2014
DOI: 10.1007/s11882-014-0433-9
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Skin Barrier Defects in Atopic Dermatitis

Abstract: Atopic dermatitis (AD) is a chronic inflammatory skin condition with complex etiology that is dependent upon interactions between the host and the environment. Acute skin lesions exhibit the features of a Th2-driven inflammatory disorder and many patients are highly atopic. The skin barrier plays key roles in immune surveillance and homeostasis, and in preventing penetration of microbial products and allergens. Defects that compromise the structural integrity, or else the immune function of the skin barrier pl… Show more

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Cited by 174 publications
(131 citation statements)
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“…As a result, the whole process of terminal differentiation of the keratinocytes (cytoplasmic compaction, cornification and the release of lipids) necessary for the establishment of the barrier function is defective [37]. Furthermore, the reduction in the antimicrobial activity makes the patient susceptible to skin infections, sensitivity to allergens and a state of constant inflammation [38].…”
Section: Discussionmentioning
confidence: 99%
“…As a result, the whole process of terminal differentiation of the keratinocytes (cytoplasmic compaction, cornification and the release of lipids) necessary for the establishment of the barrier function is defective [37]. Furthermore, the reduction in the antimicrobial activity makes the patient susceptible to skin infections, sensitivity to allergens and a state of constant inflammation [38].…”
Section: Discussionmentioning
confidence: 99%
“…The epidermal barrier plays a key role in immune surveillance and homeostasis, in preventing the penetration of the products of microorganisms and allergens [21].…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, the few studies evaluating the effect of antihistamines, including H4 blockers, have failed to report a beneficial effect [28,29]. In a subset of human patients with AD, genetically inherited skin barrier defects are demonstrable and further skin barrier impairment occurs once sensitization develops and inflammation is triggered [30]. Thus, skin barrier impairment can be both primary and secondary and it plays some role in all patients at some point during the course of the disease.…”
Section: Atopic Dermatitis: Comparative Observationsmentioning
confidence: 99%