Treatment of atopic dermatitis in childhood as primaryprevention for rhinitis, food allergy and asthma

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7472

Keywords:

Atopic dermatitis; Asthma; Rhinitis; Food hypersensitivity.

Abstract

Introduction: Filaggrin is a structural protein of the skin, essential for the maintenance of the epidermal barrier. Currently, several studies indicate that mutations in the FLG gene,  that encodes filaggrin, confer a risk of atopic dermatitis, rhinitis, peanut allergy and asthma. Objective: Analyze existing information on how mutations in the FLG gene influence the development of atopic gait and the benefit of early treatment to prevent its progression. Metodology: Through an integrative literature review, a search was performed in the Bireme and Scielo database using the words: atopic dermatitis, asthma, rhinitis, food hypersensitivity. Only free studies were chosen that met the inclusion criteria. Results and discussion: Nineteen scientific articles were selected. These addressed subjects that were separated and organized by category where the knowledge published through them about the proposed theme was consolidated, syntactically linking them in order to obtain a set of propositions and conclusions from the authors. By analyzing the studies, it was possible to confirm that there is a great correlation between mutations of the FLG gene and the development of several pathologies, with atopic dermatitis being the first to manifest, with a propensity for the appearance of other atopies and food hypersensitivity. Thus, therapeutic of active eczema in childhood can be a primary prevention target for the progression of atopic gait, decreasing the chances of the patient progressing to asthma, rhinitis or peanut allergy.

References

Abuabara K, Yu A. M, Okhovat J. P, Allen I. E & Langan S. M. (2018). The prevalence of atopic dermatitis beyond childhood: A systematic review and meta-analysis of longitudinal studies. Allergy 2018; 73(3):696-704.

Amaral C. S. F, March M. F. B. P & Sant’anna C. C. (2012). Quality of life in children and teenagers with atopic dermatitis. An Bras Dermatol 2012; 87(5):717-23.

Armengot-Carbo M, Armengot-Carbo M., Hernández-Martín Á & Torrelo A. (2015). Filagrina: papel en la barrera cutánea y en el desarrollo de patología. Actas Dermosifiliogr 2015; 106(2):86-95.

Azulay RD, Azulay L. Dermatologia. (5a ed.). São Paulo: Guanabara-Koogan; 2011.

Brough H. A, Liu A. H, Sicherer S, Makinson K, Douiri A, Brown S. J, Stephens A. C, Irwin McLean W. H, Turcanu V, Wood R. A, Jones S. M, Burks W, Dawson P, Stablein D, Sampson H & Lack G. (2015). Atopic dermatitis increases the effect of exposure to peanut antigen in dust on peanut sensitization and likely peanut allergy. J Allergy Clin Immunol 2015; 135(1):164-70.

Carvalho V. O, Solé D, Antunes A. A, Bau A. E. K, Kuschnir F. C, Mallozi M. C, Markus J. R, Silva M. G. N, Pires M. C, Mello M. E. E. A, Rosário Filho N. A, Sarinho E. S. C, Chong-Neto H. J, Silva L. R & Rubini N. P. M. (2017).Guia prático de atualização em dermatite atópica - Parte I: etiopatogenia, clínica e diagnóstico. Posicionamento conjunto da Associação Brasileira de Alergia e Imunologia e da Sociedade Brasileira de Pediatria. Arq Asma Alerg Imunol 2017; 1(2):157-82.

Correia Junior M. A. V, Sarinho E. S. C, Rizzo J. Á & Sarinho S. W. (2017). Lower prevalence and greater severity of asthma in hot and dry climate. J. Pediatr. (Rio J.) 2017; 93(2):148-155.

Dhar S & Srinivas S. M. (2016). Food Allergy in Atopic Dermatitis. Indian J Dermatol 2016; 61(6):645-648.

Kapur S, Watson W & Carr S. (2018). Atopic dermatitis. Allergy Asthma Clin Immunol 2018; 14(Suppl 2):52.

Kim B. E & Leung D. Y. (2012). Epidermal barrier in atopic dermatitis. Allergy Asthma Immunol Res 2012; 4(1):12–16.

McAleer M. A & Irvine A. D. (2013). The multifunctional role of filaggrin in allergic skin disease. J Allergy Clin Immunol 2013; 131(2):280-91.

Nutten S. (2015). Atopic Dermatitis: Global Epidemiology and Risk Factors. Ann Nutr Metab 2015; 66(1):8-16.

Pereira A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/ Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Pires M. C, Vidigal M. R, Reis N. I, Santos L. R, Rotter A & Torloni L. B. O. (2017). Estudo clínico para avaliar a eficácia e segurança de um hidratante ativo reparador de barreira como auxiliar no tratamento de dermatite atópica em crianças. J Surg Cosmet Dermatol 2017; 9(2):139-44.

Pyun B. Y. (2015). Natural history and risk factors of atopic dermatitis in children. Allergy Asthma Immunol Res 2015; 7(2):101-5.

Tham E. H & Leung D. Y. (2019). Mechanisms by Which Atopic Dermatitis Predisposes to Food Allergy and the Atopic March. Allergy Asthma Immunol Res 2019; 11(1):4-15.

Thomsen S. F. (2014). Atopic dermatitis: Natural history, diagnosis, and treatment. ISRN Allergy.

Zaniboni M. C, Samorano L. P, Orfali R. L & Aoki V. (2016). Skin barrier in atopic dermatitis: beyond filaggrin. An Bras Dermatol 2016; 91(4):472-478.

Published

27/08/2020

How to Cite

CALABRIA, A. C. .; SPANIOL, C.; CARVALHO, G. T. A. . Treatment of atopic dermatitis in childhood as primaryprevention for rhinitis, food allergy and asthma. Research, Society and Development, [S. l.], v. 9, n. 9, p. e494997472, 2020. DOI: 10.33448/rsd-v9i9.7472. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7472. Acesso em: 19 apr. 2024.

Issue

Section

Review Article