Comorbidities of atopic dermatitis—what does the evidence say?
Jacob P. Thyssen, Anne‐Sofie Halling, Peter Schmid‐Grendelmeier, Emma Guttman‐Yassky, Jonathan I. Silverberg
Abstract
Atopic dermatitis (AD) is a common disease that is associated with atopic and nonatopic comorbidities. There has been a growing interest in this area of AD, because presence or risk of comorbidities can in many ways impact the management of patients with AD. Thus, some treatments for AD may improve its comorbidities as well, whereas others may increase their risk. In this review article, we discuss various comorbidities of AD mostly on the basis of the results of recent multiple systematic reviews and meta-analyses to update readers about this rapidly developing area of dermatology. We emphasize the important information provided by studies presenting both relative risk and absolute risk, and show that AD is associated with, among others, atopic comorbidities such as asthma, rhinitis, and food allergy, nonatopic comorbidities such as ocular, psychiatric, infectious, endocrine, autoimmune, and cardiovascular diseases, and certain cancers. Clinicians need to be aware of these and be cognizant about positive and negative effects of existing and new treatments for AD. Atopic dermatitis (AD) is a common disease that is associated with atopic and nonatopic comorbidities. There has been a growing interest in this area of AD, because presence or risk of comorbidities can in many ways impact the management of patients with AD. Thus, some treatments for AD may improve its comorbidities as well, whereas others may increase their risk. In this review article, we discuss various comorbidities of AD mostly on the basis of the results of recent multiple systematic reviews and meta-analyses to update readers about this rapidly developing area of dermatology. We emphasize the important information provided by studies presenting both relative risk and absolute risk, and show that AD is associated with, among others, atopic comorbidities such as asthma, rhinitis, and food allergy, nonatopic comorbidities such as ocular, psychiatric, infectious, endocrine, autoimmune, and cardiovascular diseases, and certain cancers. Clinicians need to be aware of these and be cognizant about positive and negative effects of existing and new treatments for AD. Atopic dermatitis (AD) is a common disease affecting about one-fifth of young children at some point and 3% to 5% of adults.1Barbarot S. Auziere S. Gadkari A. Girolomoni G. Puig L. Simpson E.L. et al.Epidemiology of atopic dermatitis in adults: results from an international survey.Allergy. 2018; 73: 1284-1293Crossref PubMed Scopus (419) Google Scholar Patients with AD typically experience itch, skin pain, and sleep problems, leading to an impaired quality of life.2Langan S.M. Irvine A.D. Weidinger S. 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