Influence of genetic and environmental factors on the manifestation of atopic dermatitis in twins: A case report

Authors

DOI:

https://doi.org/10.36489/saudecoletiva.2022v12i80p11360-11367

Keywords:

Atopic Dermatitis, Twins, genetics, Environmental Exposure

Abstract

Objective: to highlight the influence of the interaction of genetic and environmental factors in the manifestation of atopic dermatitis, through the observation of different outcomes in twins. Method: The information contained in this clinical case description was obtained through anamnesis, physical examination, complementary exams and review of the literature referenced in this work. Results: We report the case of 21-year-old twins with a history of very similar exposure to external antigens and who were diagnosed with AD in childhood, with different evolutions in adolescence and adulthood. Conclusion: twins are assumed to share environmental risk factors and, therefore, by comparing them, it is possible to estimate the relative impact of genetic and environmental factors on a given disease.

Author Biographies

Giovana Elisa Rosa Galiassi

Student of the Medicine course at the University of Cuiabá (UNIC)

Gabriela Regina Rosa Galiassi

Master's student in Technological and Environmental Chemistry at the Federal Institute of Mato Grosso; Chemical Engineer at the Federal University of Mato Grosso

Thayanne Rysia Gomes Bezerra

Physician at the University of Cuiabá (UNIC)

Daniella Alana Andrade Souto Rodrigues

Resident in Internal Medicine at the General Hospital (Cuiabá-MT); Physician at the University Center of Várzea Grande (UNIVAG)

Christiane Yule de Barros Figueiredo

Physician at the University Center of Várzea Grande - UNIVAG

References

Thomsen SF, Ulrik CS, Kyvik KO, Hjelmborg JVB, Skadhauge LR, Steffensen I, Backer V. Importance of genetic factors in the etiology of atopic dermatitis: A twin study. Allergy and Asthma Proceedings 2007; 28(5), 535–539.

Silvestre SJ, Romero-Pérez D, Encabo-Durán B. Atopic Dermatitis in Adults: A Diagnostic Challenge. Journal of Investigational Allergology and Clinical Immunology 2017; 27(2), 78–88.

Gonzalez ME et al. Cutaneous microbiome effects of fluticasone propionate cream and adjunctive bleach baths in childhood atopic dermatitis. J Am Acad Dermatol. 2016; 75(3):481-93.

Kluken H, Wienker T, Bieber T. Atopic eczema/dermatitis syndrome - A genetically complex disease. New advances in discovering the genetic contribution. Allergy 2003; 58:5–12.

Thestrup-Oederseb K. Contact allergy in monozygous twins. Contact Dermatitis 1997; 36(1), 52–53.

Elmose C, Thomsen SF. Twin Studies of Atopic Dermatitis: Interpretations and Applications in the Filaggrin Era. Journal of Allergy 2015; 1–7.

Eichenfield LF et al. Guidelines of care for the management of atopic dermatitis: Section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol. 2014; 70:338-51.

Weidinger S, Gupta AK. Atopic dermatitis. Lancet. 2016; 387(10023):1109-22

Wandalsen GF, Camelo-Nunes ICC, Naspitz CK, Solé D. Fatores de risco para eczema atópico em escolares. Rev Inst Matern Infant Pernamb. 2005; 5:19-25

Kantor R, Silverberg JI. Environmental risk factors and their role in the management of atopic dermatitis. Exp Rev Clin Immunol. 2017; 13(1):15-20.

David BW, Tarbox JA, Tarbox MB. Atopic Dermatitis: Pathophysiology. Management of Atopic Dermatitis 2017; 21–37.

Addor FAZ, Aoki V. Barreira cutânea na dermatite atópica. An. Bras. Dermatol. 2010 abr; (85)2: 184-194

Sampaio SAP, Rivitti EA. Dermatologia. 3. ed. São Paulo: Artes Médicas, 2008; 209-221.

Published

2022-09-19

How to Cite

Rosa Galiassi, G. E., Rosa Galiassi, G. R., Gomes Bezerra, T. R., Andrade Souto Rodrigues, D. A., & de Barros Figueiredo, C. Y. (2022). Influence of genetic and environmental factors on the manifestation of atopic dermatitis in twins: A case report. Saúde Coletiva (Barueri), 12(80), 11360–11367. https://doi.org/10.36489/saudecoletiva.2022v12i80p11360-11367

Issue

Section

Artigos Cientí­ficos