☆ 4.3 Review

Intrinsic Atopic Dermatitis and Extrinsic Atopic Dermatitis: Similarities and Differences

CLINICAL COSMETIC AND INVESTIGATIONAL DERMATOLOGY (2022)

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Review Dermatology

The Role of Diet Modification in Atopic Dermatitis: Navigating the Complexity

Andrea M. Rustad et al.

Summary: Diet is intricately associated with atopic dermatitis and food allergy, but many details remain unclear. Various skin reactions to food complicate the diagnosis and understanding of food allergies. Many incorrectly attribute diet as the cause of atopic dermatitis symptoms, leading to unnecessary labeling of food allergies and neglect of traditional treatment methods.

AMERICAN JOURNAL OF CLINICAL DERMATOLOGY (2022)

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The risk of atopic comorbidities and atopic march progression among Black and White children with mild to moderate atopic dermatitis: a cross-sectional study

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Lack of Significant Association between Sex Hormone Concentrations and Atopic Dermatitis in Adolescents and Adults in Two Population-Based Studies

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Unraveling the Role of Sex Hormones on Keratinocyte Functions in Human Inflammatory Skin Diseases

Rossella Gratton et al.

Summary: The skin is the first line of defense for the human body, providing physical, chemical, and immune barriers. Keratinocytes, the main cell type of the skin, play a crucial role in maintaining skin integrity and immune responses. Sex hormones have multiple effects on the skin by binding to intracellular receptors in different skin cell populations, including keratinocytes. This review focuses on the role of sex hormones in keratinocyte function in five different inflammatory skin diseases, aiming to identify potential targets for therapeutic interventions.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2022)

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Review Allergy

Subtypes of atopic dermatitis: From phenotype to endotype

Yoshiki Tokura et al.

Summary: Atopic dermatitis (AD) is a heterogeneous disorder that can be classified into different types, including the IgE-high, extrinsic subtype and the IgE-normal, intrinsic subtype. Recent research has shown that different populations have different AD subtypes, which differ in immune regulation, skin barrier, and cytokine activation. Therefore, personalized or precision medicine is crucial for the treatment of AD targeting each subtype.

ALLERGOLOGY INTERNATIONAL (2022)

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Children atopic dermatitis: Diagnosis, mimics, overlaps, and therapeutic implication

Maddalena Napolitano et al.

Summary: Atopic dermatitis (AD) is a chronic inflammatory skin condition that causes itching and has a significant psychosocial impact on patients and their relatives. It presents with various clinical phenotypes, with varying severity and course. Diagnosis relies on experienced dermatologists, and misdiagnosis and delayed treatment can have negative effects on the patient's health.

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Clinical examination for hyperlinear palms to determine filaggrin genotype: A diagnostic test accuracy study

Lucy E. Bradshaw et al.

Summary: The presence of palmar hyperlinearity is not a reliable indicator for detecting FLG mutations, but the absence of palmar hyperlinearity can reasonably exclude FLG null genotype.

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So close, and yet so far away: The dichotomy of the specific immune response and inflammation in psoriasis and atopic dermatitis

A. Schabitz et al.

Summary: This paper elucidates the pathogenesis of psoriasis and AD, revealing that while they share some similarities, there are distinct differences in immune responses and inflammatory cytokines between the two, as well as variations in genetics, microbiome, and T-cell infiltrate. Despite targeted treatments with specific biologics against key cytokines, clinical overlap phenotypes remain challenging in practice.

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Advances in atopic dermatitis in 2019-2020: Endotypes from skin barrier, ethnicity, properties of antigen, cytokine profiles, microbiome, and engagement of immune cells

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Summary: Key research advances in atopic dermatitis reveal the complexity of its endotypes, including traditional TH2-dominant type and an axis of cytokines commonly seen in Asian individuals. Innate lymphoid cells play a critical role in AD development and heterogeneity. Stratification based on endotypes may lead to customized therapeutic strategies in the future.

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Skin Barrier Function in Psoriasis and Atopic Dermatitis: Transepidermal Water Loss and Temperature as Useful Tools to Assess Disease Severity

Trinidad Montero-Vilchez et al.

Summary: This study compared skin barrier function between healthy skin, psoriatic skin, and atopic dermatitis skin, finding that TEWL was higher at psoriatic and AD lesions, while SCH was lower. Specific TEWL and temperature values may help clinicians determine disease severity and treatment needs.

