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The investigators will contact 64 patients with atopic dermatitis (AD) who participated in a long-term tacrolimus ointment trial in Helsinki 10 years ago, and ask them to participate in this follow-up study. The investigators will do the same tests as 10 years ago, i.e. bronchial hyperreactivity, skin prick tests, serum-IgE, Mantoux-test (2 TU), and questionnaires about asthma and allergic rhinitis symptoms. The investigators also collect data about their AD medication during the last 10 years.
The investigators hypothesis is that when the skin condition improves in patients with AD the brochial hyperreactivity improves. The investigators also want to study whether different treatments play a role in the development or resolution of bronchial hyperreactivity.
We will by letters and telephone contact all patients (n=64) who fulfill the inclusion criteria for this study.
The testing in the study (bronchial hyperreactivity, skin prick testing, serum IgE) is cross-sectional, but we retrospectively collect data from the last 10 years about the skin condition and medication for atopic diseases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AD patients | AD patients who fulfill the inclusion criteria for the study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Histamine provocation | Procedure | A dosimetric histamine challenge test in which the provocative dose of inhaled histamine producing a decrease of 15% in FEV1 is measured. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bronchial hyperreactivity | 10 year follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Skin prick tests | 10 year follow-up | |
| Serum-IgE | 10-year follow-up | |
| Mantoux-test |
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Inclusion Criteria:
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The investigators invite all patients who participated in the FG-506-06-21 tacrolimus ointment study, and who at baseline in that study were tested for bronchial hyperreactivity.
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| Name | Affiliation | Role |
|---|---|---|
| Sakari Reitamo, MD, PhD | Skin- and Allergy Hospital, Dep. of Dermatology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Skin- and Allergy Hospital, Department of Dermatology | Helsinki | 00250 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17910892 | Background | Virtanen H, Remitz A, Malmberg P, Rytila P, Metso T, Haahtela T, Reitamo S. Topical tacrolimus in the treatment of atopic dermatitis--does it benefit the airways? A 4-year open follow-up. J Allergy Clin Immunol. 2007 Dec;120(6):1464-6. doi: 10.1016/j.jaci.2007.08.021. Epub 2007 Oct 1. No abstract available. |
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| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| D016535 | Bronchial Hyperreactivity |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
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Serum is collected for measurement of IgE
| Skin prick tests | Procedure | Skin prick testing will be performed for: birch, timothy, mugwort, alder, pine, cat, dog, horse, house dust mite, Cladosporium herbarum. |
|
| Serum IgE blood testing | Procedure | One blood test to measure total serum IgE |
|
| Mantoux-testing | Procedure | Tuberculin (2 TU) s.c. on the forearm. The test is read after 72 hours. |
|
| 72 hours |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |