PMID- 15968268 OWN - NLM STAT- MEDLINE DCOM- 20051110 LR - 20061115 IS - 1097-6787 (Electronic) IS - 0190-9622 (Linking) VI - 53 IP - 1 Suppl 1 DP - 2005 Jul TI - Atopic dermatitis. PG - S86-93 AB - Atopic dermatitis (AD) is commonly associated with immunoglobulin E (IgE) antibody-related mechanisms, which are the focus of this article. The vast majority of patients with AD exhibit hyperproduction of IgE, particularly during disease onset or flare. IgE-dependent late-phase reactions may influence the chronic inflammatory response in AD. Clearly, genetics plays a major role in determining who develops AD. However, the recent increase in AD prevalence suggests that a complex interaction between environmental factors and susceptibility genes results in clinical expression of the disorder. These immunologic "triggers" differ among individuals and include various foods, airborne allergens, irritants and contactants, hormones, stress, climate, and microorganisms. Although much about AD remains to be elucidated, our current understanding of its pathophysiology has provided clinicians with the ability to construct more rational therapeutic interventions, including multiple-agent regimens that provide both immediate relief and effective long-term management. Future advances will come from identification of the genes causing this disease and further elucidation of the immunoregulatory mechanisms involved in the pathogenesis of AD. FAU - Abramovits, William AU - Abramovits W AD - Texas Dermatology Associates, Dallas, TX 75230, USA. waresearch@texasderm.com LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Am Acad Dermatol JT - Journal of the American Academy of Dermatology JID - 7907132 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Antigen-Presenting Cells/immunology MH - Child MH - Comorbidity MH - *Dermatitis, Atopic/epidemiology/genetics/immunology/pathology MH - Diseases in Twins/epidemiology MH - Eosinophils/immunology MH - Humans MH - Hypersensitivity, Immediate/complications/genetics MH - Immunoglobulin E/immunology MH - Keratinocytes/immunology MH - Lymphocyte Subsets/immunology MH - Macrophages/immunology MH - Monocytes/immunology MH - Prevalence RF - 72 EDAT- 2005/06/22 09:00 MHDA- 2005/11/11 09:00 CRDT- 2005/06/22 09:00 PHST- 2005/06/22 09:00 [pubmed] PHST- 2005/11/11 09:00 [medline] PHST- 2005/06/22 09:00 [entrez] AID - S0190962205013125 [pii] AID - 10.1016/j.jaad.2005.04.034 [doi] PST - ppublish SO - J Am Acad Dermatol. 2005 Jul;53(1 Suppl 1):S86-93. doi: 10.1016/j.jaad.2005.04.034.