PMID- 25572944 OWN - NLM STAT- MEDLINE DCOM- 20150910 LR - 20151119 IS - 1421-9832 (Electronic) IS - 1018-8665 (Linking) VI - 230 IP - 1 DP - 2015 TI - T helper 2 polarization in senile erythroderma with elevated levels of TARC and IgE. PG - 62-9 LID - 10.1159/000366502 [doi] AB - BACKGROUND: Some cases of senile erythroderma tend to be diagnosed as senile atopic dermatitis (AD) based on elevated levels of immunoglobulin E (IgE) and thymus and activation-regulated chemokine (TARC). However, there are few studies that describe the detailed characteristics of senile erythroderma and senile AD. OBJECTIVE: We examined the association of erythroderma with AD. METHODS: In this retrospective observational study, 68 patients over 65 years of age who presented with erythroderma at Osaka University Hospital were enrolled. Patient data were collected through medical records and descriptive statistics. RESULTS: 47% of the patients were classified as having idiopathic erythroderma and 53% as having secondary erythroderma. In both idiopathic and secondary senile erythroderma patients, serum IgE and TARC levels were elevated. 84% of idiopathic erythroderma patients fulfilled the Japanese Dermatological Associations criteria for AD; however, only 4 patients were finally definitely diagnosed with senile AD. CONCLUSION: Many senile erythroderma patients showed AD-like symptoms due to T helper 2 polarization. CI - . (c) 2015 S. Karger AG, Basel. FAU - Nakano-Tahara, Mayuko AU - Nakano-Tahara M AD - Department of Dermatology, Osaka University Graduate School of Medicine, Suita, Japan. FAU - Terao, Mika AU - Terao M FAU - Nishioka, Megumi AU - Nishioka M FAU - Kitaba, Shun AU - Kitaba S FAU - Murota, Hiroyuki AU - Murota H FAU - Katayama, Ichiro AU - Katayama I LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20150108 PL - Switzerland TA - Dermatology JT - Dermatology (Basel, Switzerland) JID - 9203244 RN - 0 (Biomarkers, Tumor) RN - 0 (CCL17 protein, human) RN - 0 (Chemokine CCL17) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*blood MH - Chemokine CCL17/*blood MH - Dermatitis, Atopic/diagnosis/*immunology MH - Dermatitis, Exfoliative/blood/diagnosis/*immunology MH - Female MH - Humans MH - Immunoglobulin E/*blood MH - Male MH - Retrospective Studies MH - Th2 Cells/*immunology EDAT- 2015/01/13 06:00 MHDA- 2015/09/12 06:00 CRDT- 2015/01/10 06:00 PHST- 2014/04/23 00:00 [received] PHST- 2014/08/07 00:00 [accepted] PHST- 2015/01/10 06:00 [entrez] PHST- 2015/01/13 06:00 [pubmed] PHST- 2015/09/12 06:00 [medline] AID - 000366502 [pii] AID - 10.1159/000366502 [doi] PST - ppublish SO - Dermatology. 2015;230(1):62-9. doi: 10.1159/000366502. Epub 2015 Jan 8.