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Pol. Merkur. Lek (Pol. Med. J.), 2019, XLVII/282: 217-220 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2019, XLVII/282: 217-220

Title: The level of total immunoglobulin E as an indicator of disease grade in adults with severe atopic dermatitis

Authors: Jaworek AK, Szafraniec K, Jaworek M, Hałubiec P, Wojas-Pelc A. 

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN ENGLISH.

The level of total immunoglobulin E as an indicator of disease grade in adults with severe atopic dermatitis


Jaworek AK1, Szafraniec K2, Jaworek M3, Hałubiec P4, Wojas-Pelc A1.

1Department of Dermatology, Jagiellonian University Medical College, Krakow, Poland; 2Department of Epidemiology and Population Studies, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland; 3Institute of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland; 4Student Research Group of Dermatology, Jagiellonian University Medical College, Krakow, Poland

Atopic dermatitis is one of the most common inflammatory dermatoses in children and adults. The disorder is associated with significant worsening of quality of life. Due to the frequently suggested pathogenetic relationship with atopic dermatitis, immunoglobulin E seems to be an adequate indicator of the disease.
The aim of the study
was to assess the association between the total serum immunoglobulin E levels and the grade of skin lesions measured with the SCORAD and oSCORAD scales in the population of adult patients suffering from severe atopic dermatitis.
Material and methods
. The study was performed in the group of 31 patients suffering from atopic dermatitis since early childhood (17 women and 14 men) in 2017. Total IgE was measured by the fluoroenzymatic immunoassay. The Spearman’s rank correlation coefficient was used to determine the power of the relationship between the concentration of total IgE and atopic dermatitis severity. The Kruskal-Wallis and Mann- Whitney’s tests were used to compare the distribution of IgE concentration and the distribution of atopic dermatitis grade.
Results
. The statistically significant correlation between SCORAD/ oSCORAD and the measured IgE levels was found in the patients with the IgE level above 3500 IU/ml (19 subjects).
Conclusions
. The present study demonstrated that in the patients with severe extrinsic atopic dermatitis, the concentration of total IgE was correlated with the severity of the disease. This suggests an opportunity of employing IgE as an atopic dermatitis biomarker.

Key words: atopic dermatitis, immunoglobulin E, SCORAD, oSCORAD

Pol Med J, 2019; XLVII (282); 217–220