Atopic dermatitis, stinging, and effects of chronic stress: a pathocausal study.

Abstract:

BACKGROUND:Patients with atopic dermatitis (AD) often have increased skin sensitivity and this symptom often worsens during stress. OBJECTIVE:We sought to find out whether patients with AD had stinging, and to identify the pathocausal neuroimmune mechanisms, including the role of stress. METHODS:In all, 25 patients with AD with histories of stress worsening were tested using a stinger test. Skin biopsy specimens were processed for immunohistochemistry. Stress inquiries and salivary cortisol tests were performed. RESULTS:In all, 16 patients were stinger-positive and 9 were negative. The stinger-positive papillary dermis had an increased number of mast cells, vasoactive intestinal polypeptide-positive fibers, and a tendency to a higher number of substance P-positive nerve fibers, but a decrease of calcitonin gene-related peptide fibers. Patients who were stinger-positive had a tendency to lower salivary cortisol. CONCLUSIONS:The majority of patients with AD experience stinging. Substance P, calcitonin gene-related peptide, vasoactive intestinal polypeptide, and mast cells may have a pathocausal role, as might chronic stress.

journal_name

J Am Acad Dermatol

authors

Lonne-Rahm S,Berg M,Mårin P,Nordlind K

doi

10.1016/j.jaad.2004.05.035

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

899-905

issue

6

eissn

0190-9622

issn

1097-6787

pii

S0190962204015762

journal_volume

51

pub_type

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