CASE REPORT
Peanut allergy as a trigger for the deterioration of atopic dermatitis and precursor of staphylococcal and herpetic associated infections – case report
 
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1
Fellow by CAPES (Bolsista da CAPES) – Proc. No. BEX 9203 – CAPES Foundation, Ministry of Education of Brazil, Brasilia/DF 70040-020, Brazil
2
Veiga de Almeida University, Rio de Janeiro, Brazil
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Pediatric Dermatology Service, IPPMG – Martagão Gesteira Pediatric Institute – Federal University of Rio de Janeiro – UFRJ, Rio de Janeiro, Brazil
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Paulo de Goes Microbiology Institute, Federal University Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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Pediatric Allergy Service – IPPMG – Martagão Gesteira Pediatric Institute – Federal University of Rio de Janeiro – UFRJ, Rio de Janeiro, Brazil
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Service of Medical Genetics – IPPMG – Martagão Gesteira Pediatric Institute – Federal University of Rio de Janeiro – UFRJ, Rio de Janeiro, Brazil
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University of Groningen, Faculty of Mathematics and Natural Science, Microbial Ecology – Centre for Ecological and Evolutionary Studies, The Netherlands
CORRESPONDING AUTHOR
Dennis Ferreira
Fellow by CAPES (Bolsista da CAPES) – Proc. No. BEX 9203 – CAPES Foundation, Ministry of Education of Brazil, Brasilia/DF 70040-020, Brazil
 
Ann Agric Environ Med. 2015;22(3):470–472
KEYWORDS
ABSTRACT
Atopic dermatitis (AD) is a multifactorial and chronic disease, with genetic, environmental, immunological and nutritional origins. AD may be aggravated by allergies associated with infections. This study aims to describe a paediatric case of AD in which the peanut allergy was the triggering factor to aggravate the disease, and was also the concomitant precursor of staphylococcal (methicillin-sensitive Staphylococcus aureus, carrier of the Panton-Valentine leukocidine (PVL) genes) and herpetic (Herpes Simplex – HSV) infections. The clinical management approach and nursing strategies promoted a favourable evolution during the hospitalization period, besides the family approach, which was essential to control any flare-up of the disease. Adherence to a recommended diet and the use of strategies to prevent any recurrent infections were important to ensure the patient’s quality of life.
 
REFERENCES (13)
1.
Kabashima K. New concept of the pathogenesis of atopic dermatitis: interplay among the barrier, allergy, and pruritus as a trinity. J Dermatol Sci. 2013; 70(1): 3–11.
 
2.
Eichenfield LF , Ellis CN, Mancini AJ, Paller AS, Simpson EL. Atopic dermatitis: epidemiology and pathogenesis update. Semin Cutan Med Surg. 2012; 31(3 Suppl): S3–5.
 
3.
Castro AP. Calcineurin inhibitors in the treatment of allergic dermatitis. J Pediatr. 2006; 82(5 Suppl): S166–172.
 
4.
Eichenfield LF, Hanifin JM, Luger TA, Stevens SR, Pride HB. Consensus conference on pediatric atopic dermatitis. J AmAcad Dermatol. 2003; 49(6): 1088–1095.
 
5.
Morishima Y, Kawashima H, Takekuma K, Hoshika A. Changes in serum lactate dehydrogenase activity in children with atopic dermatitis. Pediatr Int. 2010; 52(2): 171–174.
 
6.
Wisniewski JA, Agrawal R, Minnicozzi S, Xin W, Patrie J, Heymann PW, et al. Sensitization to food and inhalant allergens in relation to age and wheeze among children with atopic dermatitis. Clin Exp Allergy. 2013; 43(10): 1160–1170.
 
7.
Lübbe J. Secondary infections in patients with atopic dermatitis. Am J Clin Dermatol. 2003; 4(9): 641–654.
 
8.
Sidbury R, Davis DM, Cohen DE, Cordoro KM, Berger TG, Bergman JN, et al. Guidelines of care for the management of atopic dermatitis: section 3. Management and treatment with phototherapy and systemic agents. J Am Acad Dermatol. 2014; 71(2): 327–349.
 
9.
Rosinska-Wieckowicz A, Czarnecka-Operacz M. Disease extent and severity in patients with atopic dermatitis and food allergy. Post Dermatol Alergol. 2011; 5: 382–388.
 
10.
Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, et al. Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol. 2014; 70(2): 338–351.
 
11.
Beck LA, Boguniewicz M, Hata T, Schneider LC, Hanifin J, Gallo R, et al. Phenotype of atopic dermatitis subjects with a history of eczema herpeticum. J Allergy Clin Immunol. 2009; 124(2): 260–269.
 
12.
Bakaletz LO. Immunopathogenesis of polymicrobial otitis media. J Leukoc Biol. 2010; 87(2): 213–222.
 
13.
Bin L, Kim BE, Brauweiler A, Goleva E, Streib J, Ji Y, et al. Staphylococcus aureus α-toxin modulates skin host response to viral infection. J Allergy Clin Immunol. 2012; 130(3): 683–691.
 
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