Abstract
AIMS—Clinical factors and data from recent cases of atopic dermatitis (AD) (with or without ocular complications) and non-AD cases were examined to evaluate the mechanism of atopic ocular complications. METHODS—IgE-RAST for eight allergens including rice, egg, and mite and serum total IgE were measured in 216 patients with AD (70 ocular type, 146 non-ocular type) and 69 non-AD individuals. Tear histamine and leukotriene B4 (LTB4) levels were also measured. RESULTS—The serum levels of IgE were significantly increased in AD patients with ocular complications compared with those without ocular complications. The positive rates of IgE-RAST for rice and wheat were significantly higher in ocular type AD than in non-ocular type AD. In ocular type AD, serum IgE was significantly increased in patients with cataract compared with that in those without cataract. Tear histamine and LTB4 levels in AD patients with ocular complications showed significant elevations compared with those in patients with pure AD and controls. CONCLUSIONS—These results suggest that ocular type AD belongs to the most severe end of the spectrum of AD, and that some food antigens may contribute to the pathogenesis of severe AD resulting in ocular complications. Keywords: atopic dermatitis; IgE-RAST; histamine; leukotriene B4
Full Text
The Full Text of this article is available as a PDF (131.8 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Amemiya T., Matsuda H., Uehara M. Ocular findings in atopic dermatitis with special reference to the clinical features of atopic cataract. Ophthalmologica. 1980;180(3):129–132. doi: 10.1159/000308965. [DOI] [PubMed] [Google Scholar]
- BRUNSTING L. A., REED W. B., BAIR H. L. Occurrence of cataracts and keratoconus with atopic dermatitis. AMA Arch Derm. 1955 Sep;72(3):237–241. doi: 10.1001/archderm.1955.03730330017003. [DOI] [PubMed] [Google Scholar]
- Bonini S., Bonini S., Berruto A., Tomassini M., Carlesimo S., Bucci M. G., Balsano F. Conjunctival provocation test as a model for the study of allergy and inflammation in humans. Int Arch Allergy Appl Immunol. 1989;88(1-2):144–148. doi: 10.1159/000234769. [DOI] [PubMed] [Google Scholar]
- Casimir G. J., Duchateau J., Gossart B., Cuvelier P., Vandaele F., Vis H. L. Atopic dermatitis: role of food and house dust mite allergens. Pediatrics. 1993 Aug;92(2):252–256. [PubMed] [Google Scholar]
- Easty D., Entwistle C., Funk A., Witcher J. Herpes simplex keratitis and keratoconus in the atopic patient. A clinical and immunological study. Trans Ophthalmol Soc U K. 1975 Jul;95(2):267–276. [PubMed] [Google Scholar]
- Finkelman F. D., Katona I. M., Mosmann T. R., Coffman R. L. IFN-gamma regulates the isotypes of Ig secreted during in vivo humoral immune responses. J Immunol. 1988 Feb 15;140(4):1022–1027. [PubMed] [Google Scholar]
- Garrity J. A., Liesegang T. J. Ocular complications of atopic dermatitis. Can J Ophthalmol. 1984 Feb;19(1):21–24. [PubMed] [Google Scholar]
- Goetzl E. J. Inflammation and hypersensitivity. Int Ophthalmol Clin. 1985 Summer;25(2):25–34. doi: 10.1097/00004397-198502520-00005. [DOI] [PubMed] [Google Scholar]
- Gustafsson D., Löwhagen T., Andersson K. Risk of developing atopic disease after early feeding with cows' milk based formula. Arch Dis Child. 1992 Aug;67(8):1008–1010. doi: 10.1136/adc.67.8.1008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HOGAN M. J. Atopic keratoconjunctivitis. Am J Ophthalmol. 1953 Jul;36(7 1):937–947. doi: 10.1016/0002-9394(53)92176-x. [DOI] [PubMed] [Google Scholar]
- Hanifin J. M. Atopic dermatitis. J Allergy Clin Immunol. 1984 Feb;73(2):211–226. doi: 10.1016/s0091-6749(84)80008-1. [DOI] [PubMed] [Google Scholar]
- Helleboid L., Khatami M., Wei Z. G., Rockey J. H. Histamine and prostacyclin. Primary and secondary release in allergic conjunctivitis. Invest Ophthalmol Vis Sci. 1991 Jul;32(8):2281–2289. [PubMed] [Google Scholar]
