PMID- 24371386 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20131227 LR - 20211021 IS - 1013-9087 (Print) IS - 2005-3894 (Electronic) IS - 1013-9087 (Linking) VI - 25 IP - 4 DP - 2013 Nov TI - Staphylococcus aureus Colonization in Acute and Chronic Skin Lesions of Patients with Atopic Dermatitis. PG - 410-6 LID - 10.5021/ad.2013.25.4.410 [doi] AB - BACKGROUND: Staphylococcus aureus (SA) has peculiar abilities to colonize the skin in atopic dermatitis (AD) patients. OBJECTIVE: We sought to determine the colonization rates of SA in acute and chronic skin lesions of AD patients, to find any difference in colonization rates according to age and to find the influences of total immunoglobulin E (IgE) and eosinophil counts to the colonization of SA. METHODS: We evaluated the total IgE level and eosinophil counts, and cultured SA from the skin lesions of 687 AD patients (131 acute and 556 chronic skin lesions) and 247 control urticaria patients (July 2009 to November 2010; Samsung Medical Center Dermatology Clinic, Seoul, Korea). RESULTS: The SA colonization rates were 74%, 38% and 3% in acute, chronic skin lesions and control skin, respectively, and they were increased with age in AD patients. The colonization rate in chronic skin lesions was higher in the high IgE/eosinophilia groups as compared to the normal IgE/eosinophil groups. CONCLUSION: The SA colonization rate was higher in AD patients and especially in acute lesions, and had a tendency to increase with age. As the colonization rates were only higher in the high IgE/eosinophilia groups of chronic skin lesions, we suggested that SA may invade the skin through barrier defects in acute skin lesions, but the colonization in chronic lesions may be orchestrated through many different factors. FAU - Park, Hae-Young AU - Park HY AD - Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Cho-Rok AU - Kim CR AD - Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Huh, Ik-Soo AU - Huh IS AD - Department of Statistics, Medical Research Center, Seoul National University, Seoul, Korea. FAU - Jung, Mi-Young AU - Jung MY AD - Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Seo, Eun-Young AU - Seo EY AD - Institute of Dermatological Science, Medical Research Center, Seoul National University, Seoul, Korea. FAU - Park, Ji-Hye AU - Park JH AD - Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Lee, Dong-Youn AU - Lee DY AD - Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Yang, Jun-Mo AU - Yang JM AD - Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. LA - eng PT - Journal Article DEP - 20131130 PL - Korea (South) TA - Ann Dermatol JT - Annals of dermatology JID - 8916577 PMC - PMC3870207 OTO - NOTNLM OT - Atopic dermatitis OT - Colonization rate OT - Eosinophil counts OT - Serum total IgE OT - Staphylococcus aureus EDAT- 2013/12/29 06:00 MHDA- 2013/12/29 06:01 PMCR- 2013/11/01 CRDT- 2013/12/28 06:00 PHST- 2012/04/27 00:00 [received] PHST- 2012/08/03 00:00 [revised] PHST- 2012/09/01 00:00 [accepted] PHST- 2013/12/28 06:00 [entrez] PHST- 2013/12/29 06:00 [pubmed] PHST- 2013/12/29 06:01 [medline] PHST- 2013/11/01 00:00 [pmc-release] AID - 10.5021/ad.2013.25.4.410 [doi] PST - ppublish SO - Ann Dermatol. 2013 Nov;25(4):410-6. doi: 10.5021/ad.2013.25.4.410. Epub 2013 Nov 30.