Dermatitis Atópica
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Keywords

Atopic dermatitis, cardiovascular risk, chronic inflammation, biomarkers, dermatological treatment.

How to Cite

Morales Sánchez , D. F., Licoa Navarro , Y. J., Peñafiel Rivas , K. S., Mena Noroña , D. A., Andrade Travez , K. M., & Alvarado Muñoz , B. Y. (2024). Dermatitis Atópica: ¿Un Factor de Riesgo para la Salud Cardiovascular?. Brazilian Journal of Implantology and Health Sciences, 6(11), 483–493. https://doi.org/10.36557/2674-8169.2024v6n11p483-493

Abstract

Introduction: Atopic dermatitis (AD), a chronic inflammatory skin disease, significantly affects both children and adults, with increasing incidence rates. Literature suggests a possible connection between AD and cardiovascular risk, highlighting chronic inflammation as a crucial link. Objective: This article seeks to examine the existing literature on the potential of AD as a cardiovascular risk factor. Methodology: An extensive literature review was conducted using databases such as PubMed and Cochrane, focusing on studies from 2018 to 2024. The review included original research, systematic reviews, and meta-analyses. Results: AD is correlated with a high prevalence in children and adults, with systemic impacts extending beyond the skin. Recent studies have associated AD with hypertension, dyslipidemia, and increased cardiovascular risk, particularly in severe cases. Furthermore, proper management of inflammation through treatments such as corticosteroids and calcineurin inhibitors suggests a potential reduction in cardiovascular risk. Discussion: Systemic inflammation is an important mediator linking AD to cardiovascular risk, especially in moderate to severe cases. Alteration of the lipid profile in patients with AD is a potential mechanism through which cardiovascular risk may increase. Treatment strategies that reduce this inflammation are crucial for dual improvement: dermatological relief and reduction in cardiovascular comorbidities. Conclusion: The findings highlight the relationship between AD and increased cardiovascular risk, driven by inflammation and altered lipid profiles. Effective therapeutic interventions can not only improve dermatological quality of life but also mitigate cardiovascular risks.

https://doi.org/10.36557/2674-8169.2024v6n11p483-493
PDF (Português (Brasil))

References

Weidinger S, Novak N. Atopic dermatitis. Lancet. 12 de marzo de 2016;387(10023):1109-22.

Lugović-Mihić L, Meštrović-Štefekov J, Potočnjak I, Cindrić T, Ilić I, Lovrić I, et al. Atopic Dermatitis: Disease Features, Therapeutic Options, and a Multidisciplinary Approach. Life. junio de 2023;13(6):1419.

Lusignan S de, Alexander H, Broderick C, Dennis J, McGovern A, Feeney C, et al. The epidemiology of eczema in children and adults in England: A population‐based study using primary care data. Clinical and Experimental Allergy. 26 de noviembre de 2020;51(3):471.

Bylund S, Kobyletzki LBV, Svalstedt M, Svensson Å. Prevalence and Incidence of Atopic Dermatitis: A Systematic Review. Acta Dermato-Venereologica. 9 de junio de 2020;100(12):5765.

Thyssen JP, Ross Terres JA, Pierce EJ, Feely MA, Silverberg JI. Prevalence, incidence and relative risk of cardiovascular disease risk factors in adults with atopic dermatitis: A systematic review. JEADV Clinical Practice. 2023;2(1):5-18.

Ivert LU, Johansson EK, Dal H, Lindelöf B, Wahlgren CF, Bradley M. Association Between Atopic Dermatitis and Cardiovascular Disease: A Nationwide Register-based Case-control Study from Sweden. Acta Derm Venereol. 1 de septiembre de 2019;99(10):865-70.

Fujiyoshi A. Eczema and Risk of Cardiovascular Disease: Heightened Awareness Needed. Journal of Atherosclerosis and Thrombosis. 1 de septiembre de 2019;26(9):760.

Kim J, Kim BE, Leung DYM. Pathophysiology of atopic dermatitis: Clinical implications. Allergy and Asthma Proceedings. marzo de 2019;40(2):84.

Ivert LU, Wahlgren CF, Lindelöf B, Dal H, Bradley M, Johansson EK. Association between atopic dermatitis and autoimmune diseases: a population‐based case–control study. The British Journal of Dermatology. 8 de diciembre de 2020;185(2):335.

Lu Z, Zeng N, Cheng Y, Chen Y, Li Y, Lu Q, et al. Atopic dermatitis and risk of autoimmune diseases: a systematic review and meta-analysis. Allergy, Asthma & Clinical Immunology. 25 de septiembre de 2021;17(1):96.

Silverwood RJ, Forbes HJ, Abuabara K, Ascott A, Schmidt M, Schmidt SAJ, et al. Severe and predominantly active atopic eczema in adulthood and long term risk of cardiovascular disease: population based cohort study. BMJ. 23 de mayo de 2018;361:k1786.

Chen H, Zhuo C, Zheng L. Assessing Causal Associations of Atopic Dermatitis With Heart Failure and Other Cardiovascular Outcomes: A Mendelian Randomization Study. Frontiers in Cardiovascular Medicine. 15 de junio de 2022;9:868850.

Woo YR, Cho M, Han KD, Cho SH, Lee JH. Atopic Dermatitis and the Risk of Myocardial Infarction and All-Cause Mortality: A Nationwide Population-Based Cohort Study. Allergy, Asthma & Immunology Research. 2 de agosto de 2023;15(5):636.

Lee SW, Kim H, Byun Y, Baek YS, Choi CU, Kim JH, et al. Incidence of Cardiovascular Disease After Atopic Dermatitis Development: A Nationwide, Population-Based Study. Allergy Asthma Immunol Res. marzo de 2023;15(2):231-45.

Jung HJ, Lee DH, Park MY, Ahn J. Cardiovascular comorbidities of atopic dermatitis: using National Health Insurance data in Korea. Allergy, Asthma, and Clinical Immunology : Official Journal of the Canadian Society of Allergy and Clinical Immunology. 22 de septiembre de 2021;17:94.

Jin SP, Kim H, Moon JH, Kim-Schulze S, Chun YS, Nam HJ, et al. Proteomic analysis of cardiovascular disease-associated proteins in Korean patients with moderate-to-severe atopic dermatitis. World Allergy Organ J. agosto de 2024;17(8):100949.

Ascott A, Mulick A, Yu AM, Prieto-Merino D, Schmidt M, Abuabara K, et al. Atopic eczema and major cardiovascular outcomes: A systematic review and meta-analysis of population-based studies. The Journal of Allergy and Clinical Immunology. mayo de 2019;143(5):1821.

Wu JJ, Amand C, No DJ, Mahajan P, Gadkari A, Ghorayeb E, et al. The Use of Real-World Data to Evaluate the Association Between Atopic Dermatitis and Cardiovascular Disease: A Retrospective Claims Analysis. Dermatol Ther (Heidelb). octubre de 2021;11(5):1707-15.

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Copyright (c) 2024 Denisse Fiorella Morales Sánchez , Yosenka Jaritza Licoa Navarro , Katherine Scarlet Peñafiel Rivas , Diego Antonio Mena Noroña , Katherine Michelle Andrade Travez , Benjamin Yeshua Alvarado Muñoz