Evidence map›Paper›PMID 40938519›Full record

ArticleDermatology and therapy2025

Real-World Onset of Atopic Comorbidities Relative to Atopic Dermatitis in Pediatric Patients.

Yael A Leshem, Clara Weil, William W Busse, Lisa A Beck, Gabriel Chodick, Sonya L Cyr, Kwinten Bosman, Robert Lubwama

Abstract read
In one paragraph

Article in Dermatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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

8 authors.

Yael A LeshemDivision of Dermatology, Rabin Medical Center, Petach Tikva, Israel. yael.leshem@gmail.com.ORCID http://orcid.org/0000-0001-8740-9674
Clara WeilMaccabi Institute for Research and Innovation (Maccabitech), Maccabi Healthcare Services, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-0174-7208
William W BusseUW Allergy, Pulmonary and Critical Care Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0003-2591-4696
Lisa A BeckDepartment of Dermatology, University of Rochester Medical Center, Rochester, NY, USA.ORCID http://orcid.org/0000-0003-2649-7863
Gabriel ChodickMaccabi Institute for Research and Innovation (Maccabitech), Maccabi Healthcare Services, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-5189-8995
Sonya L CyrRegeneron Pharmaceuticals Inc., Tarrytown, NY, USA.ORCID http://orcid.org/0000-0002-7231-0054
Kwinten BosmanSanofi, Amsterdam, Netherlands.
Robert LubwamaSanofi, Morristown, NJ, USA.ORCID http://orcid.org/0009-0001-5835-3373

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with atopic dermatitis (AD) have a high atopic comorbidity burden. Although traditionally seen as beginning with AD and progressing to other atopic comorbidities, the "atopic march" model does not fit all patients. This manuscript describes the onset of atopic comorbidities among children newly diagnosed with AD.

methodsThis retrospective, observational, cohort study used data from the Israeli Maccabi Healthcare Services. Patients (< 18 years) first diagnosed with AD during 2000-2019 with ≥ 12-month enrollment before and after AD diagnosis were included. Outcomes included cumulative asthma, allergic rhinitis (AR), and food allergy (FA) prevalence. Patients were grouped by age at AD diagnosis (< 3, 3-5, 6-11, and 12-17 years).

resultsOf 177,081 included patients, 60.4% were < 3 years old at AD diagnosis. The baseline asthma prevalence (at or before AD diagnosis) was lower in children aged < 3 versus ≥ 3 years at AD diagnosis (10.6% versus 26.3-28.5%). The baseline AR prevalence increased with age from 2.2% (< 3 years) to 23.2% (12-17 years), while FA decreased from 4.9% (< 3 years) to 2.1% (12-17 years). Cumulative asthma and FA prevalence increased sharply in the year following AD diagnosis among children diagnosed at < 3 years old. The cumulative ≥ 1 asthma/AR/FA prevalence increased to approximately 50% by 10 years after AD diagnosis.

conclusionsChildren diagnosed with AD at an early age mostly acquire atopic comorbidities within 1 year following AD diagnosis, while children diagnosed later have often already developed them. Eventually, all pediatric patients with AD display a similar, significant burden of atopic multimorbidity. Graphical abstract available for this article.

trial registrationNot applicable.

Indexed as

Allergic rhinitisAsthmaAtopic dermatitisEczemaFood allergyIsraelPediatricPrevalence

Identifiers

PMID40938519
PMCPMC12550081

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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.