Evidence map›Paper›PMID 19541356›Full record

ArticleThe Journal of allergy and clinical immunology2009

Phenotype of atopic dermatitis subjects with a history of eczema herpeticum.

Lisa A Beck, Mark Boguniewicz, Tissa Hata, Lynda C Schneider, Jon Hanifin, Rich Gallo, Amy S Paller, Susi Lieff, Jamie Reese, Daniel Zaccaro and 3 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of allergy and clinical immunology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Classifying atopic dermatitis: a systematic review of phenotypes and associated characteristics.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Pooled it
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  18. Adding Fuel to the Fire? The Skin Microbiome in Atopic Dermatitis.The Journal of investigative dermatology · 2024
    Review
  19. Article
  20. Article

50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lisa A BeckDepartment of Dermatology, University of Rochester Medical Center, Rochester, NY 14642, USA. Lisa_Beck@URMC.ROCHESTER.EDU
Mark Boguniewicz
Tissa Hata
Lynda C Schneider
Jon Hanifin
Rich Gallo
Amy S Paller
Susi Lieff
Jamie Reese
Daniel Zaccaro
Henry Milgrom
Kathleen C Barnes
Donald Y M Leung

Funding

MULTIDISCIPLINARY CLINICAL AND TRANSLATIONAL SCIENCE (MCTS) PROGRAM (UL1)UL1RR025741 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GREENLAND, PHILIP · 2008 to 2011
$24.7M
Statistical and Data Coordinating Center for the ADVNN01AI40033 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI ATHEY, CAROL · 2008 to 2014
$6.2M
ATOPIC DERMITITIS VACCINIA NETWORK /ADVN/-266040029N01AI040029 · NIAID · NATIONAL JEWISH MEDICAL AND RESEARCH CEN · PI LEUNG, DONALD YM · 2006 to 2006
–
NCRR NIH HHS UL1 RR025741NIAID NIH HHS HHSN266200400029CNIAID NIH HHS N01 AI040029NIAID NIH HHS N01 AI040033NIAID NIH HHS N01 AI40033
6 · The paper itself

Abstract

backgroundA subset of subjects with atopic dermatitis (AD) are susceptible to serious infections with herpes simplex virus, called eczema herpeticum, or vaccina virus, called eczema vaccinatum.

objectiveThis National Institute of Allergy and Infectious Diseases-funded multicenter study was performed to establish a database of clinical information and biologic samples on subjects with AD with and without a history of eczema herpeticum (ADEH(+) and ADEH(-) subjects, respectively) and healthy control subjects. Careful phenotyping of AD subsets might suggest mechanisms responsible for disseminated viral infections and help identify at-risk individuals.

methodsWe analyzed the data from 901 subjects (ADEH(+) subjects, n = 134; ADEH(-) subjects, n = 419; healthy control subjects, n = 348) enrolled between May 11, 2006, and September 16, 2008, at 7 US medical centers.

resultsADEH(+) subjects had more severe disease based on scoring systems (Eczema Area and Severity Index and Rajka-Langeland score), body surface area affected, and biomarkers (circulating eosinophil counts and serum IgE, thymus and activation-regulated chemokine, and cutaneous T cell-attracting chemokine) than ADEH(-) subjects (P < .001). ADEH(+) subjects were also more likely to have a history of food allergy (69% vs 40%, P < .001) or asthma (64% vs 44%, P < .001) and were more commonly sensitized to many common allergens (P < .001). Cutaneous infections with Staphylococcus aureus or molluscum contagiosum virus were more common in ADEH(+) subjects (78% and 8%, respectively) than in ADEH(-) subjects (29% and 2%, respectively; P < .001).

conclusionSubjects with AD in whom eczema herpeticum develops have more severe T(H)2-polarized disease with greater allergen sensitization and more commonly have a history of food allergy, asthma, or both. They are also much more likely to experience cutaneous infections with S. aureus or molluscum contagiosum.

Indexed as

AdolescentAdultAgedAged, 80 and overAllergensAntibodies, ViralChemokine CCL17Chemokine CCL27Chemokine CXCL10ChildChild, PreschoolDermatitis, AtopicFemaleHerpesvirus 1, HumanHerpesvirus 2, HumanHumansAllergensAntibodies, ViralCCL17 protein, humanCCL27 protein, humanChemokine CCL17Chemokine CCL27Chemokine CXCL10CXCL10 protein, humanImmunoglobulin EInterferon-beta

Identifiers

PMID19541356
PMCPMC3056058

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.