- INGRAM R. M. RETINAL DETACHMENT ASSOCIATED WITH ATOPIC DERMATITIS AND CATARACT. Br J Ophthalmol. 1965 Feb;49:96–97. doi: 10.1136/bjo.49.2.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ikezawa Z., Miyakawa K., Komatsu H., Suga C., Miyakawa J., Sugiyama A., Sasaki T., Nakajima H., Hirai Y., Suzuki Y. A probable involvement of rice allergy in severe type of atopic dermatitis in Japan. Acta Derm Venereol Suppl (Stockh) 1992;176:103–107. [PubMed] [Google Scholar]
- Komatsu H., Suga C., Miyakawa K., Miyakawa J., Sugiyama A., Ikezawa Z., Nakajima H. [25 atopic dermatitis patients with positive RAST for rice were treated with a rice elimination diet (the mean duration of elimination: 5.2 months). The clinical effects and the change in RAST for rice and wheat, serum IgE values and the number of eosinophils were examined]. Arerugi. 1990 Apr;39(4):402–409. [PubMed] [Google Scholar]
- Miyakawa K. [Analysis of clinical factors and IgE-RAST of Dermatophagoides farinae and rice in atopic dermatitis by multiple factor analysis of quantification theory type II]. Arerugi. 1991 Dec;40(12):1500–1510. [PubMed] [Google Scholar]
- Nathan H., Naveh N., Meyer E. Levels of prostaglandin E2 and leukotriene B4 in tears of vernal conjunctivitis patients during a therapeutic trial with indomethacin. Doc Ophthalmol. 1994;85(3):247–257. doi: 10.1007/BF01664932. [DOI] [PubMed] [Google Scholar]
- Okudaira H., Hongo O., Ogita T., Haida M., Yamauchi N., Miyamoto T. Serum IgE and IgE antibody levels in patients with bronchial asthma, atopic dermatitis, eosinophilic granulomas of the soft tissue (Kimura's disease) and other diseases. Ann Allergy. 1983 Jan;50(1):51–54. [PubMed] [Google Scholar]
- Patel M., Shine B., Murray P. I. Antilens antibodies in cataract and inflammatory eye disease: an evaluation of a new technique. Int Ophthalmol. 1990 Mar;14(2):97–100. doi: 10.1007/BF00154208. [DOI] [PubMed] [Google Scholar]
- Sampson H. A., Albergo R. Comparison of results of skin tests, RAST, and double-blind, placebo-controlled food challenges in children with atopic dermatitis. J Allergy Clin Immunol. 1984 Jul;74(1):26–33. doi: 10.1016/0091-6749(84)90083-6. [DOI] [PubMed] [Google Scholar]
- Sampson H. A., McCaskill C. C. Food hypersensitivity and atopic dermatitis: evaluation of 113 patients. J Pediatr. 1985 Nov;107(5):669–675. doi: 10.1016/s0022-3476(85)80390-5. [DOI] [PubMed] [Google Scholar]
- Sampson H. A. Role of immediate food hypersensitivity in the pathogenesis of atopic dermatitis. J Allergy Clin Immunol. 1983 May;71(5):473–480. doi: 10.1016/0091-6749(83)90464-5. [DOI] [PubMed] [Google Scholar]
- Sandberg H. O., Closs O. The alpha and gamma crystallin content in aqueous humor of eyes with clear lenses and with cataracts. Exp Eye Res. 1979 May;28(5):601–610. doi: 10.1016/0014-4835(79)90047-2. [DOI] [PubMed] [Google Scholar]
- Schreier M. H., Tees R., Nordin A. A., Benner R., Bianchi A. T., van Zwieten M. J. Functional aspects of helper T cell clones. Immunobiology. 1982 Mar;161(1-2):107–138. doi: 10.1016/S0171-2985(82)80021-1. [DOI] [PubMed] [Google Scholar]
- Uehara M., Kimura C., Uenishi T. Type I allergy to foods in atopic dermatitis. Comparison between RAST-positive and RAST-negative cases. Acta Derm Venereol Suppl (Stockh) 1992;176:38–40. [PubMed] [Google Scholar]
- Wierenga E. A., Snoek M., de Groot C., Chrétien I., Bos J. D., Jansen H. M., Kapsenberg M. L. Evidence for compartmentalization of functional subsets of CD2+ T lymphocytes in atopic patients. J Immunol. 1990 Jun 15;144(12):4651–4656. [PubMed] [Google Scholar]
- de Martino M., Donzelli G. P., Galli L., Scarano E., de Marco A., Rapisardi G., Vecchi C., Vierucci A. Food allergy in preterm infants fed human milk. Biol Neonate. 1989;56(6):301–305. doi: 10.1159/000243138. [DOI] [PubMed] [Google Scholar]