title: Peanut allergy as a trigger for the deterioration of atopic dermatitis and precursor of staphylococcal and herpetic associated infections - case report.
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.
authors.affiliation: 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.
authors.forename: Dennis
authors.initials: D
authors.lastname: Ferreira
authors.affiliation: Pediatric Dermatology Service, IPPMG - Martagão Gesteira Pediatric Institute - Federal University of Rio de Janeiro - UFRJ, Rio de Janeiro, Brazil.
authors.forename: Eliane Dios
authors.initials: ED
authors.lastname: Abad
authors.affiliation: Paulo de Goes Microbiology Institute, Federal University Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Fernanda Sampaio
authors.initials: FS
authors.lastname: Cavalcante
authors.affiliation: Paulo de Goes Microbiology Institute, Federal University Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Fabiana Monteiro
authors.initials: FM
authors.lastname: Dos Santos
authors.affiliation: Pediatric Dermatology Service, IPPMG - Martagão Gesteira Pediatric Institute - Federal University of Rio de Janeiro - UFRJ, Rio de Janeiro, Brazil.
authors.forename: Simone
authors.initials: S
authors.lastname: Saintive
authors.affiliation: Pediatric Dermatology Service, IPPMG - Martagão Gesteira Pediatric Institute - Federal University of Rio de Janeiro - UFRJ, Rio de Janeiro, Brazil.
authors.forename: Ekaterini
authors.initials: E
authors.lastname: Goudoris
authors.affiliation: Pediatric Allergy Service - IPPMG - Martagão Gesteira Pediatric Institute - Federal University of Rio de Janeiro - UFRJ, Rio de Janeiro, Brazil.
authors.forename: Evandro Alves
authors.initials: EA
authors.lastname: do Prado
authors.affiliation: Service of Medical Genetics - IPPMG - Martagão Gesteira Pediatric Institute - Federal University of Rio de Janeiro - UFRJ, Rio de Janeiro, Brazil.
authors.forename: Marcia
authors.initials: M
authors.lastname: Ribeiro
authors.affiliation: Paulo de Goes Microbiology Institute, Federal University Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Soares Rosado
authors.affiliation: Paulo de Goes Microbiology Institute, Federal University Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Jan Dirk
authors.initials: JD
authors.lastname: van Elsas
authors.affiliation: Paulo de Goes Microbiology Institute, Federal University Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Kátia Regina Netto
authors.initials: KR
authors.lastname: Dos Santos
mesh_terms: D000890:Anti-Infective Agents / Q000494:pharmacology / Q000627:therapeutic use; D000998:Antiviral Agents / Q000494:pharmacology / Q000627:therapeutic use; D001938:Brazil; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000150:complications* / Q000276:immunology* / Q000628:therapy; D004032:Diet; D005260:Female; D006561:Herpes Simplex / Q000188:drug therapy / Q000276:immunology* / Q000821:virology; D006801:Humans; D021183:Peanut Hypersensitivity / Q000150:complications* / Q000276:immunology / Q000628:therapy; D011788:Quality of Life; D018139:Simplexvirus / Q000187:drug effects / Q000502:physiology; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000276:immunology* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects / Q000502:physiology; D016896:Treatment Outcome
chemical_list: D000890:Anti-Infective Agents; D000998:Antiviral Agents