177/19458924241246855. Epub 2024 Apr 16.

Abstract

BACKGROUND

Inhalant allergens provide a source of environmental factors that contribute to the development of clinical symptoms in patients with atopic dermatitis (AD).

OBJECTIVE

To review the relationship between inhalant allergens and AD.

METHODS

A literature review was conducted using three databases: PubMed/MEDLINE, ClinicalKey, and Web of Science. Search terms, including "atopic dermatitis," "atopic eczema," and "eczema," were used in combination with "inhalant allergen," "inhaled allergen," and "aeroallergen" to identify relevant published manuscripts that highlight the relationship between AD and exposures to inhalant allergens.

RESULTS

Fifteen articles were suitable for review. The studies included in the review investigated the effect of inhalant allergens on the clinical manifestations of AD through bronchial provocation, direct skin contact, and allergen sensitization.

CONCLUSION

There is a significant relationship between exposures to inhalant allergens and AD. Inhalant allergens may aggravate AD symptoms by either bronchial provocation or direct skin contact. Sensitization of inhalant allergens, mainly house dust mites, follows a specific age-related pattern.

摘要

背景

吸入性过敏原是导致特应性皮炎(AD)患者出现临床症状的环境因素之一。

目的

综述吸入性过敏原与 AD 的关系。

方法

使用 PubMed/MEDLINE、ClinicalKey 和 Web of Science 这三个数据库进行文献回顾,检索词包括“特应性皮炎”“特应性湿疹”和“湿疹”,并与“吸入性过敏原”“吸入性变应原”和“气传过敏原”相结合,以确定强调 AD 与吸入性过敏原暴露之间关系的相关已发表文献。

结果

有 15 篇文章适合进行综述。综述中纳入的研究通过支气管激发试验、直接皮肤接触和过敏原致敏来探究吸入性过敏原对 AD 临床表现的影响。

结论

接触吸入性过敏原与 AD 之间存在显著关联。吸入性过敏原可通过支气管激发或直接皮肤接触加重 AD 症状。吸入性过敏原(主要是屋尘螨)的致敏遵循特定的与年龄相关的模式。

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