학술논문

New Directions in Understanding Atopic March Starting from Atopic Dermatitis
Document Type
article
Source
Children, Vol 9, Iss 4, p 450 (2022)
Subject
atopic march
atopic dermatitis
food allergy
asthma
allergic rhinitis
eosinophilic esophagitis
Pediatrics
RJ1-570
Language
English
ISSN
2227-9067
Abstract
Recent evidence showed that the postulated linear progression of the atopic march, from atopic dermatitis to food and respiratory allergies, does not capture the heterogeneity of allergic phenotypes, which are influenced by complex interactions between environmental, genetic, and psychosocial factors. Indeed, multiple atopic trajectories are possible in addition to the classic atopic march. Nevertheless, atopic dermatitis is often the first manifestation of an atopic march. Improved understanding of atopic dermatitis pathogenesis is warranted as this could represent a turning point in the prevention of atopic march. In this review, we outline the recent findings on the pathogenetic mechanisms leading to atopic dermatitis that could be targeted by intervention strategies for the prevention of atopic march.