DERMATITIS Guide

Causes of Atopic Dermatitis

Children are more likely to develop this disorder if one or both parents have had it or have had allergic conditions like asthma or hay fever. While some people outgrow skin symptoms, approximately three-fourths of children with atopic dermatitis go on to develop hay fever or asthma. Environmental factors can bring on symptoms of atopic dermatitis at any time in individuals who have inherited the atopic disease trait.

Atopic dermatitis is also associated with malfunction of the body's immune system: the system that recognizes and helps fight bacteria and viruses that invade the body. Scientists have found that people with atopic dermatitis have a low level of a cytokine (a protein) that is essential to the healthy function of the body's immune system and a high level of other cytokines that lead to allergic reactions. The immune system can become misguided and create inflammation in the skin even in the absence of a major infection. This can be viewed as a form of autoimmunity, where a body reacts against its own tissues.

In the past, doctors thought that atopic dermatitis was caused by an emotional disorder. We now know that emotional factors, such as stress, can make the condition worse, but they do not cause the disease.

Major and Minor Features of Atopic Dermatitis

Major Features:
Intense itching
Characteristic rash in locations typical of the disease
Chronic or repeatedly occurring symptoms
Personal or family history of atopic disorders (eczema, hay fever, asthma)

Some Minor Features:
Early age of onset
Dry skin that may also have patchy scales or rough bumps
High levels of immunoglobulin E (IgE), an antibody, in the blood
Numerous skin creases on the palms
Hand or foot involvement
Inflammation around the lips
Nipple eczema
Susceptibility to skin infection
Positive allergy skin tests
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

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