Gastrointestinal Comorbidities Associated with Atopic Dermatitis-A Narrative Review

Int J Mol Sci. 2024 Jan 18;25(2):1194. doi: 10.3390/ijms25021194.

Abstract

The current understanding of atopic dermatitis (AD) seems to be extending beyond a skin-confined condition frequently associated with allergic comorbidities, as in a number of epidemiological studies, the prevalence rate of a range of illnesses has been determined to be greater in patients with AD, or inversely. In most cases, the reasons for this are vague. A subset of these conditions are gastrointestinal disorders, including food sensitization (FS) and food allergy (FA), eosinophilic esophagitis (EoE) (it is of mixed background, both IgE-dependent and independent), food protein-induced enterocolitis syndrome (FPIES) (it exemplifies an IgE-independent food allergy), Crohn's disease (CD), colitis ulcerosa (CU), celiac disease, irritable bowel syndrome (IBS), and gastroesophageal reflux disease (GERD). In this review, we performed a comprehensive search of the literature using the PubMed database. We addressed the epidemiology of the increased co-occurrence of these diseases with AD and discussed potential causes for this subject. Multiple gastroenterological comorbidities appear to be more common in patients with AD, according to our review. The mechanisms that underlie this phenomenon are largely unknown, highlighting the need for further study in this field.

Keywords: atopic dermatitis; comorbidity; gastrointestinal disease.

Publication types

  • Review

MeSH terms

  • Comorbidity
  • Crohn Disease*
  • Dermatitis, Atopic* / complications
  • Dermatitis, Atopic* / epidemiology
  • Food Hypersensitivity* / complications
  • Food Hypersensitivity* / epidemiology
  • Humans
  • Immunoglobulin E

Substances

  • Immunoglobulin E

Grants and funding

This research received no external funding.