Thymus is enlarged in children with current atopic dermatitis. A cross-sectional study.

Abstract:

:Atopic dermatitis is a common skin disorder of unknown aetiology with peak incidence in early childhood. The disease is associated with peripheral T-cell accumulation in the skin. The thymus is a key organ of the cellular immune response early in life. We hypothesized that atopic dermatitis is associated with an unbalanced establishment of the peripheral T-lymphocyte system. This cross-sectional study was performed to compare thymus sizes in patients with atopic dermatitis and healthy controls. Thirty-seven children with current atopic dermatitis were enrolled and compared with 29 healthy controls. An interview and medical examination were performed by one doctor, an ultrasound scan was performed within 3 days of the examination, and the thymus index, a marker of thymus size, was measured. The thymus index was on average 32% higher (95% CI 3%-67%) in children with active atopic dermatitis compared with healthy controls. It declined with age in both children with atopic dermatitis and healthy controls, but the reduction in size was only significant for healthy controls. We demonstrate increased size of thymus among children with active atopic dermatitis compared with healthy controls. The larger size of thymus is compatible with increased thymic activity and emission of T lymphocytes.

journal_name

Acta Derm Venereol

authors

Olesen AB,Andersen G,Jeppesen DL,Benn CS,Juul S,Thestrup-Pedersen K

doi

10.1080/00015550510026352

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

240-3

issue

3

eissn

0001-5555

issn

1651-2057

pii

V9QDQD9Q1PAGXY09

journal_volume

85

pub_type

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