Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Investigation of the Relationship Between Disease Activity Scores, Serum Parameters and Skin Prick Test in Patients with Atopic Dermatitis and Chronic Spontaneous Urticaria: A Cross-Sectional Study
Atopik Dermatit ve Kronik Spontan Ürtikerde Hastalık Aktivite Skoru, Serum Parametreleri ve Deri Prick Testi Arasındaki İlişkinin Araştırılması: Kesitsel Çalışma
Yeşim AKPINAR KARAa, Hatice KAYA ÖZDENb
aClinic of Dermatology, Koru Hospital, Ankara, Türkiye
bClinic of Dermatology, Kocaeli Derince Training and Research Hospital, Kocaeli, Türkiye
Turkiye Klinikleri J Dermatol. 2022;32(3):137-44
doi: 10.5336/dermato.2022-88440
Article Language: EN
Full Text
ABSTRACT
 Objective: Atopic dermatitis and chronic spontaneous urticaria are allergic skin diseases with recurrent attacks. In this study, disease activity score and laboratory parameters were investigated in patients with atopic dermatitis and chronic spontaneous urticaria. Material and Methods: A total of 68 patients including 33 atopic dermatitis and 35 chronic spontaneous urticaria patients from the dermatology outpatient clinics were enrolled in this study. Serum levels of total immunoglobulin E (IgE), blood eosinophil and basophil counts; prevalence of sensitization to aeroallergens, and disease activity scores were compared between the two groups. Results: A higher eosinophil count in the peripheral blood was observed in atopic dermatitis patients compared to chronic spontaneous urticaria patients. Disease activity scores (SCORAD index) were positively correlated with the eosinophil count and total IgE levels. Furthermore, it was found that the basophil count increased while total IgE levels and SCORAD index scores decreased in the chronic period of the disease. Total IgE levels and SCORAD index scores were higher in atopic dermatitis patients with a positive skin prick test. In chronic spontaneous urticaria patients, it was observed that basophil counts and total IgE levels were correlated, but there was not a correlation between disease activity scores, skin prick test results, and levels of other laboratory parameters. Conclusion: The relationship of serum parameters, especially IgE levels, with the disease activity was found to be significant only in atopic dermatitis.

Keywords: Atopic dermatitis; urticaria; basophil; IgE
ÖZET
 Amaç: Atopik dermatit ve kronik spontan ürtiker, tekrarlayan atakları olan alerjik deri hastalıklarıdır. Bu çalışmada, atopik dermatitli ve kronik spontan ürtikerli hastalarda hastalık aktivite skoru ve laboratuvar parametreleri araştırıldı. Gereç ve Yöntemler: Bu çalışmaya, 33 atopik dermatit ve 35 kronik spontan ürtiker hastası olmak üzere toplam 68 hasta dâhil edildi. İki grup arasında total immunglobulin E (IgE), serum eozinofil ve bazofil değerleri, aeroalerjenlere karşı duyarlılık ve hastalık aktivite skorları karşılaştırıldı. Bulgular: Kronik spontan ürtiker hastalarına kıyasla atopik dermatitli hastalarda periferik kanda daha yüksek eozinofil sayısı gözlendi. Hastalık SCORAD indeks, eozinofil sayısı ve total IgE seviyeleri ile pozitif korelasyon gösterdi. Ayrıca hastalığın kronik döneminde bazofil sayısının arttığı, total IgE düzeyleri ve SCORAD indeks skorlarının azaldığı belirlendi. Deri prick testi pozitif olan atopik dermatitli hastalarda, total IgE seviyeleri ve SCORAD indeks skorları daha yüksekti. Kronik spontan ürtiker hastalarında bazofil sayıları ile toplam IgE düzeyleri arasında korelasyon olduğu; ancak hastalık aktivite skoru, deri prick test sonuçları ve diğer laboratuvar parametre düzeyleri arasında korelasyon olmadığı tespit edildi. Sonuç: Serum IgE düzeylerinin hastalık aktivitesi ile ilişkisi sadece atopik dermatitte anlamlı bulundu.

Anahtar Kelimeler: Atopik dermatit; ürtiker; bazofil; IgE
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