Other Atopic Allergies and Pediatric Patients with Atopic Dermatitis

Elizabeth Lippner (00:07):

My name's Elizabeth Lippner. I'm a Pediatric Allergy and Immunology Physician. I practice out of and in Ann & Robert H. Lurie Children's Hospital here in Chicago. I see pretty much all children with an emphasis on food allergy and allergic diseases, as well as immune deficiency diseases.

(00:29):

So there are quite a few different comorbidities that affect pediatric patients that have atopic dermatitis. As an allergist, I focus a lot on other atopic conditions. So this would be of course, food allergies, allergic rhinitis or environmental allergies, asthma, allergic eye disease. And then also contact dermatitis, which you are all quite familiar with. That also has a high rate of co-occurrence with atopic dermatitis. There's also been a bit more literature looking at autoimmune disease that's associated with atopic dermatitis, as well as metabolic comorbidities and mental health and psychiatric comorbidities.

(01:18):

When we talk about environmental allergies and atopic dermatitis, really we can see kind of both diseases co-occurring in the same person. So someone might start out with atopic dermatitis and then as they get older, develop more sort of seasonal allergy symptoms like hay fever, we classically call it, or springtime allergies. But there's also a subset of people who have atopic dermatitis where they have seasonal flares to their eczema and their skin concerns. And that also seems to correlate with when their, say, pollen allergy is at the highest.