Clinical improvement after unusual avoidance measures in the home of an atopic dermatitis patient.
A 27-year-old female office clerk with widespread atopic dermatitis (AD) since infancy appeared to be highly sensitized and exposed to molds, storage mites, and chicken feathers and moderately sensitized to house-dust mites and grass and birch pollens. Hardly any textiles were present in her home; that is, only 28 m2, which is less than 25% of the Dutch national average. The causal relationship between eczema and molds plus storage mites in this case of AD was strengthened by the positive effect of an unusual, multidisciplinary home-sanitation program involving cleaning of mineral surfaces and ventilation improvement. This home-sanitation program led to a gradual drop of total IgE and clinical symptom scores to 21% and 13%, respectively, of the original values.
Kort
H S
HS
Interuniversity Task Group Home and Health, Utrecht State University Medical School, The Netherlands.
Koers
W J
WJ
van Nes
A M
AM
Young
E
E
Vorenkamp
J
J
Wolfs
B G
BG
van Bronswijk
J E
JE
D000328:Adult; D000485:Allergens; D000818:Animals; D003876:Dermatitis, Atopic / Q000276:immunology / Q000517:prevention & control*; D004391:Dust; D005260:Female; D006794:Household Articles; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D008925:Mites; D012499:Sanitation; D013997:Time Factors
D000485:Allergens; D004391:Dust; D007073:Immunoglobulin E