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Role of Aryl Hydrocarbon Receptor Activation in Inflammatory Chronic Skin Diseases

Maddalena Napolitano et al.

Summary: Aryl Hydrocarbon Receptor (AhR) is an evolutionary transcription factor that plays a crucial role in the physiology of the skin and has been implicated in the development of inflammatory skin diseases. The evidence suggests both beneficial and harmful effects of AhR signaling.

CELLS (2021)

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Skin pH mapping and its relationship with transepidermal water loss, hydration and disease severity in adult patients with atopic dermatitis

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SKIN RESEARCH AND TECHNOLOGY (2020)

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Review Allergy

The role of filaggrin in atopic dermatitis and allergic disease

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ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY (2020)

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Current Understanding of Pathophysiological Mechanisms of Atopic Dermatitis: Interactions among Skin Barrier Dysfunction, Immune Abnormalities and Pruritus

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Altered Levels of Sphingosine, Sphinganine and Their Ceramides in Atopic Dermatitis Are Related to Skin Barrier Function, Disease Severity and Local Cytokine Milieu

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INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2020)

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Endophenotypic Variations of Atopic Dermatitis by Age, Race, and Ethnicity

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Atopic dermatitis

Sinéad M Langan et al.

LANCET (2020)

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Atopic phenotypes and their implication in the atopic march

Adnan Custovic et al.

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Suprabasin-null mice retain skin barrier function and show high contact hypersensitivity to nickel upon oral nickel loading

Shinsuke Nakazawa et al.

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Lan Yang et al.

FRONTIERS IN IMMUNOLOGY (2020)

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Identification of Molecular Signatures in Mild Intrinsic Atopic Dermatitis by Bioinformatics Analysis

Huibin Yin et al.

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Norma Olivia De la O-Escamilla et al.

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Baseline IL-22 expression in patients with atopic dermatitis stratifies tissue responses to fezakinumab

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Naoko Kanda et al.

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Efficacy and safety of ustekinumab treatment in adults with moderate-to-severe atopic dermatitis

Saakshi Khattri et al.

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Takaaki Hiragun et al.

JOURNAL OF DERMATOLOGICAL SCIENCE (2017)

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Atopic dermatitis phenotypes and the need for personalized medicine

Beatriz Cabanillas et al.

CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY (2017)

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Distinct molecular signatures of mild extrinsic and intrinsic atopic dermatitis

Britta C. Martel et al.

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Spontaneous atopic dermatitis is mediated by innate immunity, with the secondary lung inflammation of the atopic march requiring adaptive immunity

Sean P. Saunders et al.

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY (2016)

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Toll-like receptor 2 agonist Pam3CSK4 up-regulates FcεRI receptor expression on monocytes from patients with severe extrinsic atopic dermatitis

Z. Song et al.

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY (2015)

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Article Allergy

Intrinsic atopic dermatitis shows similar TH2 and higher TH17 immune activation compared with extrinsic atopic dermatitis

Mayte Suarez-Farinas et al.

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY (2013)

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Article Dermatology

High frequencies of positive nickel/cobalt patch tests and high sweat nickel concentration in patients with intrinsic atopic dermatitis

Hayato Yamaguchi et al.

JOURNAL OF DERMATOLOGICAL SCIENCE (2013)

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Article Dermatology

A group of atopic dermatitis without IgE elevation or barrier impairment shows a high Th1 frequency: Possible immunological state of the intrinsic type

Rieko Kabashima-Kubo et al.

JOURNAL OF DERMATOLOGICAL SCIENCE (2012)

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Article Dermatology

Comparison of skin barrier function and sensory nerve electric current perception threshold between IgE-high extrinsic and IgE-normal intrinsic types of atopic dermatitis

T. Mori et al.

BRITISH JOURNAL OF DERMATOLOGY (2010)

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Atopic dermatitis, extrinsic atopic dermatitis and the hygiene hypothesis: results from a cross-sectional study

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Immunophenotyping of inflammatory cells in lesional skin of the extrinsic and intrinsic types of atopic dermatitis

NK Rho et al.

BRITISH JOURNAL OF DERMATOLOGY (2004)

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Comparison of transepidermal water loss, capacitance and pH values in the skin between intrinsic and extrinsic atopic dermatitis patients

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