Atopy
Classification & external resources
| ICD-10 |
L20 |
| ICD-9 |
691 |
Atopy (Greek ατοπία - placelessness) or atopic syndrome is an
allergic hypersensitivity affecting parts of the body not in direct contact with the allergen.
It may involve eczema (atopic dermatitis),
allergic conjunctivitis, allergic rhinitis
and asthma. There appears to be a strong hereditary
component. One study concludes that "the general risk of developing atopic
dermatitis (3%) and atopy (7%) increases by a factor of two with each first-degree family member already suffering from
atopy" [1].
Eczema-a typical atopic manifestation
The hereditary component is presumably due to certain genes coding proteins involved in the normal immune response mechanism,
i.e., human leukocyte antigen, although environmental factors have also been
implicated. Atopic syndrome can be fatal for those who experience serious allergic reactions such as anaphylaxis, brought on by
reactions to food or environment.
The individual components are all caused at least in part by allergy (type I hypersensitivity
reactions). These responses appear after the body is exposed to various allergens, for example
specific kinds of food, pollen, dander or insect venoms. Although atopy has various definitions, most consistently it is defined by the presence of elevated
levels of total and allergen-specific IgE in the serum of patient, leading to positive skin-prick tests to common allergens.
The multicenter PARSIFAL study in 2006, involving 6630
children age 5 to 13 in 5 European countries, suggested that restrictive use of antibiotics
and antipyretics, are associated with a reduced risk of allergic disease in
children.[2]
Some symptoms, from an atopy questionnaire[3]:
References
- ^ (Sunday, December 12, 2004) "A family study
of atopic dermatitis". Archives of Dermatological Research 282 (Number 2 / January, 1990): 98-102. Springer Berlin
/ Heidelberg. DOI:10.1007/BF00493466. Retrieved on Dec 7,
'06.
- ^ Flöistrup, H., Swartz, J., Bergström, A., Alm, J. S., Scheynius, A., et al.
(2006). Allergic disease and sensitization in Steiner school children. The Journal of Allergy and Clinical Immunology,
117(1), 59-66. PMID 16387585 Reprint copy
- ^ Erlanger Atopy Questionnaire, original site offline, Internet Archive cache, due to be reposted at
http://eczema.dermis.net/content/e06question/index_eng.html
External links
This entry is from Wikipedia, the leading user-contributed encyclopedia. It may not have been reviewed by professional editors (see full disclaimer)