Atopic dermatitis severity during exposure to air pollutants and weather changes with an Artificial Neural Network (ANN) analysis.


Journal

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
ISSN: 1399-3038
Titre abrégé: Pediatr Allergy Immunol
Pays: England
ID NLM: 9106718

Informations de publication

Date de publication:
11 2020
Historique:
received: 26 03 2020
revised: 06 06 2020
accepted: 16 06 2020
pubmed: 26 6 2020
medline: 19 8 2021
entrez: 26 6 2020
Statut: ppublish

Résumé

Epidemiological studies have shown an association between global warming, air pollution, and allergic diseases. Several air pollutants, including volatile organic compounds, formaldehyde, toluene, nitrogen dioxide (NO Sixty AD patients ≥5 years of age (mean age: 23.5 ± 12.5 years), living in the Campania Region (Southern Italy), were followed for 18 months. The primary outcome was the effect of atmospheric and climatic factors on signs and symptoms of AD, assessed using the SCORAD (SCORing Atopic Dermatitis) index. We measured mean daily temperature (TOD), outdoor relative humidity (RH), diurnal temperature range (DTR), precipitation, particulate with aerodynamic diameter ≤ 10 μm (PM The severity of AD symptoms was positively correlated with outdoor temperatures (TOD, DTR), RH, precipitation, PM The results of the present study provide evidence that weather changes and air pollutions have a significant impact on skin reactivity and symptoms in AD patients, increasing the severity of the dermatitis. The knowledge of the single variables proportion on AD severity symptoms is important to propose alerts for exacerbations in patients with AD of each age. This finding represents a good starting point for further future research in an area of increasingly growing interest.

Sections du résumé

BACKGROUND
Epidemiological studies have shown an association between global warming, air pollution, and allergic diseases. Several air pollutants, including volatile organic compounds, formaldehyde, toluene, nitrogen dioxide (NO
MATERIALS AND METHODS
Sixty AD patients ≥5 years of age (mean age: 23.5 ± 12.5 years), living in the Campania Region (Southern Italy), were followed for 18 months. The primary outcome was the effect of atmospheric and climatic factors on signs and symptoms of AD, assessed using the SCORAD (SCORing Atopic Dermatitis) index. We measured mean daily temperature (TOD), outdoor relative humidity (RH), diurnal temperature range (DTR), precipitation, particulate with aerodynamic diameter ≤ 10 μm (PM
RESULTS
The severity of AD symptoms was positively correlated with outdoor temperatures (TOD, DTR), RH, precipitation, PM
CONCLUSION
The results of the present study provide evidence that weather changes and air pollutions have a significant impact on skin reactivity and symptoms in AD patients, increasing the severity of the dermatitis. The knowledge of the single variables proportion on AD severity symptoms is important to propose alerts for exacerbations in patients with AD of each age. This finding represents a good starting point for further future research in an area of increasingly growing interest.

Identifiants

pubmed: 32585042
doi: 10.1111/pai.13314
doi:

Substances chimiques

Air Pollutants 0
Particulate Matter 0
Ozone 66H7ZZK23N
Nitrogen Dioxide S7G510RUBH

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

938-945

Informations de copyright

© 2020 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.

Références

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Auteurs

Vincenzo Patella (V)

Division Allergy and Clinical Immunology, Department of Medicine ASL Salerno, "Santa Maria della Speranza" Hospital, Salerno, Italy.
Postgraduate Program in Allergy and Clinical Immunology, University of Naples Federico II, Naples, Italy.

Giovanni Florio (G)

Division Allergy and Clinical Immunology, Department of Medicine ASL Salerno, "Santa Maria della Speranza" Hospital, Salerno, Italy.
Postgraduate Program in Allergy and Clinical Immunology, University of Naples Federico II, Naples, Italy.

Mario Palmieri (M)

Former Primary of Unit of Pediatry, Hospital of Eboli, Salerno, Italy.

Jean Bousquet (J)

MACVIA-France and University Hospital, Montpellier, France.
Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Department of Dermatology and Allergy, Berlin Institute of Health, Comprehensive Allergy Center, Berlin, Germany.

Alessandro Tonacci (A)

Institute of Clinical Physiology-National Research Council of Italy (IFC-CNR), Pisa, Italy.

Ada Giuliano (A)

Laboratory of Toxicology Analysis, Department for the Treatment of Addictions, ASL Salerno, Salerno, Italy.

Sebastiano Gangemi (S)

School and Unit of Allergy and Clinical Immunology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.

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