PMID- 34573894 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230921 IS - 2075-4418 (Print) IS - 2075-4418 (Electronic) IS - 2075-4418 (Linking) VI - 11 IP - 9 DP - 2021 Aug 27 TI - Atopic Dermatitis-Beyond the Skin. LID - 10.3390/diagnostics11091553 [doi] LID - 1553 AB - Atopic dermatitis is a chronic inflammatory disease that can arise during the first months of life or at maturity and have a significant negative impact on the quality of life. The main pathogenic mechanism is the breakdown of cutaneous barrier integrity, which is associated with systemic inflammatory immunologic disorders. Atopic dermatitis involves numerous immunologic, allergic, respiratory, and ophthalmologic comorbidities that develop through similar intricate pathogenic phenomena. The atopic march represents the evolution in time of various allergic diseases, of which food allergies often cause the first manifestations of atopy, even from a very young age. Chronic inflammation translated through specific markers, next to increased immunoglobulin E (IgE) serum levels and heterogenous clinical manifestations, argue for the inclusion of atopic dermatitis in the systemic disease category. FAU - Mocanu, Madalina AU - Mocanu M AD - Department of Oral Dermatology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. FAU - Vata, Dan AU - Vata D AD - Department of Dermatology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. FAU - Alexa, Anisia-Iuliana AU - Alexa AI AD - Department of Ophthalmology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. FAU - Trandafir, Laura AU - Trandafir L AD - Department of Mother and Child Medicine-Pediatrics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. FAU - Patrascu, Adriana-Ionela AU - Patrascu AI AD - Dermatology Clinic, "St. Spiridon" County Emergency Clinical Hospital, 700111 Iasi, Romania. FAU - Hancu, Madalina Florina AU - Hancu MF AD - Dermatology Clinic, "St. Spiridon" County Emergency Clinical Hospital, 700111 Iasi, Romania. FAU - Gheuca-Solovastru, Laura AU - Gheuca-Solovastru L AD - Department of Dermatology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. LA - eng PT - Journal Article PT - Review DEP - 20210827 PL - Switzerland TA - Diagnostics (Basel) JT - Diagnostics (Basel, Switzerland) JID - 101658402 PMC - PMC8464732 OTO - NOTNLM OT - atopic dermatitis OT - chronic inflammation OT - comorbidities OT - extra-cutaneous manifestations COIS- The authors declare no conflict of interest. EDAT- 2021/09/29 06:00 MHDA- 2021/09/29 06:01 PMCR- 2021/08/27 CRDT- 2021/09/28 01:10 PHST- 2021/05/30 00:00 [received] PHST- 2021/08/24 00:00 [revised] PHST- 2021/08/25 00:00 [accepted] PHST- 2021/09/28 01:10 [entrez] PHST- 2021/09/29 06:00 [pubmed] PHST- 2021/09/29 06:01 [medline] PHST- 2021/08/27 00:00 [pmc-release] AID - diagnostics11091553 [pii] AID - diagnostics-11-01553 [pii] AID - 10.3390/diagnostics11091553 [doi] PST - epublish SO - Diagnostics (Basel). 2021 Aug 27;11(9):1553. doi: 10.3390/diagnostics11091553.