Dermatologic Comorbidities Associated with Atopic Dermatitis Towards a Shared Therapeutical Approach: A Narrative Review.

IF 4.2 3区 医学 Q1 DERMATOLOGY
Maria Esposito, Alessandro Giunta, Andrea De Berardinis, Lina Maria Magnanimi, Maria Concetta Fargnoli, Cataldo Patruno, Luca Potestio, Maddalena Napolitano
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Abstract

Introduction: Atopic dermatitis (AD) is a chronic inflammatory skin condition commonly associated with other dermatologic comorbidities, which can complicate management and affect treatment outcomes. This review aims to analyse the dermatologic comorbidities of AD, their underlying mechanisms, and therapeutic implications, with a focus on their management in clinical practice.

Methods: A narrative review was conducted by searching PubMed, Embase, Cochrane and ClinicalTrials.gov, using terms related to AD and its comorbidities, including allergic contact dermatitis, alopecia areata, prurigo nodularis, psoriasis, hidradenitis suppurativa and chronic spontaneous urticaria.

Results: The literature highlights a strong association between AD and several dermatologic comorbidities, including allergic contact dermatitis, alopecia areata, chronic spontaneous urticaria, hidradenitis suppurativa, psoriasis, prurigo nodularis and vitiligo. Promising therapeutic effects were observed with JAK inhibitors, dupilumab and other biologics across multiple comorbid condition.

Conclusion: Recognizing comorbidities in AD is critical for effective management. Tailored therapies targeting both AD and its comorbidities, based on shared immunological mechanisms, may improve outcomes. Further research is needed to optimize treatment strategies and explore combination therapies for patients with both AD and comorbid dermatological conditions.

与特应性皮炎相关的皮肤病合并症走向共享治疗方法:叙述性回顾。
特应性皮炎(AD)是一种慢性炎症性皮肤病,通常与其他皮肤病合并症有关,可使治疗复杂化并影响治疗结果。本文旨在分析阿尔茨海默病的皮肤合并症,其潜在机制和治疗意义,并重点讨论其在临床实践中的管理。方法:通过检索PubMed、Embase、Cochrane和ClinicalTrials.gov,检索与AD及其合并症相关的词汇,包括过敏性接触性皮炎、斑秃、结节性痒疹、银屑病、化脓性汗腺炎和慢性自发性荨麻疹。结果:文献强调了AD与几种皮肤病合并症之间的密切联系,包括过敏性接触性皮炎、斑秃、慢性自发性荨麻疹、化脓性汗腺炎、牛皮癣、结节性痒疹和白癜风。JAK抑制剂、dupilumab和其他生物制剂治疗多种合并症的效果令人鼓舞。结论:认识阿尔茨海默病的合并症是有效治疗的关键。基于共同的免疫机制,针对阿尔茨海默病及其合并症的定制治疗可能会改善结果。需要进一步的研究来优化治疗策略,探索阿尔茨海默病和合并症皮肤病患者的联合治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Dermatology and Therapy
Dermatology and Therapy Medicine-Dermatology
CiteScore
6.00
自引率
8.80%
发文量
187
审稿时长
6 weeks
期刊介绍: Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.
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